Dr. Roxanne Dryden-Edwards is an adult, child, and adolescent psychiatrist. She is a former Chair of the Committee on Developmental Disabilities for the American Psychiatric Association, Assistant Professor of Psychiatry at Johns Hopkins Hospital in Baltimore, Maryland, and Medical Director of the National Center for Children and Families in Bethesda, Maryland.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
What are complications of untreated panic attacks?
Without treatment, panic attacks tend to occur repeatedly for months or years. While they typically begin in young adulthood, the symptoms may arise earlier or later in life in some people. Complications, which are symptoms that can develop as a result of continued panic attacks and develop into other mental illnesses, may include specific irrational fears (phobias), especially of leaving home (agoraphobia), avoidance of social situations, depression, work or school problems, suicidal thoughts or actions, financial problems,
and alcohol or other substance abuse. Panic disorder also predisposes sufferers to developing heart disease.
If left untreated, anxiety may worsen to the point at which the person's life is seriously affected by panic attacks and by attempts to avoid or conceal them. In fact, many people have had problems with friends and family, failed in school, and/or lost jobs while struggling to cope with panic attacks. There may be periods of spontaneous improvement in the attacks, but panic attacks do not usually go away unless the person receives treatments designed specifically to help people with panic attacks.
Panic Attacks At A Glance
Symptoms of panic attack usually begin abruptly and
include rapid heartbeat, chest sensations, shortness of breath, dizziness,
tingling, and severe anxiousness.
While panic disorder can certainly be serious, it is
not immediately organ-threatening.
A variety of treatments are available, including several effective
medications, and specific forms of psychotherapy.
People who experience panic attacks can use a number of lifestyle changes like aerobic exercise, avoiding alcohol, caffeine, and illicit drugs, as well as stress-management techniques to help decrease anxiety.
American Academy of Child & Adolescent Psychiatry. "Facts for Families: Panic Disorder in Children and Adolescents." 50 Nov. 2004.
American Psychiatric Association. Diagnostic and Statistical Manual of
Mental Disorders DSM-IV-TR. 4th ed. Washington, D.C.: 2000.
American Psychiatric Association. Practice Guidelines for the Treatment of Patients
With Panic Disorder. 2nd ed. Arlington, VA: 2009.
Breslau, J., S. Aguilar-Gaxiola, K.S. Kendler, M. Su, et al. "Specifying Race-Ethnic Differences in Risk for Psychiatric Disorder in a U.S. National Sample." Psychological Medicine 36.1 Jan. 2006: 57-68.
Busch, F.N. and B.L. Milrod. "Panic-Focused Psychodynamic Psychotherapy." Psychiatric Times 25.2
Feb. 1, 2008.
Campbell, S.G., and A.A. Abbass. "Chest Pain -- Consider Panic Disorder." Canadian Family Physician 53.5 May 2007: 807-808.
Dannon, P.N., I. Iancu, K. Lowengrub, L. Grunhaus, and M. Kotler. "Recurrence of Panic
Disorder During Pregnancy: A 7-Year Naturalistic Follow-up Study."
Clinical Neuropharmacology 29.3 May-June 2006: 132-137.
Dannon, P.N., and K. Lowengrub. "Panic Disorder and Pregnancy: Challenges of Caring for Mother and Child." Psychiatric Times 25.3 Mar. 2006.
David, J.E., S.H. Yale, and H.J. Vidaillet. "Hyperventilation-Induced Syncope:
No Need to Panic." Clinical Medicine and Research 1.2 (2003): 137-139.
Friedlander, A.H., S.R. Marder, E.C. Sung, and J.S. Child. "Panic Disorder:
Psychopathology, Medical Management and Dental Implications." The Journal of the American Dental Association
135.6 (2004): 771-778.
Furukawa, T.A., and N. Watanabe. "Psychotherapy Plus Antidepressant for Panic Disorder
With or Without Agoraphobia."
The British Journal of Psychiatry 188 (2006): 305-312.
