Anxiety is a feeling of fear, apprehension and discomfort over a situation. This is actually a good and healthy feeling since the body is able to recognize something that it needs to address. This “flight or fight” response enables the body to get that much needed boost of energy to react to the specific situation. In this case, anxiety is helpful. However, if it gets intense, recurring and exaggerated, it may already be considered as an anxiety attack.

The exact cause of an anxiety attack is not fully understood, but research suggests that genetics, life experiences and brain chemistry contribute to the onset of the attack. What is known is that during the attack, a person shows signs and changes in the body.

The immediate sign of anxiety attack is increased heartbeat or palpitation. This is the most distressing among anxiety symptoms. But this is generally a good thing since the heart works harder to pump more blood to your body, especially to your legs and your arms, enabling you to have a surge of energy to respond quicker than normal to any emergency. The chest feels tight as if it refuses to expand to accommodate air the body needs. Sometimes, the feeling is like someone is pushing a pillow into your face.

The additional oxygen requirement of the body must be compensated by breathing. Thus, during an anxiety attack, you breathe faster. As your arms and legs receive more oxygen and energy, your muscles tend to get tensed, which is important when abrupt movement is needed.

As your arms and legs receive more supply of oxygen through the blood, other parts of the body receive less than normal supply of oxygen (the stomach and the brain can survive with less oxygen during emergency situations). In other words, the oxygen that is supposed to go to the stomach is redirected to the arms and legs. This explains why a person who is undergoing an anxiety attack experiences churning feeling in the stomach. Because the brain receives less amount of oxygen for a short period of time, the person experiences light-headedness and dizziness. (Take note, however, that the reduced supply of oxygen in the brain is just enough to produce these symptoms and doesn’t cause any permanent brain damage.)

Because your heart pumps more blood to your muscles, your body temperature increases. So to keep a relatively normal temperature, you begin to sweat.

Aside from these signs, you can also experience weakness or fatigue, tingling sensation, and dry mouth. Also, side-effects of these signs may include diarrhea and constant urination.

These body responses are automatic. Meaning, there is no “switch” to turn it on. Thus, there is also no way you can turn it off by simply thinking that you should not feel any of these symptoms. What you should do, especially if the attack is chronic, recurring and it already affects your life, is to seek medical help. This way, your doctor will be able to identify and rule out any other possible causes of these signs which are unrelated to anxiety.

Allow your doctor to conduct a physical exam. He may prescribe you a drug or may refer you to a psychologist or a therapist. Following your doctor is important so do not ignore any advice and believe that you are totally okay.

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Everyone worries, gets nervous and concerned, feels certain fears, and experiences apprehensions. To a certain degree, anxiousness is healthy as it enables the body to react to certain stimuli and take into action or perform better. As long as the feeling is relative to the situation or problem at hand, it is normal. However, when anxiety gets severe, chronic and irrational, you might already have an anxiety disorder and experience episodes of anxiety attacks.

Common symptoms include:

Fear of going crazy – When under tremendous pressure, a person may feel that he is going crazy. This, however, is more evident during anxiety attack, but rest assured that you are not going crazy. This is because going crazy is not a conscious act; people who are suffering from mental illnesses do not even know that they have one. Again, if you are experiencing excessive fear or irrational thoughts, you are not going crazy.

Dry mouth – This is a natural occurrence during anxiety attack as fluids are diverted to other parts of the body. To counter dry mouth, sip water or suck sweets to stimulate the production of saliva. In severe cases, doctors may prescribe you with liquid.

Shaking and shivering – These two are necessary functions of the body as it constantly tries to keep the body temperature normal. When the body temperature drops from normal, the muscles spasmodically contract, creating friction between muscles and body tissues, thus increasing the body temperature. During anxiety attacks, shaking and shivering are normal.

Heart palpitation – or the feeling that the heart is missing beats is caused by the release of adrenaline into the bloodstream during an attack. This is perfectly normal and cannot harm you in any way. However, it can cause discomfort.

Body pain – such as neck, shoulder, jaw, mouth and stomach pains, as well as head headaches. When the body is under stress, parts of the body usually get tensed, which results to pain.

Chest pain – is a normal body reaction to anxiety attack because of muscle tension. Sometimes, chest pain is misinterpreted as a heart attack, but it is important to identify from one another as the latter can be deadly.

Shortness of breath – is the most distressing symptom of anxiety attack as it almost feels that the chest cannot expand to accommodate the necessary air that the body needs. Sometimes, it feels that someone is pushing a pillow into your face. Three important points to remember are you will not suffocate, stop breathing or pass out.

