Ongo Care: Your Telemedicine Solution for Sudden Panic Attacks and Mental Health Support

Sore Throat and Panic Attack Connection:

It’s important to note that while panic attacks can manifest with physical symptoms, such as a sore throat, they are primarily characterized by intense anxiety and fear. A sore throat alone may not be indicative of a panic attack, but it could be a manifestation of anxiety-related tension or hyperventilation during an episode.

Medical Names and Other Terminology:

Panic attacks are commonly referred to as sudden panic attacks, anxiety attacks, or panic disorder. These terms are often used interchangeably to describe the same phenomenon. However, it’s worth noting that panic disorder specifically refers to recurrent and unexpected panic attacks followed by a persistent concern about future attacks.

Phases of Sudden Panic Attacks:

Sudden panic attacks typically consist of several distinct phases, each characterized by specific symptoms. These phases can vary in duration and intensity from person to person.
The following are the commonly recognized phases:

Prodromal Phase:

During this initial phase, individuals may experience subtle changes in their mood or physical sensations. These signs may include increased restlessness, irritability, or a heightened sense of vigilance. Some people may also notice a racing heartbeat or shortness of breath.

Acute Phase:

The acute phase is the most intense part of a panic attack. It usually peaks within 10 minutes but can last up to an hour. Symptoms may include:

• Intense fear or impending doom
• Chest pain or discomfort
• Rapid heartbeat or palpitations
• Shortness of breath or hyperventilation
• Trembling or shaking
• Sweating or chills
• Dizziness or lightheadedness
• Numbness or tingling sensations
• Fear of losing control or going crazy
• Fear of dying

Resolution Phase:

As the acute phase subsides, panic attack symptoms gradually diminish. However, individuals may still experience lingering physical or emotional effects, such as fatigue, muscle weakness, or a sense of unease.

Post-Attack Phase:

After a panic attack, individuals may feel exhausted and emotionally drained. They might also experience anticipatory anxiety, worrying about the possibility of future panic attacks or the implications of their current episode.

Symptoms of a sudden panic attack can vary vastly from person to person, but they typically involve a combination of physical, cognitive, and emotional sensations. It’s important to note that panic attacks are intense and sudden, reaching their peak within minutes. Some common symptoms experienced during a panic attack include:

Physical Symptoms:

• Rapid or pounding heartbeat (palpitations)
• Chest pain or tightness
• Shortness of breath or hyperventilation
• Feeling smothered or choking sensations
• Sweating or chills
• Trembling or shaking
• Dizziness or lightheadedness
• Numbness or tingling sensations in the body
• Feeling of weakness or “jelly-like” legs

Cognitive Symptoms:

• Fear of dying or impending doom
• Intrusive or obsessive thoughts
• Difficulty concentrating or focusing
• Racing or uncontrollable thoughts
• Feeling overwhelmed or out of control

Emotional Symptoms:

• Overwhelming anxiety or panic
• Intense apprehension or dread
• Feeling a sense of impending danger or catastrophe
• Restlessness or agitation
• Irritability or frustration
• Feeling a loss of emotional control

• Genetics: A family history of panic disorder or anxiety disorders can increase the risk of experiencing panic attacks. Brain Chemistry: Imbalances in certain neurotransmitters, such as serotonin and norepinephrine, may play a role in panic attacks.
• Sensitivity to Physical Sensations: Some individuals may be more prone to interpret physical sensations, such as a rapid heartbeat or shortness of breath, as threatening or dangerous, triggering a panic attack.

• Anxiety Sensitivity: Having a heightened sensitivity to anxiety or a fear of anxiety-related sensations can increase the likelihood of experiencing panic attacks.
• History of Trauma: Past traumatic experiences, such as physical or emotional abuse, may contribute to the development of panic attacks.
• Chronic Stress: Persistent stress, such as work-related stress or major life changes, can contribute to the occurrence of panic attacks.

• Phobias or Fears: Specific situations, objects, or environments that a person associates with fear or anxiety can trigger panic attacks. For example, fear of flying or being in crowded spaces.
• Substance Use or Withdrawal: Certain substances, such as caffeine, nicotine, or illicit drugs, can trigger panic attacks. Additionally, withdrawal from certain substances, like alcohol or benzodiazepines, can also induce panic attacks.
• Major Life Stressors: Significant life events, such as the loss of a loved one, divorce, or financial difficulties, can contribute to the onset of panic attacks.

