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             These are times of
    immense anxiety and/or stress, with or without triggers which can occur again and again. 
    What to look for  
    If you have four or more of
    the following, you are having a panic attack:  
    
    If you have recurrent panic
    attacks, you fear having more attacks or change your behaviour because of such attacks,
    you may have panic disorder.  
    Unfortunately there are no
    definite causes of this. If you have had a panic attack you may live in fear on having
    another one, and this causes you more anxiety. 
    Many people with panic
    disorder relate an attack to what they were doing when it occurred. However the cause of
    the panic attack may not be that simple.  
	(See Phobias.)  
    
	Also See Anxiety 
    Causes  
    The underlying cause of
    panic disorder is not clear. There is evidence of a genetic, phobic and a biochemical
    basis.  
    Panic disorder may begin
    after a serious illness or accident, the death of a close friend, separation from the
    family, or the birth of a baby. Attacks may also accompany the use of certain illegal
    drugs. Most often, however, a panic attack comes "out of the blue"; it may even
    begin during sleep.  
    Traditional Treatment  
    Treatment must be based on
    each individual case as the cause of panic attacks is not clear.  
    Psychotherapy offers
    support and helps to minimise the fearfulness of symptoms of the disorder. This is often
    enough to control the disorder, however if more attacks result, the patient may require
    additional measures.  
    Alternative/Natural
    Treatments 
    A number of alternative
    techniques may help reduce anxiety. 
    Aromatherapy -   
			Studies
    have shown that essential oil of lavender (Lavandula officinalis), neroli (citrus
    aurantium) and petitgrain (citrus aurantium) can relieve anxiety and stress. Dab these on
    wrists or use in bath. (See our
    aromatherapy section for more details).Studies
    have shown that essential oil of lavender (Lavandula officinalis), neroli (citrus
    aurantium) and petitgrain (citrus aurantium) can relieve anxiety and stress. Dab these on
    wrists or use in bath. (See our
    aromatherapy section for more details). 
    Body Work -  
			Yoga
    can relax the body and help with the anxiety that patients experience between panic
    attacks. Yoga
    can relax the body and help with the anxiety that patients experience between panic
    attacks.   
    Herbal Therapies -  
			A
    number of herbs function as relaxants and tranquillisers and may soothe anxiety. Try a tea
    made from   
			skullcap,   
			valerian,
    vervain, or lemon balm. A
    number of herbs function as relaxants and tranquillisers and may soothe anxiety. Try a tea
    made from   
			skullcap,   
			valerian,
    vervain, or lemon balm.   
    Hypnotherapy -  
			Hypnosis
    is effective for many patients with anxiety or phobias, partly because the therapy itself
    brings deep relaxation. Hypnosis
    is effective for many patients with anxiety or phobias, partly because the therapy itself
    brings deep relaxation.   
    Dietary
    Considerations 
    Magnesium has a tranquillising action. Speak with
    your doctor about taking this mineral. Avoid caffeine and other stimulants, alcohol, and
    sugar.  
    Prevention  
    You can take steps to
    lessen the chance of attacks and learn to manage them better.  
    
      Learn to recognize a
        panic attack. And use self-talk to walk yourself through it. Speak nicely to yourself.  
       
      Try not to be so critical
        of yourself and remember that you will improve and that it does take time. 
       
     
    When to seek further
    professional advice  
    
			  
						  
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