Feeling detach or unreal – is a symptom of anxiety attack which alters the way you experience yourself or see reality. It makes you feel that everything around you is like a dream, foggy and unreal.

Recognizing the symptoms of anxiety attacks need not require you to understand the physiology of the human body. What is required is your awareness on each symptoms and the danger they have when ignored.

Different people manifest different behaviors when experiencing anxiety. The intensity of prevailing symptoms differs either. And since the term “anxiety disorders” is coined to refer a group of related conditions rather than a single disorder, symptoms may look different on every anxiety attack. It is important, therefore, to consult a health professional so that it will out any possible condition apart from anxiety.

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Children anxiety disorders are common, but the exact number of sufferers is unknown, most likely because the condition is often under-diagnosed, undiagnosed or unreported. While it is very treatable with good, persistent medical care, medical experts agree that anxiety problems during childhood (when misjudged and overlooked) will likely to persist as an adult psychiatric disorder. In other words, early manifestations of anxiety through anxiety attacks during childhood must be addressed as early as possible hence, reducing the chances of developing into an adult version.

Through the following symptoms, you can detect that a child is a possible candidate of a specific type of anxiety disorder or if the child is undergoing another episode of anxiety attack.

Separation anxiety is very common among children when they reach school age. They exhibit unreasoned fear and panic at being separated from their parents or their home during parents. Symptoms include crying and begging not to go to school. It is also possible that a child complains stomach aches, headaches, toothaches, and other maladies that would keep him from going to school. Alternately, a child will show a demeanor when at home or during the company of parents.

Social phobia is almost the opposite of separation anxiety. A child may choose stay home alone or keep separated from parents. Social phobia can push children to stay away from peers as they feel that they are different from other kids or that they have clothes or hair style that are apart from the interest of other kids. A child with social phobia may choose to read a book than to go to summer camp or any activity that involves mingling with others.

Performance anxiety can be closely linked to social anxiety. A child who does not play good sports may show signs of fear during physical education class. A child with poor reading skills or cannot perform simple mathematical equation may panic and become ill when called to recite for the class or solve a problem on the board.

Generalized anxiety disorder (GAD) is characterized by chronic worry or fear over almost everything without any apparent reason. Symptoms of GAD are very similar to what adults would experience. Patients with GAD may complain about stomach upset, fatigue, restlessness, and difficulty sleeping. In addition, a child may throw tantrums, may cry, have nightmares, may be keyed up and even begin to show problems in school that were not present before.

What causes anxiety to children?

There are many studies supporting that child anxiety is genetically acquired. Parents, for example, who manifest anxiety, will likely have anxious and nervous children. This condition can be learned as well. It is possible that a child develops anxiety disorder after a bad experience – ridiculed by classmates, victim of bullies in school, or making a mistake in front of the class. Separation of parents, abuse, death of a loved one or any traumatic experiences can lead to anxiety disorder as well. Fear of being alone, is afraid of the dark or afraid of certain animals may be reflections of events with bad memories.

Behaviors during anxiety attacks and symptoms of anxiety disorders are similar to other psychological, physical and behavioral condition. It is important, therefore, to seek professional help to be able to rule out other reasons and provide the right treatment to the patient.

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All teens, just like any adult, feel anxious from time to time as a normal reaction to stressors. Going on a date, speaking in public, meeting new people, competing in sports, performing on stage, and taking exams are some of the things that make us feel apprehensive.

However, some teens experience severe anxiety than others. Some even feel severe anxiety by just thinking about the situation that has yet to happen. And when someone experiences episodes of panics or develops irrational fear over certain events or problems, it is known as anxiety attack.

When is too much anxiety too much?

Excess anxiety is when you feel worry, anxious and afraid for no apparent reason at all. Under normal circumstances, teens worry because of specific things (like what was mentioned above). But there is an obvious difference between healthy anxiety and irrational anxiousness. Teens during an anxiety attack tend to react disproportionately over simple things or events that seem not to cause any excessive anxious reaction to others. In other words, too much anxiety is an unusual reaction over simple or trivial things.

What are the signs and symptoms of anxiety attacks?

Different people react to situations differently. Hence, there are really no uniform symptoms of anxiety attack that are present to all. Nonetheless, teens may show some or all of the following signs: shortness of breath, chest pain, heart burn, smothering sensation, sweating, shivering, chilling or shaking, numbness in the head and face, neck and shoulder pain, palpitation, derealisation or depersonalization, hyperactivity, dry mouth, fear of going crazy, headaches, stomach pain, and other body pains.

