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Why Do Panic Attacks Start In One's Early 20's ?

Question:
Have any researchers figured out yet why most people don't have their first intense panic attack until their early 20's ?




Answer:
I wonder if it's hormone related or something. But when I think about it now...I remember having PAs earlier than my 20's. I was an anxious/troubled child.

I wish I could give you some actual information...but I'm just babbling as usual. The Buspar is preventing me from sleeping at night...and even after taking 2 Xanax...I'm still awake :-(

Interesting question, Tony and I have wondered at times about this. I know I was a very anxious child, remember having some anxiety attacks in my teen years but nothing like the BIG ONE that knocked me off my feet when I was 25...

It is my understanding it is associated with stress. The twenties, trying to make a living, having choldren, buying a house, getting married. All of the old stressers are there, there are now some great big new ones to add to the mix.

I had my first attack at about 50. My therapist and I have established that I have always had anxiety disorder. I was just able to develop ways to cope and deal with it. At 50, my concentration, etc. was not what it used to be. No penile jokes from the ladies please. I accept some parts don't work as well as they used to, but others are better! ;-)

Hence, at 50 I could not cope anymore and I went over the edge. I had never had medication before that, never seen a therapist/pdoc or had never been diagnosed with AD. I am 53 now, but an engineer and study this stuff like a fiend. I have to make sense out of things. The above is my sense collobrated by my reading and therapist.

Anyway, I am no expert, but this is what seems to be true for me.

There are many changes going on during the late teens and early twenties. For example, sleep architecture changes as the REM/NREM cycle tends to spread out to the adult format. More then likely, different genes are being expressed in differing amounts during this time. If you're genetically and environmentally predisposed to a disorder, then it's likely to emerge at this time.

Considering this, it's extremely important for teenagers to have good health habits such as good sleep, diet, and exercise. Given the near epidemic of mental illness, it's not surprisingly that it's exactly opposite to what is going on in the US. I haven't seen any studies, but it could be that a fair percentage of mental illness is preventable just like, say, cancer, t2 diabetes, and heart disease.





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