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Panic attack about death - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions

Doctor :   hello
User :   hello?
Doctor :  
how can i help u?
User :   i had a panic attack
User :   i wondered what i do next.
Doctor :  
panic attack?
User :   yes
Doctor :  
can u expainme in detail?
User :   well i felt like iw as going to die, i went tingly, i cried, i thought somethign horrid was going to happen.
User :   i was short of breath
Doctor :  
ok
Doctor :   how are u feeling now?
User :   fine.
Doctor :  
good
User :   it was last night. but i hate going to the doctors.
Doctor :   qwhats ur age/sex?
User :   22/ f
Doctor :   are u an asthmatic?
User :   yes. but not severe
Doctor :  
then this must be an asthmatic attack
User :   no it wasnt.
User :   i know what an asthma attack is and this wan not it.
Doctor :  
do u have chest tightness?
User :   are you actually a doctor?
Doctor :  
why do u have such a doubt
Doctor :  
how can i iagnose just by telling that u had panic attack?
Doctor :  
without taking poper historty?

Doctor :  
diagnose*
User :   hello?
User :   is this the same doctor?
Doctor :   hello
Doctor :  
yes
User :   ok. well i was about to say. it was not a asthma attack.
Doctor :  
ok
Doctor :   did u have simlar episodes before?
User :   i have had a few. in different situations.
User :   but this was the worst one.
Doctor :   the only complaint u have is shortnss of breath?

User :   no. i felt like i was dying. i started to get tingling in my teeth, i felt like something horrible was going to happen.
Doctor :   during the panic attack
Doctor :  
ok
User :   i was terrified, for no reason.
Doctor :  
ok
Doctor :  
anything else?
User :   no
Doctor :  
u felt something horrible is going to happen?
User :   yes.
Doctor :  
and u had shortness of breath?
User :   sort of. it was because i was panicking
Doctor :   when did u have similar attackl for the first time?
User :   a couple of times when i was out at night around a lot of people and then last night and a few times before during sex.
Doctor :   u had similar episodes even during sex?
User :   yes.
Doctor :  
according to ur history there are only two things which gives to such problme '
Doctor :  
one is an attack of asthma which will mak epeople short of breath..and make them feel as if they are about to die
Doctor :  
but as u told it is not an attack of asthma...we should rule out some functional causes
User :   ok
Doctor :  
are u mentally disturbed from many days?
User :   mentally disturbed?
Doctor :  
yes
Doctor :  
disturbed becuase of any reason?
User :   well i have alot of bad times. but i have never been to a doctor because of this.
Doctor :   can u tell me ur bad experiences?
Doctor :  
cos ur complaints are totally nonspecific we cannot link them to any orgonal cause
User :   well my friend died 2 years ago and my parents split up recently, from which my father is being very mean and unreasonable. but i dont seee how this and sex could link.
Doctor :   ur father being unreasonable?
User :   yes. hes not very nice to me.
User :   which is causing me stress.
Doctor :  
what is his attitude toward u?
User :   uncaring
Doctor :   ok

Doctor :   most of the times such attacks are due to mental disturbance

User :   oh.
Doctor :   if u are sure that this attacks are not similar to asthmatic attacks then the immediate next thng we should think is mentally week
User :   ok.
User :   they are defiantly not an asthma attack. 100% positive. i have had asthma for 22 years and i can rule it out.
Doctor :  
what was ur age when ur parents split?
Doctor :  
ok good
User :   20
Doctor :  
so whom are u staying with now?
User :   i live with my partner now.
Doctor :   are u happy with ur partner now?
User :   very.
User :   he is my rock.
Doctor :   thats really good to hear
User :   but i dont want to upset him by having these episodes during sex. it's not fair.
Doctor :  
i can understand
Doctor :   when is the first time u had such attack?
Doctor :  
what was ur age?
User :   i had a similar attack when i was out and i was about 21, i got really scared, thoguht something awful was going to happen, wanted to run away or scream.
User :   was very anxious
User :   again for no reason.
Doctor :  
sfrom how many years u are living with ur partner?
User :   about 4 years now.
User :   since i went to university where we met
Doctor :  
so this clearly tells that u were very normal before ur parents were split and u lost ur friend
Doctor :  
am i right?
User :   i dont think i was. i just think that being away from home made it worse. i was a very difficult teenager.
User :   but i got worse and more de railed when i hit uni
Doctor :   ok
Doctor :  
what was the diffulties u faced as a teenager?]
User :   nothing really. i was just a awkward teenager.
Doctor :   suh attacks also happen inn myocardial infarction
Doctor :   the so called heart attack but at the age of 22it is highly not possible
User :   i was not having a heart attack
Doctor :   i know that buddy'
User :   :)
Doctor :  
i am telling u for information sake
User :   ok
Doctor :   i feel it is happening with u as u are mentally very much disturbed
User :   probably.
User :   i should probably tell you my mother is a manic depressive.
Doctor :   ok
User :   i hear it's sometimes in the genes.
Doctor :  
she is having bipolar disorder
Doctor :  
nothing like that
Doctor :  
maniac depressive disorder is not in genes
User :   it can be hereditary though?
Doctor :  
yes
User :   ok.
Doctor :  
Genetic factors contribute substantially to the likelihood of developing bipolar disorder, and environmental factors are also implicated.
Doctor :   but u should not keep this in mind
User :   ok
User :   i just thoguht i should say.
Doctor :   ok

