Our expert says:
Its actually quite common for panic attacks to generalize and help to create a form of phobia for situations in which they often occur, or where one dreads that they MIGHT occur ; and one can then be troubled both by the attacks themselves, and by the anxiety, between attacks, about antipating the next one.
Fortunately these related conditions generally respond very well and fairly rapidly to basic treatment. Medication, like some of the modern antidepressants reduce the steam behind the anxiety / panic, and some very specific psychological Behaviour Therapy or CBT ( not the more wishy-washy and general counselling you're not keen on ) can add to these benefits.
The pins and needles are usually related to part of the panic / anxiety, to chemical changes produced in the blood when we over-breathe ( deep, frequent sighing breathing being quite common when we're very anxious.) This can in itself be reduced by deliberately breathing slower and less deeply, or ( hardly practical while driving ) by breathing into a paper bag for a while, so there's more carbon dioxide in the ari we're breathing in ). Also some medications can help to slow the pulse and mabe the tightness felt in the chest.
Let us know in a future posting here, how you're getting on.
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