Sudden, intense waves of fear and discomfort that strike without warning — this is how most people describe panic attacks. While anyone can experience a panic attack during extreme stress, recurrent episodes may indicate a more serious condition known as Panic Disorder. As a Consultant Psychiatrist practicing in Kharadi, Pune, Dr. Sachin Dhanwade specializes in identifying, diagnosing, and treating such anxiety-related conditions to help individuals reclaim a calm and fulfilling life.
What Are Panic Attacks?
A panic attack is a sudden episode of intense fear that triggers severe physical reactions even when there is no real danger or obvious cause. These episodes often peak within 10 minutes and can leave a person feeling drained and frightened of another attack occurring.
Common symptoms of a panic attack include:
Rapid heartbeat or palpitations
Shortness of breath or choking sensation
Chest pain or discomfort
Trembling or shaking
Dizziness or lightheadedness
Nausea or abdominal distress
Sweating and chills
A feeling of losing control or "going crazy"
Fear of dying
Many people may mistake panic attacks for heart attacks and rush to emergency rooms, only to discover there is no underlying physical cause.
What Is Panic Disorder?
While a single panic attack may not be a cause for concern, Panic Disorder is diagnosed when:
A person has recurrent and unexpected panic attacks.
There is persistent worry about having more attacks.
The individual begins to avoid certain situations or places due to fear of triggering an attack.
This disorder can interfere with daily life, relationships, and work, and may lead to conditions like agoraphobia, where one avoids public places due to fear of being unable to escape during an attack.
Causes
While the exact cause of panic disorder isn't fully understood, several factors may contribute:
Genetics – A family history of anxiety disorders increases the risk.
Brain Chemistry – Imbalances in neurotransmitters such as serotonin may play a role.
Stressful Life Events – Trauma, major transitions, or chronic stress can trigger the onset.
Personality Traits – People who are more sensitive to stress or negative emotions are more prone.
Diagnosis of Panic Attacks and Panic Disorder
Diagnosis involves a detailed clinical evaluation by a psychiatrist. Dr. Sachin Dhanwade conducts comprehensive assessments that include:
Detailed Medical and Psychiatric History – To rule out medical conditions (e.g., thyroid disorders, cardiac issues).
Mental Health Evaluation – To understand the frequency, severity, and impact of symptoms.
DSM-5 Criteria – Diagnosis is based on standardized criteria used by mental health professionals globally.
Early diagnosis is essential to prevent panic disorder from progressing or leading to complications such as depression, substance use, or social isolation.
Psychiatric Care and Treatment Options
The good news is that panic attacks and panic disorder are highly treatable with a combination of therapies. Dr. Sachin Dhanwade offers evidence-based, individualized care:
1. Psychotherapy (Talk Therapy)
Cognitive Behavioral Therapy (CBT) is the gold standard.
It helps individuals understand their thought patterns, reduce fear of panic attacks, and face anxiety-provoking situations in a controlled manner.
2. Medications
Depending on severity, the following medications may be used:
Antidepressants (SSRIs or SNRIs) to stabilize mood and reduce frequency of attacks.
Anti-anxiety medications (such as benzodiazepines) for short-term relief in acute cases.
Medication is always closely monitored to ensure effectiveness and minimize side effects.
3. Lifestyle Modifications
Regular physical activity
Adequate sleep and stress management techniques (yoga, deep breathing)
Avoidance of caffeine, alcohol, and recreational drugs
Building a structured daily routine
4. Support and Education
Patient education about the nature of panic disorder reduces fear.
Family therapy or counseling may also help loved ones understand the condition better.
Why Early Psychiatric Intervention Matters
Ignoring repeated panic attacks or delaying treatment can worsen symptoms over time. Untreated panic disorder can impact mental, emotional, and physical well-being. Early psychiatric care can break the cycle of fear, reduce the frequency of episodes, and improve quality of life.
When Should You Consult a Psychiatrist?
If you or someone you know is:
Experiencing frequent panic attacks
Avoiding situations or places due to fear of another attack
Constantly worried about health without a medical cause
Feeling overwhelmed or "out of control"
…it’s time to seek professional help.
Panic attacks may feel overwhelming, but they are treatable with the right psychiatric support. If you’re struggling with recurring episodes of anxiety, know that help is available. With compassionate care and a structured approach, you can regain control over your mind and life.
For expert psychiatric diagnosis and treatment in Pune, book a consultation with Dr. Sachin Dhanwade, Consultant Psychiatrist in Kharadi.
Read More:
Anxiety Disorders in Kharadi
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