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Panic attacks

I have one everyday that lasts for at least 4 hours. I’ve tried like 3 anti depressants. I’ve tried therapy. I’ve had anxiety for 10 years. Does this mean it is now a long term illness? Nothing fully takes it away or makes it much better.

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Reply 1
Potentially, yeah, but doesn't mean it can't improve. Have you been referred to a psychiatrist?
Reply 2
Original post by Pathway
Potentially, yeah, but doesn't mean it can't improve. Have you been referred to a psychiatrist?

It hasn’t improved. It has gotten much worse. Yes. She made me feel good about myself but didn’t help me at my times of anxiety. Nothing calms it down to the level I need it to so I can continue with my day.
Reply 3
Original post by Anonymous
It hasn’t improved. It has gotten much worse. Yes. She made me feel good about myself but didn’t help me at my times of anxiety. Nothing calms it down to the level I need it to so I can continue with my day.


That sounds frustrating, what sort of things worsen the anxiety?
Reply 4
Original post by Pathway
That sounds frustrating, what sort of things worsen the anxiety?


If someone says something mean to me or I read something that may not be directed at me but I take it very personal. That’s what makes it worse. But that used to be the only thing that even triggered it. Now it happens for absolutely no reason. I could be having the time of my life and it strikes.
Reply 5
Original post by Anonymous
I have one everyday that lasts for at least 4 hours. I’ve tried like 3 anti depressants. I’ve tried therapy. I’ve had anxiety for 10 years. Does this mean it is now a long term illness? Nothing fully takes it away or makes it much better.


you need xanax in your life. or any other benzo. antidepressants don't do **** for panic attacks.
Original post by Anonymous
I have one everyday that lasts for at least 4 hours. I’ve tried like 3 anti depressants. I’ve tried therapy. I’ve had anxiety for 10 years. Does this mean it is now a long term illness? Nothing fully takes it away or makes it much better.

Is it a long-term illness? Yes, in your case, undoubtedly. Does this mean you are fundamentally without hope? No, absolutely not.

If you’ve already been run through the mill of the NHS and its stepped care model for psychological service, you’ll possibly feel somewhat let down; fortunately or unfortunately, going through “therapy” with does not necessarily mean you’ve had a good therapist and I’d highly recommend you revisit the idea of seeking treatment.

It can take several rounds of therapy with several different therapists to make a breakthrough, so my recommendation is you persevere. Identify what did and/or did not work in previous rounds of therapy and discuss this openly with any future therapist; make it known early that you’ve had a poor response to treatment and that you need additional support to break the back of it.

Best wishes.
Reply 7
Original post by Psychetechne
Is it a long-term illness? Yes, in your case, undoubtedly. Does this mean you are fundamentally without hope? No, absolutely not.

If you’ve already been run through the mill of the NHS and its stepped care model for psychological service, you’ll possibly feel somewhat let down; fortunately or unfortunately, going through “therapy” with does not necessarily mean you’ve had a good therapist and I’d highly recommend you revisit the idea of seeking treatment.

It can take several rounds of therapy with several different therapists to make a breakthrough, so my recommendation is you persevere. Identify what did and/or did not work in previous rounds of therapy and discuss this openly with any future therapist; make it known early that you’ve had a poor response to treatment and that you need additional support to break the back of it.

Best wishes.

Ok thank you:frown:
Tbh therapists keep ignoring me. And I’m done chasing them. They tell me that my issues are too severe and that I need to be referred to a therapy service that does longer sessions. And then they never come back to me.

Original post by Ciel.
you need xanax in your life. or any other benzo. antidepressants don't do **** for panic attacks.

how do I get them?
Reply 8
Original post by Anonymous
If someone says something mean to me or I read something that may not be directed at me but I take it very personal. That’s what makes it worse. But that used to be the only thing that even triggered it. Now it happens for absolutely no reason. I could be having the time of my life and it strikes.


I see, that must be so frustrating for you to deal with, I am sorry.

What sort of things help you feel better? What sort of therapy have you done? Sometimes you have to do different types or work with different people to get the right fit. Tbh having a long-standing issue you might be better off going private (if you aren't already), although that is obviously expensive (potentially). What's your support system like? Family? Friends?
Reply 9
Original post by Anonymous
Ok thank you:frown:
Tbh therapists keep ignoring me. And I’m done chasing them. They tell me that my issues are too severe and that I need to be referred to a therapy service that does longer sessions. And then they never come back to me.


how do I get them?


you'd probably need to see a private psychiatrist, or gp, because nhs doctors don't like to prescribe them.
Original post by Pathway
I see, that must be so frustrating for you to deal with, I am sorry.

What sort of things help you feel better? What sort of therapy have you done? Sometimes you have to do different types or work with different people to get the right fit. Tbh having a long-standing issue you might be better off going private (if you aren't already), although that is obviously expensive (potentially). What's your support system like? Family? Friends?


thanks.

it used to be music. but now that doesn’t do anything. so nothing helps. She just kept telling me to breathe slowly. And just giving me nice words that could calm me down. Didn’t work. She told me that my anxiety is extremely severe for her to handle and I need something better.

