Panic disorder

In our practice, we offer treatment for panic disorder in Cologne and Frechen with specialist diagnostics and individual therapy.

Panic disorder is an anxiety disorder characterized by sudden panic attacks. These attacks can be accompanied by heart palpitations, sweating, trembling, shortness of breath, nausea, and a fear of dying. Those affected suffer from the fear that a panic attack might occur in inappropriate situations and therefore avoid certain places or situations.

The diagnostic criteria according to ICD-10 include at least one panic attack as well as anxiety or avoidance behavior regarding further attacks. It must also be ruled out that the symptoms are due to another physical or mental illness.

Medication for panic disorder typically involves the use of SSRI (selective serotonin reuptake inhibitor) and SNRI (serotonin-norepinephrine reuptake inhibitor) antidepressants such as fluoxetine, sertraline, venlafaxine, and duloxetine. These medications are primarily used to alleviate anxiety symptoms. Benzodiazepines, such as lorazepam, should be avoided or used only for short periods and under medical supervision, as they have a high potential for addiction and, if used long-term, can worsen symptoms.

The psychotherapeutic treatment of panic disorder primarily includes behavioral therapy and cognitive behavioral therapy. These forms of therapy aim to reduce the fear of panic attacks and help patients overcome their anxiety.

Mindfulness exercises can help in the treatment of panic disorders, as they can contribute to heightened awareness of the current experience and improve individual understanding of one's own thoughts and feelings. By cultivating mindfulness, those affected can learn to better regulate and manage their feelings of anxiety and panic-like symptoms.

Meditative techniques such as yoga, progressive muscle relaxation or autogenic training can also be helpful in improving body awareness and reducing stress.

The prognosis for panic disorder is generally good. With a combined therapy of medication, psychotherapy, and self-help techniques, most sufferers can achieve a significant improvement in their symptoms. However, it is important that treatment is continued long-term to prevent relapse.