Take note that some of the mentioned signs and symptoms can be caused by other medical, psychological, and physical conditionals. They can also be the effects of current medical treatment, side effects of certain medications or the body’s natural reaction to stimuli.

What are the available remedies for anxiety attacks?

Medication
Severe cases of anxiety attacks may require prescription drugs to control or reduce its symptoms. Prescription drugs may be antidepressants and benzodiazepines. Antidepressants may take some weeks to take effect so it is important to continuously take medications and not just during an attack.  Benzodiazepines, on the other hand, have quick relief effects, usually within 30 minutes, but they are highly addictive, thus it should be used with caution. Remember that medication should not be the first treatment option as there are other effective ways to combat the effects of anxiety.

Therapy
Cognitive behavioral therapy (CBT) is one of the most effective ways to treat anxiety attacks or any anxiety disorder for that matter. CBT focuses on the thinking pattern of the patients and replaces negative thoughts with positive ones.

Exposure therapy exposes the person to the physical sensations of panic in a safe and controlled environment. Through repeated exposure, patients gain greater self control and more confidence in facing fearful situation.

Natural Remedies
Proper diet, regular exercise and sufficient sleep bring balance to the body, which help reduce the episodes of anxiety attacks.

Massage, aromatherapy, relaxation and breathing techniques promote wellness, relax muscles and ease muscle tension.

Herbal treatments naturally relieve stress and restlessness associated with anxiety, thus solving anxiety problem.

Thinking positively and talking to a supportive person help stop the occurrence of anxiety attacks.

A panic attack is a sudden surge of overwhelming fear and anxiety, usually without any clear reason and without warning. It can happen to anyone regardless of age, health and status. Many attacks are a one-time occurrence, but some people experience recurring episodes.

Recurring episodes are often caused by a “trigger” … like speaking in front of a crowd or doing a presentation at work. Panic attacks may be a part of another disorder such as depression, panic disorder, or social phobia. These, however, are generally harmless, but sufferers still feel that their life is in danger. Either way, panic attacks are treatable.

Signs and Symptoms

A panic attack can happen anytime, but it usually happens when you are away from home. You may be at a store shopping, at work preparing for a presentation, in a class, driving, walking down the street or even during asleep.

The signs and symptoms develop quickly and usually arrive at its peak in 10 minutes. The majority of panic attacks do not last for more than 30 minutes and it rarely lasts for more than an hour.

A person during an attack shows these signs and symptoms:

- Increased heartbeat or palpitation
- Chest pain
- Hyperventilation or shortness of breath
- Stomach churning, upset stomach
- Trembling and shaking
- Muscle tension
- Sweating
- Dizziness and light-headedness
- Hot or cold flashes
- Tingling sensation or numbness
- Fear of dying, going crazy or losing control
- Feeling detached from the surroundings

Panic Disorder

A panic attack may happen just once without any problem or complication. And there is almost no reason to be concerned if you have one or two episodes. But those who have experienced several episodes usually develop panic disorder.

Recurring panic attacks along with persistent anxiety for future attacks and major changes in behavior can be considered as panic disorder. There are two symptoms of panic disorder: (1) phobic avoidance and (2) anticipatory anxiety.

Phobic avoidance – When you begin to avoid certain things or situations based on the belief that it would trigger another attack. It can also be avoiding situations that have caused the previous attack. You may also avoid places or situations where escape is difficult and help is unavailable, like riding an elevator or an airplane. Extreme case of phobic avoidance may lead to agoraphobia.

Anticipatory anxiety … The “fear of fear” or the fear of having future panic attacks. The person manifesting this symptom is usually tensed and anxious. When ignored, the condition can be disabling.

Panic disorder with agoraphobia

Agoraphobia is traditionally believed as fear of open places or public places, thus, it literally means “fear of the marketplace.” However, now it is believed that agoraphobia is fear of experiencing panic attack in a place where help is difficult or where escape would be difficult.

People with agoraphobia tend to avoid the following situations or activities:

- Being away from home

- Driving

- Confined places where there is a possibility of being trapped (elevator, theaters, public transportation, stores)

- Going out with “unsafe” person or someone he or she is not comfortable being with.

- Places where it would be embarrassing to have a panic attack like parties and other social gatherings.

In severe cases, people with agoraphobia see their home as the only safe place.