Original post by Ciel.
you'd probably need to see a private psychiatrist, or gp, because nhs doctors don't like to prescribe them.

so it completely takes away the panic attack? What dose And how many days do I take it? my panic attack is a very tight chest pain feeling.
Original post by Anonymous
thanks.

it used to be music. but now that doesn’t do anything. so nothing helps. She just kept telling me to breathe slowly. And just giving me nice words that could calm me down. Didn’t work. She told me that my anxiety is extremely severe for her to handle and I need something better.


so it completely takes away the panic attack? What dose And how many days do I take it? my panic attack is a very tight chest pain feeling.


May I ask if you're cared for in primary care or secondary care? Usually the people with the more severe presentations are cared for in more specialist services with specialist psychologists, usually in secondary care in the community, or occasionally in tertiary care (aka hospital).
Reply 12
Original post by Anonymous
thanks.

it used to be music. but now that doesn’t do anything. so nothing helps. She just kept telling me to breathe slowly. And just giving me nice words that could calm me down. Didn’t work. She told me that my anxiety is extremely severe for her to handle and I need something better.


so it completely takes away the panic attack? What dose And how many days do I take it? my panic attack is a very tight chest pain feeling.

for panic attacks you normally take benzos as needed. so when you feel a panic attack is coming, or you're particularly anxious, you take it. dose depends on your weight and tolerance.. with xanax probably around 0.25 - 0.5.
Original post by Anonymous
Ok thank you:frown:
Tbh therapists keep ignoring me. And I’m done chasing them. They tell me that my issues are too severe and that I need to be referred to a therapy service that does longer sessions. And then they never come back to me.

This is, unfortunately, a very familiar narrative...

It sounds as though you’ve received treatment from your local CAMHS or IAPT service and that it is clear you need to be stepped-up to your local secondary care team (normally referred to as the CMHT). Getting access to their services can (as seems to be your experience) a very difficult and distressing process. But, it’s important you realise that you are entitled to treatment at the appropriate service-level, and that your local mental health services have a duty of care for you.

My recommendation is to contact your local patient advocacy services, PALS, and the management team at your NHS trust. Clearly this whole process is exhausting for you, so see if your GP will be willing to help you contacting these services and pushing your case forward.

Remember, also, that the anxiety does pass and the panic attacks come to an end. Remind yourself of this fact if you can when either rear their ugly heads.
Original post by Pathway
May I ask if you're cared for in primary care or secondary care? Usually the people with the more severe presentations are cared for in more specialist services with specialist psychologists, usually in secondary care in the community, or occasionally in tertiary care (aka hospital).

Primary care. And yeah I have some supportive people around me. Not all

Original post by Ciel.
for panic attacks you normally take benzos as needed. so when you feel a panic attack is coming, or you're particularly anxious, you take it. dose depends on your weight and tolerance.. with xanax probably around 0.25 - 0.5.

How much is it every month? Does it mean I won’t get panic attacks?
Original post by Anonymous
Primary care. And yeah I have some supportive people around me. Not all


How much is it every month? Does it mean I won’t get panic attacks?


Ask to be referred to secondary care for more specialist therapy if you haven't already had more specialist intervention. You might have more luck with that.
Reply 16
Original post by Anonymous
Primary care. And yeah I have some supportive people around me. Not all


How much is it every month? Does it mean I won’t get panic attacks?

you'll still get panic attacks, it's impossible to always predict them. but benzos can calm you down fairly quickly. depends... around £100-200 (psychiatrists are generally more expensive than gps)
Original post by Psychetechne
This is, unfortunately, a very familiar narrative...

It sounds as though you’ve received treatment from your local CAMHS or IAPT service and that it is clear you need to be stepped-up to your local secondary care team (normally referred to as the CMHT). Getting access to their services can (as seems to be your experience) a very difficult and distressing process. But, it’s important you realise that you are entitled to treatment at the appropriate service-level, and that your local mental health services have a duty of care for you.

My recommendation is to contact your local patient advocacy services, PALS, and the management team at your NHS trust. Clearly this whole process is exhausting for you, so see if your GP will be willing to help you contacting these services and pushing your case forward.

Remember, also, that the anxiety does pass and the panic attacks come to an end. Remind yourself of this fact if you can when either rear their ugly heads.

Thank you but I think I’m going to go to a private GP and get Xanax
Original post by Ciel.
you'll still get panic attacks, it's impossible to always predict them. but benzos can calm you down fairly quickly. depends... around £100-200 (psychiatrists are generally more expensive than gps)

Can you not take them regularly before it happens. so you don’t get any panic attacks?
Reply 19
Original post by Anonymous
Can you not take them regularly before it happens. so you don’t get any panic attacks?

you can, but you'll get addicted fairly quickly. and you'll be spaced out af all the time.

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