Gomez-Caminero, A., W.A. Blumentals, L.J. Russo, R.R. Brown, and R. Castilla-Puentes. "Does
Panic Disorder Increase the Risk of Coronary Heart Disease? A Cohort Study of a
National Managed Care Database."
Psychosomatic Medicine 67 (2005): 688-691.
Goodwin, R.D., R. Lieb, M. Hoefler, H. Pfister, et at. "Panic Attack as a Risk Factor for
Severe Psychopathology." American Journal of Psychiatry 161 Dec. 2004: 2207-2214.
Ham, P., D.B. Waters, and M.N. Oliver. "Treatment of Panic Disorder." American Family Physician 71.4 Feb. 15, 2005.
Johnson, M.R., A.G. Hartzema, T.L. Mills, J.M. De Leon, M. Yang, C. Frueh,
and A. Santos. "Ethnic Differences in the Reliability and Validity of a Panic Disorder Screen."
Ethnic Health 12.3 June 2007: 283-296.
Katon, W.J. "Panic Disorder." The New England Journal of Medicine 354 June 2006: 2360-2367.
Kelly, C.M., A.F. Jorm, and B.A. Kitchener. "Development of Mental Health First Aid Guidelines for Panic Attacks: a Delphi Study." Biomedical Central Psychiatry 9 (2009): 49.
Kessler, R.C., W. Tat-Chiu, R. Jin, A. Meron-Ruscio, et al. "The Epidemiology of
Panic Attacks, Panic Disorder and Agoraphobia in the National Comorbidity Survey
Replication." Archives of General Psychiatry 63 (2006): 415-424.
Lau, K., W.G. McLean, D.P. Williams, and C.V. Howard. "Synergistic Interactions Between
Commonly Used Food Additives in a Developmental Neurotoxicity Test." Toxicological Sciences
90.1 2006: 178-187.
Madaan, V. "Assessment of Panic Disorder Across the Life Span." Focus 6
Fall 2008: 438-444.
Marchesi, C. "Pharmacological Management of Panic Disorder." Neuropsychiatric Disorders Treatment 4.1 Feb. 2008: 93-106.
Merikangas, K.R., J.P. He, D. Brody, P.W. Fisher, K. Bourdon, and D.S. Koretz. "Prevalence and Treatment of Mental Disorders Among US Children in the 2001–2004 NHANES." Pediatrics 125 Jan. 2010: 75-81.
National Institute of Mental
Health of the U.S. Department of Health and
Human Services
Pande, A.C., M.H. Pollack, J. Crockatt, M. Greiner, G. Chouinard, et al. "Placebo-Controlled Study of Gabapentin Treatment of Panic Disorder." Journal of Clinical Psychopharmacology 20.4 Aug. 2000: 467-471.
Pincus, D.B., J.E. May, S.W. Whitton, S.G. Mattis, and D.H. Barlow. "Cognitive-Behavioral Treatment of Panic Disorder in Adolescence." Journal of Clinical Child and Adolescent Psychology 39.5 Sept. 2010: 638-49.
Rubinchik, S.M., A.S. Kablinger, and J.S. Gardner. "Medications for Panic Disorder and
Generalized Anxiety Disorder During Pregnancy."
Journal of Clinical Psychiatry 7.3 (2005): 100-105.
Saeed, S.A., R.M. Bloch, and D.J. Antonacci. "Herbal and Dietary Supplements for Treatment of Anxiety Disorders." American Family Physician 76 Aug. 2007: 549-556.
Safren, S.A., B.S. Gershuny, P. Marzol, M. Otto, and M.H. Pollack. "History of Childhood
Abuse in Panic Disorder, Social Phobia and Generalized Anxiety Disorder." The Journal of Nervous and Mental Disease
190.7 July 2002: 453-456.
Sarisoy, G., O. Boke, A.C. Arik, and A.R. Sahin. "Panic Disorder With Nocturnal
Panic Attacks: Symptoms and Comorbidities." European Psychiatry 23.3 Apr. 2008: 195-200.