Doctor :  
thinking of death is also one of the feauture of bipolar disorde
User :   yes i know. i used to think about it alot. i used to cut myself, untill i actullay nearly died 2 years ago from cutting so deep i had to have 9 stiches.
User :   since then i never did it again. i scared myself too much.
Doctor :  
ok
User :   how long do i have untill my money runs out?
Doctor :   what is the package u have taken?
User :   my partner broke his wrist last night and i need to pick him up. i chose the one day one i think 9.00
Doctor :  
ok
Doctor :  
u have 24 hours
Doctor :  
u can chat three times with doctor
User :   does this mean i can come back after i half an hour?or will you be gone?
Doctor :   yes u can
Doctor :  
come after half an hour
User :   i dont want to inconvienience you
Doctor :  
nothing like inconvinience
Doctor :  
do u have any work now?
User :   i start work this saturday.
Doctor :  
ok
Doctor :  
if u have time now u can chat with me
Doctor :  
no problem
User :   i can for a bit. then i have to go get him. he cant carry shopping alone. :)
Doctor :  
i will tell u the most important symptoms of bipolar disoder u relate it and tell me
Doctor :  
ok
User :   ok
Doctor :   u wanna leave now?
User :   no
Doctor :  
ok
Doctor :  
Being restless
Sleeping little??
User :   sometimes yes.
Doctor :  
ok
Doctor :  
high-risk behaviors, such as spending sprees, impulsive sex,
User :   spending sprees yes.
User :   sex, no.
Doctor :   Thinking of death or suicide, or attempting suicide.
User :   yes.
Doctor :   ok
Doctor :   Being restless or irritable?
User :   sometimes
Doctor :  
ok
Doctor :  
Having problems concentrating, remembering, and making decisions?
User :   sometimes. remembering definatly
Doctor :  
Loss of interest in activities once enjoyed, including sex.
User :   definatly
Doctor :   ok
User :   i used to draw alot. i dont anymore
Doctor :  
Extremely irritable mood, agitation, feeling "jumpy" or "wired."
Doctor :   draw?
User :   yes. recently i have got angry all the time. i have mood swings all the time. i mean like draw art. im an artist.
Doctor :  
ok
Doctor :  
thats really goo to hear that u are an artist
Doctor :  
A long period of feeling worried or empty
Doctor :   ?
User :   all the time there is something to be worried about.
Doctor :  
ok
Doctor :  
when u are having veru=y good partner what are u woried about?
User :   normal things like money. future, family, fitness.
User :   things everyone esle worries about, but it seems i do all teh time.
Doctor :  
ok
Doctor :   Children with a parent or sibling who has bipolar disorder ar six times more likely to develop the illness, compared with children who do not have a family history of bipolar disorder
User :   ok
Doctor :   i think u have inherited bipolar disorder from ur mom
User :   hmmm.
User :   it is very likely. what do i do now?
Doctor :  
u should take medication
Doctor :  
and also ouncelling
Doctor :  
councelling*
User :   ok. well i live in the uk
Doctor :  
ok
User :   i will make an appointment eith my gp but i was worried he/she would see me as not being serious
Doctor :  
To date, there is no cure for bipolar disorder
Doctor :   no u see a psychiatrist
User :   i cant afford to
Doctor :  
u tell him ur symptoms and also ur moms disease
Doctor :  
ok
Doctor :   if u are cing gp then tell about ur suicidal tendencies also
Doctor :  
this will give him some idea
User :   plus in the uk when u need to see a GP first and if they think u need psychiatric al help they send you there for free.
User :   ok i will. its just a litttle personal, im worried the doctor will not think anything of it and i will be back to square one.
Doctor :  
u explain him everything in detail
User :   ok.
Doctor :  
dont hide anything from him
User :   ok.
Doctor :   he will def help u
User :   i think i have just been passing it of as the probelms of a teenager.
User :   but its worse.
Doctor :  
dont worry
Doctor :  
whats ur name?
User :   AAAAAAA
Doctor :  
ok
Doctor :   AAAAAAA we can come out of anything in life
Doctor :  
only thing is u need strong determination
User :   yes, i definatly want to see someone, if something went wrong with my life i hate to think how i would respond.
Doctor :  
u always be in a positive attitude
Doctor :  
luckily u have got very good partner
Doctor :  
so u be happy
User :   i have. he is very sensible.
Doctor :  
good
User :   thanks.
Doctor :   so dont get afraid
Doctor :  
see a gp s soon as possible
User :   ok.
User :   ill make an appointment tommorow
Doctor :   is there anything else i can help u?
Doctor :  
thats good AAAAAAA
User :   i dont think so.
Doctor :  
ok
Doctor :  
have u filled the feedback form
User :   yes.
Doctor :   ok

Doctor :  
have a nice day AAAAAAA
User :   thanks goodbye.
Doctor :  
its really nice taking to u
User :   you too.
Doctor :  
bye take care
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to ur service.
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