Panic Disorder Treatment

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Panic attacks can happen in an instant and without warning, leaving you feeling trapped in a moment of intense fear and uncertainty. At Hanly Center, we understand how debilitating this can be. We’re here to help you take back control of your life with compassionate, evidence-based treatments designed specifically for managing panic disorder.

If you have panic disorder, you can regain peace and balance. We can help.

Understanding Panic Disorder: More Than Just Anxiety

What Is Panic Disorder? Defining Unexpected and Overwhelming Panic Attacks

A panic disorder is a mental and behavioral health disorder that commonly begins in the late teens or early adulthood. It causes individuals to experience frequent and unexpected waves of fear, discomfort, or panic.

These symptoms may appear as often as several times a day, even when there is no clear danger or trigger.

Panic Attacks vs. Anxiety Attacks: Understanding the Key Differences

Anxiety attacks are not a formal medical condition. However, if you experience persistent anxiety or panic attacks, your healthcare provider may diagnose you with an anxiety disorder. People with anxiety disorders have an increased risk of having a panic attack. 

Key differences between panic attacks and anxiety attacks include:

  • The cause
    Anxiety attacks often have an external stressor. Panic attacks most often occur unexpectedly.
  • The level of distress
    Anxiety can be mild, moderate, or severe. Panic attacks are always intense experiences that can stop you in your tracks.
  • The fight or flight response
    During a panic attack, the body’s autonomous fight or flight response takes over, and physical symptoms are often more intense than anxiety.
  • The speed of onset
    Unlike anxiety attacks, panic attacks often occur abruptly without warning and may last a few minutes or hours.
  • The effect
    Pani attacks may trigger intense worries or fears related to having another attack. This can lead to avoiding certain places, situations, or people.

What Are the Common Symptoms of a Panic Attack?

Common symptoms of a panic attack include:

  • Apprehension and worry
  • Fear of dying or losing control
  • Detachment from reality or oneself
  • Chest pain and heart palpitations
  • Shortness of breath
  • Tightness in the throat
  • Dry mouth
  • Headache
  • Dizziness
  • Sweating, chills, or hot flashes
  • Nausea, abdominal pain
  • Trembling or shaking

How Panic Disorder Affects Daily Life: Beyond the Panic Attacks

As panic attacks become more frequent, severe, or longer-lasting, you may find it very difficult to cope with everyday life, work, or school or thrive in social settings.

This can lead to social isolation, avoidance, irritability, or even substance use.

The Connection Between Panic Disorder and Substance Use Disorders

Self-Medication: Why People With Panic Disorder Turn to Substances for Relief

Living with panic disorder means facing overwhelming and unpredictable periods of anxiety that can feel impossible to manage. Many turn to substances like alcohol, cannabis, or other drugs to find temporary relief and relaxation.

The Agoraphobia Trap: How Panic Disorder Can Limit Your World

Panic disorder and agoraphobia are distinct but often co-occurring anxiety disorders. While panic disorder involves recurrent, unexpected panic attacks, agoraphobia is an intense fear of open spaces or being placed in situations where it may be difficult to escape.

Agoraphobia often occurs as a complication of panic disorder and causes people to avoid situations or places that might cause panic or feelings of being trapped, helpless, or embarrassed.

The Vicious Cycle: How Substance Use Can Worsen Symptoms

Those struggling with the daily challenges of panic disorder are more likely to reach for substances to help alleviate symptoms. While these may help in the short term, they can worsen feelings of distress, fear, and worry over time.

Substances like alcohol, cannabis, and other drugs can alter the brain’s chemistry, creating an imbalance. This imbalance contributes to panic disorder and worsening symptoms.

Recognizing the Signs of Co-Occurring Panic Disorder and SUD

Symptoms of panic disorder and substance use disorder can overlap and worsen one another. Here are some warning signs to watch for:

  • Self-medicating to alleviate symptoms of panic attacks.
  • More frequent or higher doses of substances like alcohol, cannabis, or other drugs to alleviate panic disorder symptoms.
  • Social isolation and avoiding certain places, situations, or people because of panic disorder while using substances to cope with those feelings.
  • Increased anxiety and restlessness.
  • Increased substance use to deal with the fear of having a panic attack.
  • Difficulties in daily life as both conditions worsen (e.g., poor performance at work, school, or social situations)
  • Increase in mood swings or depressive episodes.

