Understanding Panic Attack & Panic Disorder
A panic attack strikes suddenly: the heart pounds, breathing becomes difficult, hands tremble and many people genuinely believe they are having a heart attack. Repeated attacks are called panic disorder. It responds very well to treatment, yet most people in Siliguri spend months visiting the wrong departments before reaching a psychiatrist.
A panic attack peaks in about ten minutes and passes. It is terrifying and it is not dangerous. Learning that properly — with a doctor, not from the internet — is itself part of the treatment.
Signs that are worth taking seriously
- Sudden intense fear peaking in minutes
- Pounding or racing heartbeat
- Shortness of breath or choking feeling
- Trembling and heavy sweating
- Chest discomfort or tightness
- Dizziness or feeling faint
- Fear of dying or losing control
- Avoiding places where attacks occurred
When it is time to see a psychiatrist
Not every low patch needs a doctor. These are the points at which a clinical opinion genuinely helps rather than waiting longer:
- More than one sudden attack of intense fear that peaked within minutes
- You now fear the next attack more than the attack itself
- You have started avoiding driving, crowds or being alone
- Repeated emergency visits where every test came back normal
How this is treated at the chamber
Cardiac and thyroid causes are excluded first. Management then includes fast-acting relief medication for acute episodes, preventive SSRI treatment to stop recurrence, panic-focused CBT and interoceptive exposure, diaphragmatic breathing training, and a written personal action plan for future episodes.
What happens at the first visit
A full history, unhurried
What has been happening, for how long, and how it is affecting sleep, work, studies and family. Relatives can join if you want them to.
Examination and tests where needed
Thyroid, vitamin B12, sugar and other basic investigations are ordered when they could be contributing. Physical causes are ruled out before anything else.
The diagnosis, explained plainly
You are told what the condition is, what it is not, and why. No jargon and no vague reassurance.
A plan you have agreed to
Medication where it is needed, at the lowest dose that will work, plus counselling and follow-up dates. Cost is discussed openly.