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August 30th, 2011
10:34 AM ET
How can I control my panic attacks?Every weekday, a CNNHealth expert doctor answers a viewer question. On Tuesdays, it's Dr. Charles Raison, an associate professor of psychiatry and behavioral sciences at Emory University, and an expert in the mind-body connection for health. Question asked by Stephanie via e-mail I've been having a lot of panic attacks, almost every day; sometimes when I'm working, dealing with the kids or just nothing at all. I'll get shortness of breath, chest hurts on both sides or just one side, and a lot of my heart skipping a beat. And it scares me. I'm 29 years old and in good health. How can I control this? Dear Stephanie, I don't need to tell you that panic attacks are among the most hideous experiences a human being can have. They are such strange occurrences. While being in no physical danger at all, you feel as if you are in mortal peril. In the midst of perfectly good health, you feel as if you are on the edge of sudden death. And telling yourself that there is no real danger is of almost no help whatsoever. My strongest piece of advice is that you make an appointment to see your doctor immediately. Many primary care doctors feel comfortable treating panic disorder or will know a clinician who does. Like everything else in psychiatry, treatment options come in two general flavors: medications and psychotherapy. The best proven psychotherapy for panic attacks is similar in many ways to the type of therapy that I've described several times before for obsessive-compulsive disorder. It has two main components, neither of which is pleasant, but which are in the aggregate often highly effective. First, the therapist would work with you to gradually expose yourself to situations that cause panic. Then, once you are in these situations, he or she would teach you to tolerate the terrible panic feelings when they arose. I suspect that just thinking about doing this might have you breaking out in a cold sweat, which is why it is so important to get professional help. Among psychotropic medications, two classes are particularly effective for panic, and they are very different from each other. Benzodiazepines, like Valium, Ativan or Klonopin, have powerful anti-anxiety effects that happen very rapidly after they are ingested. If you have long panic attacks, or attacks that come in prolonged volleys, these medications work quickly enough that they can interrupt things in mid-attack. Most antidepressants also treat panic attacks, but unlike benzodiazepines, they require several weeks of being taken daily before their effects are usually seen. For this reason, many clinicians will start patients on an antidepressant and a benzodiazepine. Once the antidepressant has been on board for several weeks, the benzodiazepine can often be discontinued. Let me alert you to a few challenges in these treatments. Psychotherapy is great, but depending where you live and the state of your finances, it can be hard to find and expensive. Benzodiazepines work extremely well but have addictive potential when taken long term. If you elect treatment with an antidepressant, make sure that your clinician starts you on the lowest dose possible, because - paradoxically - antidepressants can cause panic attacks when they are first taken and can certainly worsen them in people already afflicted. The good news is that all these treatment options are effective, so it is very likely you will be able to gain control of your symptoms, find relief and continue with your life.
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Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
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4 teens lure man through online dating service
, Pepper spray and carjack himA Winnipeg man was pepper sprayed and carjacked by four teenagers Monday afternoon after getting for what he thought was a date he'd arranged on a free dating site.
Police detailed the attack at a news conference stock exchange and are now suggesting the public think twice before using free dating services.
Const. Tammy Skrabek said the man didn't even get free from his vehicle before he was pepper sprayed at the spot he'd arranged to meet his date.
Skrabek said a 16 year old female neared the man. in which, in order to police, Three all the other youths "neared the victim's vehicle, dispersed him with pepper spray, Pulled him from his vehicle and threatened him,
'This is simply outrageous'
The attack appeared on Boyd Avenue, Between Charles and Salter roads, And police say the man walked away uninjured.
Several neighbours in the area told CBC News they were shocked to educate yourself regarding the nature of the daytime ambush.
"It's not typical that the like happens. There's crime in the North End but like this is just outrageous, had said Jeff Sulz, Who has lived on Boyd Avenue for up to a decade.
"It's sad to see stuff like this happening in our general vicinity,
Skrabek wouldn't reveal the free dating website that was used but suggested it's favoured by What to Expect When Marrying a Filipina thieves who are waiting to rob someone.
"They don't need to pay to post an ad, Somebody's going to respond to it for them. if you're looking to set up a robbery, It's therapeutic for them,
Police say they found your car in downtown Winnipeg, And tried to pull your truck over, But the driving force fled before stopping on Broadway and Edmonton where officers started a foot chase before arresting the four suspects.
Used fake link to lure victim
Skrabek said the suspects had created a fake profile to lure the man. each are from Winnipeg.
Skrabek suggested the public pay for adult dating sites instead of using free ones to lessen their risk of being robbed.
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