Causes and Risk Factors of Panic Disorder

The Role of Genetics: Is There a Family History of Anxiety or Panic?

Panic attacks and panic disorder do tend to run in families, with studies suggesting a heritability estimate of 30-40%.

Brain Chemistry: Understanding Neurotransmitter Imbalances and Panic Attacks

Panic disorder is influenced by neurotransmitter imbalances in the brain, impacting anxiety and stress responses. Here are the key players:

  • Norepinephrine
    This neurotransmitter is involved in the ‘fight or flight’ response. Excessive norepinephrine activity is linked to increased panic responses.
  • Serotonin
    This ‘feel-good hormone’ helps regulate mood. Imbalanced serotonin levels can contribute to panic symptoms.
  • Dopamine
    Dopamine is another ‘feel-good hormone.’ This neurotransmitter is involved in motivation, reward, and pleasure. Dopamine imbalances can impact mood and increase anxiety, making panic attacks more likely.
  • Gamma-aminobutyric acid (GABA)
    GABA has a calming effect on the brain. Low levels are associated with anxiety and difficulty relaxing, which is common in panic disorder.

Environmental Factors: Stress, Trauma, and Life Transitions

Major life events (e.g., divorce, job loss, death) or traumatic experiences (e.g., abuse, neglect) can disrupt normal brain function and elevate stress hormones like cortisol and adrenaline.

These disruptions can impact emotional stability, increasing the risk of panic disorder and other anxiety disorders, especially for those with a family history of panic attacks.

The Impact of Medical Conditions and Chronic Illnesses

Research suggests panic disorder often co-occurs with the following chronic illnesses and medical conditions:

  • Heart disease
  • Respiratory disorders
  • Thyroid disorders
  • Chronic pain (e.g., arthritis)
  • Diabetes
  • Irritable bowel syndrome

Diagnosing Panic Disorder: A Comprehensive Assessment

The Importance of Accurate Diagnosis

Panic disorder can significantly impact physical and mental wellness, impairing memory, concentration, daily functioning, work performance, relationships, and overall quality of life.

A thorough evaluation and accurate diagnosis are crucial for ensuring patients receive appropriate, personalized panic disorder treatment. This leads to better therapeutic outcomes, reduced symptom severity, and a lower risk of complications (e.g., depression or substance use disorders).

Diagnostic Criteria for Panic Disorder

According to The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), the diagnostic criterion for panic disorder include:

  • Recurrent panic attacks with at least one attack being followed by one or both of the following for at least one month:
    • Persistent worry about having additional panic attacks.
    • Worry about the consequences of a panic attack (e.g., losing control, going crazy)
    • Maladaptive behavioral changes in response to the panic attacks (e.g., avoiding common activities such as exercise or social situations to try to prevent further attacks)

Ruling Out Other Conditions: Medical and Psychological Evaluations

Symptoms of panic disorder often overlap with those of other mood and anxiety disorders, making diagnosis more challenging.

A key feature of panic disorder is the unexpected, recurrent nature of the attacks, which are not triggered by specific situations or external stimuli.

To differentiate panic disorder from other mood or anxiety disorders, your doctor or other healthcare professional may conduct a comprehensive evaluation, including a medical history, physical examination, and psychological assessment. This process helps rule out other conditions one at a time.

Assessing for Agoraphobia and Other Co-occurring Disorders

This disorder can also occur alongside other mental health disorders, which can complicate both panic disorder diagnosis and treatment. The most common co-occurring disorders include:

  • Agoraphobia
  • Generalized anxiety disorder (GAD)
  • Depression
  • Obsessive-compulsive disorder
  • Post-traumatic stress disorder (PTSD)
  • Social anxiety disorder (SAD)
  • Bipolar disorder

Screening for Co-Occurring Substance Use Disorders

Screening patients with panic disorder for co-occurring substance use disorders (SUD) is an essential step in ensuring an accurate diagnosis and appropriate treatment. Individuals with panic disorder may self-medicate with substances like alcohol or drugs to cope with symptoms, making it crucial to identify and address both conditions at the same time.