• Initial Assessment: The healthcare professional will conduct an initial interview to gather information about the individual’s symptoms, medical history, and any relevant psychosocial factors. They may ask about the frequency, duration, and intensity of panic attacks, as well as any associated physical or psychological symptoms.
• Diagnostic Criteria: The healthcare professional will assess whether the individual’s symptoms align with the diagnostic criteria for panic disorder as outlined in the DSM-5.
• Differential Diagnosis: The healthcare professional will differentiate panic disorder from other mental health disorders that may present with similar symptoms. This may involve considering conditions such as specific phobias, generalized anxiety disorder, social anxiety disorder, or other related anxiety disorders.
• Collaborative Discussion: The healthcare professional will engage in a collaborative discussion with the individual to ensure a thorough understanding of their experiences.

• Cognitive-Behavioral Therapy (CBT): CBT is a widely recognized and effective approach for treating panic disorder.
• Panic-focused Psychodynamic Psychotherapy (PFPP): This therapy focuses on exploring the underlying emotional conflicts and unresolved issues that may contribute to panic attacks. It aims to provide insight and facilitate emotional healing.
• Other Therapy Approaches: Other therapy modalities, such as acceptance and commitment therapy (ACT) or mindfulness-based interventions, may also be used to help individuals manage anxiety and panic symptoms.

• Benzodiazepines: These medications are fast-acting and may be prescribed for short-term relief of severe panic symptoms. However, they are generally used with caution due to their potential for dependence and side effects.

• Stress Management: Learning stress reduction techniques, such as deep breathing exercises, and some meditation, or yoga, can help individuals better cope with stressors that may trigger panic attacks..
• Regular Exercise: Engaging in regular physical activity has been shown to greatly reduce anxiety and improve overall well-being..
• Healthy Lifestyle Habits: Maintaining a balanced diet, getting adequate sleep, and avoiding excessive caffeine or stimulant intake can contribute to overall mental and physical well-being.

• Supportive Relationships: Building a support network of family, friends, or support groups can provide a sense of understanding, validation, and emotional support.
• Education and Self-Help: Learning about panic disorder and attending self-help programs or support groups can provide valuable information, coping strategies, and a sense of community.

• Mindfulness: Engage in mindfulness practices to help stay grounded in the present moment and reduce anxiety. This can involve activities like mindful walking, mindful eating, or body scans.

• Regular Exercise: Engage in physical activities that you enjoy, such as walking, jogging, dancing, or yoga. Regular exercise can help reduce anxiety, improve mood, and promote overall well-being.

• Time for Relaxation: Set aside dedicated time for activities that help you relax and unwind, such as reading, listening to music, taking a bath, or engaging in a hobby you enjoy.
• Prioritize Self-Care: Make self-care a priority by engaging in activities that calmly bring you joy and fulfillment. This can include spending time with loved ones, engaging in creative pursuits, or practicing self-expression.

• Journaling: Write down your thoughts, feelings, and experiences in a journal. This can help you gain insights, process emotions, and track patterns related to panic attacks.
• Positive Self-Talk: Challenge negative thoughts and also replace them with positive and realistic affirmations. Practice self-compassion and remind yourself that you are capable of managing panic attacks.
• Time Management: Establish a balanced schedule that includes time for work, relaxation, hobbies, and social activities. Avoid overcommitting yourself and learn to set healthy boundaries.

• Seek Support: Reach out to trusted friends, family members, or support groups who can provide understanding, empathy, and encouragement during difficult times. Share your experiences and feelings with them.
• Connect with Others: Engage in social activities or pursue shared interests to foster connections and reduce feelings of isolation.

While sudden panic attacks cannot be completely prevented, there are strategies that can help reduce the frequency and intensity of panic attacks. These prevention techniques focus on managing stress, addressing triggers, and promoting overall well-being. Here are some preventive measures that may be helpful:

Stress Management:

• Identify Stressors: Recognize situations, events, or thoughts that trigger stress and anxiety. Develop strategies to manage or avoid these triggers when possible.
• Time Management: Prioritize tasks, set realistic goals, and establish boundaries to avoid feeling overwhelmed. Break down tasks into manageable steps to reduce stress.