Stores, G. "Clinical Diagnosis and Misdiagnosis of Sleep Disorders." Journal of Neurological Neurosurgical Psychiatry 78 (2007): 1293-1297.
Taborska, V. "Incidence of Latent Tetany in Patients With Panic Disorder." Cesk Psychiatry 91.3 July 1995: 183-190.
Yonkers, K.A., C. Zlotnick, and J. Allsworth, et al. "Is the Course of Panic Disorder the Same in Women and Men?" American Journal of Psychiatry 155 May 1998: 596-602.
Zabun, N., M.A.K. Azad, A. Rahman, M. Arifur, et al. "Comparative Analysis of Serum Manganese, Zinc, Calcium, Copper and Magnesium Level in
Panic Disorder Patients." Biological Trace Element Research July 2009.
Zvolensky, M.J., and N.B. Schmidt. "Introduction to Anxiety Sensitivity." Behavior Modification
31.2 (2007): 139-144.
Anxiety is a feeling of apprehension and fear characterized by physical symptoms. Anxiety disorders are serious medical illnesses that affect approximately
Palpitations are unpleasant sensations of irregular and/or forceful beating of the heart. Palpitations can be relieved in many patients by stress reduction,
Stress occurs when forces from the outside world impinge on the individual. Stress is a normal part of life. However, over-stress, can be harmful. There
Vertigo is a feeling of spinning movement, and at times accompanied by nausea and vomiting occur. Vertigo is most often associated with an inner ear problem.
Mitral valve prolapse (MVP) is also also known as "click murmur syndrome" and "Barlow's syndrome." Mitral valve prolapse is the most common heart valve
Cushing's syndrome, sometimes referred to as hypercortisolism, is a hormonal disorder caused by prolonged exposure to high levels of the hormone cortisol.
Chest pain is a common complaint by a patient in the ER. Causes of chest pain include broken or bruised ribs, pleurisy, pneumothorax, shingles, pneumonia,
Heart attack happens when a blood clot completely obstructs a coronary
artery supplying blood to the heart muscle. A heart attack can cause chest pain,
Nausea is an uneasiness of the stomach that often precedes vomiting. Nausea and vomiting are not diseases, but they are symptoms of many conditions. The
Bipolar disorder (or manic depression) is a mental illness characterized by depression, mania, and severe mood swings. Treatment may incorporate mood stabilizer
Chronic fatigue syndrome is a debilitating and complex disorder characterized by profound fatigue that lasts 6 months or longer, is not improved by bed
ICU psychosis is a disorder (also a form of delirium or acute brain failure) in which patients in an intensive care unit or a similar setting experience
Agoraphobia is a fear of being outside or of being in a situation from which escape would be impossible. Symptoms include anxiety, fear, disorientation,
Obsessive compulsive disorder (OCD) is an anxiety disorder that causes a person to suffer repeated obsessions and compulsions. Symptoms include irresistible
Stress may be considered as any physical, chemical, or emotional factor that causes bodily or mental unrest and that may be a factor in disease causation.
Sleepwalking is a condition in which an individual walks or does other activities while asleep. Factors associated with sleepwalking include genetic, environmental,
Phobias are unrelenting fears of activities (social phobias), situations (agoraphobia), and specific items (arachnophobia). There is thought to be a hereditary
Mental health is an optimal way of thinking, relating to others, and feeling. All of the diagnosable mental disorders fall under the umbrella of mental
Cyclic vomiting syndrome is a condition in which affected individuals have severe nausea and vomiting that come in cycles. Researchers believe that cyclic
Postpartum depression is a form of depression that occurs within a year after delivery. It is thought that rapid hormone changes after childbirth may lead
Regular physical activity can reduce the risk of disease. Regular exercise can also reduce the symptoms of stress and anxiety. There are fitness programs
Nightmares are dreams that cause high anxiety or terror. Nightmares may be a part of posttraumatic stress disorder (PTSD), and they usually occur during