The following dual diagnosis tools are commonly used to screen, assess, and diagnose co-occurring disorders:

  • Addiction Severity Index (ASI)
  • Alcohol Use Disorder Identification Test (AUDIT)
  • Drug Use Disorder Identification Test (DUDIT)
  • Psychiatric Research Interview for Substance and Mental Disorders (PRISM)
  • Hamilton Anxiety Rating Scale (HAM-A)
  • Symptom Checklist-90-Revised (SCL-90-R)

Effective Treatment Approaches for Panic Disorder at Hanley Center

Individual Therapy: Cognitive Behavioral Therapy (CBT) and Exposure Therapy

Panic disorder is often considered a long-term condition for some, but with the proper treatment, like Cognitive Behavioral Therapy (CBT), many can find lasting symptom relief.

CBT treatment for panic disorder may include the following interventions:

  • Relaxation training
  • Relaxation breathing techniques
  • Cognitive restructuring (e.g., challenging distorted thoughts and beliefs)
  • Mindfulness training (e.g., staying in the present moment)
  • Exposure therapy (e.g., confronting fears in a safe and controlled environment)
  • Behavioral activation (e.g., participating in activities that reduce isolation and build confidence)

Group Therapy: Finding Support and Connection With Others Who Understand

At Hanley Center, our group therapy sessions are led by a trained therapist to help individuals with panic disorder identify negative thoughts and replace them with healthier, more realistic ones. Group therapy for panic disorder provides a supportive environment where individuals can connect with others facing shared challenges. Benefits include:

  • Emotional validation (e.g., connecting with others who have shared experiences)
  • Improved coping skills
  • Accountability and encouragement
  • Support for triggers
  • Increased confidence
  • Relapse prevention strategies for SUDs (if appropriate)

Medication Management for Panic Disorder

For individuals struggling with panic disorder, medication can be an important part of a comprehensive treatment plan.

At Hanley Center, our medical and psychiatric team provides personalized medication management to help reduce the intensity and frequency of panic attacks. Our approach focuses on safety, stability, and collaboration—adjusting medications as needed and integrating them with therapeutic support to help individuals feel more in control, reduce physical symptoms of anxiety, and regain confidence in daily life. 

Residential Mental Health Support for Panic Disorder

Not every mental health challenge is tied to substance use, and at Hanley Center, we recognize the importance of offering care for those facing primary mental health conditions.

Our boutique Residential Mental Health Program provides specialized, in-depth treatment for individuals living with panic disorder, offering a safe and supportive space for stabilization and healing.

Through personalized care plans that include psychiatric support, evidence-based therapies, and holistic practices, we help individuals manage panic attacks, reduce anxiety symptoms, and regain a sense of safety and control. Whether you’re newly diagnosed or have been struggling for years, our compassionate team is here to guide you toward lasting relief and emotional well-being.

Dual Diagnosis Treatment: Addressing Both Panic Disorder and SUD

At Hanley Center, we understand that mental health disorders and substance use disorders are interconnected.

Our specialists are trained to assess, diagnose, and treat mental health disorders and several types of addiction together to ensure the best possible health outcome. Benefits of dual diagnosis treatment for panic disorder include:

  • Increased chance of successful recovery
  • Enhanced coping skills and overall mental health
  • Improved overall mental and emotional well-being
  • Improved control and quality of life
  • Stronger motivation to achieve recovery goals

Holistic Therapies: Mindfulness, Meditation, and Stress Reduction Techniques

Hanley Center doctors and mental health professionals take a holistic approach to health and well-being. That means we focus on your overall physical, emotional, mental, and spiritual wellness.

We offer several supportive experiential therapies to help you develop the knowledge, life skills, and behaviors that support healthy recovery:

  • Adventure and outdoor pursuits
  • Trust activities
  • Guided morning stretch
  • Cooperative games
  • Beach experiences
  • Problem-solving initiatives

Contact our admissions team today and take the first step toward recovery and long-lasting wellness.

Call 561.841.1033 today to get started.

Hanley Center: Most Insurance Accepted

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Address: 933 45th Street
West Palm Beach, FL 33407