Healthy Lifestyle Habits:

• Regular Exercise: Engage in regular physical activity, as exercise can reduce stress, boost mood, and promote overall well-being. Aim for at least 30 minutes of moderate-intensity exercise most days of the week.
• Adequate Sleep: Prioritize getting sufficient sleep each night. Establish a consistent sleep schedule and create a relaxing bedtime routine to promote quality sleep.

Avoid Triggers:

• Identify Triggers: Pay attention to situations, environments, or activities that tend to provoke panic attacks. Avoid or minimize exposure to these triggers when possible.
• Substance Use: Limit or avoid substances that can exacerbate anxiety, such as caffeine, nicotine, alcohol, and illicit drugs.
• Phobias or Fears: Consider seeking therapy or specialized treatment, such as exposure therapy, to address specific phobias or fears that trigger panic attacks.

Self-Care and Emotional Well-being:

• Self-Care Practices:Engage in activities that promote self-care and relaxation, such as taking baths, practicing hobbies, spending time in nature, or engaging in creative outlets.
• Emotional Support: Seek emotional support from loved ones, friends, or support groups. Sharing experiences and feelings with others can provide comfort, understanding, and encouragement.

Professional Help:

• Therapy and Counseling: Consider seeking professional help from a mental health provider. Therapies such as cognitive-behavioral therapy (CBT) or other evidence-based approaches can help identify triggers, develop coping strategies, and manage anxiety symptoms.
• Medication: If necessary, consult with a healthcare provider to determine if medication, such as antidepressants or anti-anxiety medications, may be beneficial in managing panic attacks.

It is recommended to see a doctor or healthcare professional if you experience any of the following warning signs or symptoms related to sudden panic attacks:

• Frequent or Severe Panic Attacks: If you experience panic attacks frequently or if they are severe and significantly impact your daily life, it is important to seek medical attention. This includes experiencing panic attacks that occur without an obvious trigger or that are interfering with your ability to carry out routine activities.
• Persistent Anxiety and Fear: If you consistently experience excessive anxiety, fear, or worry about having future panic attacks, or if you constantly worry about the implications of the attacks, it may be a sign to consult a healthcare professional.
• Physical Health Concerns: If you are experiencing physical symptoms during panic attacks, such as chest pain, shortness of breath, rapid heartbeat, or dizziness, it is advisable to seek medical evaluation to rule out any underlying medical conditions and to address the physical symptoms.
• Impact on Daily Functioning: If panic attacks or the fear of having panic attacks are interfering with your ability to carry out your daily activities, such as going to work, attending school, maintaining relationships, or engaging in social activities, it is important to seek professional help.
• Co-occurring Mental Health Conditions: If you are experiencing panic attacks, it is beneficial to consult with a healthcare professional for a comprehensive evaluation and appropriate treatment.
• Safety Concerns: If you have thoughts of self-harm or suicide, or if you are concerned about your safety or the safety of others during panic attacks, it is crucial to seek immediate medical attention or contact emergency services.

• Accessibility: Ongo Care offers convenient access to healthcare professionals and mental health providers through telemedicine. This means you can seek help from the comfort of your own home, eliminating the need for travel or waiting rooms.
• Quick Response: With Ongo Care, you can receive prompt assistance during a panic attack. The platform connects you with healthcare professionals who can provide immediate support, guidance, and reassurance to help manage your symptoms effectively.
• Remote Consultations: Ongo Care facilitates remote consultations with licensed professionals who specialize in mental health.
• Treatment Planning: Ongo Care’s healthcare professionals can assess your condition, and provide an accurate diagnosis. Follow-up Care: Ongo Care ensures continuity of care by offering follow-up appointments and ongoing support.
• Confidentiality and Privacy: Ongo Care prioritizes the privacy and confidentiality of its users. The platform complies with strict security and privacy regulations, ensuring that your personal health information remains protected.
• Integration with Support Network: Ongo Care can collaborate with your existing support networks, such as primary care physicians, therapists, or specialists, to ensure comprehensive and coordinated care.

Frequently Asked Questions