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CAN EXERCISE CAUSE PANIC DISORDER?

Question:


is it possible a small amount of exercise, like walking up a stairs, can provide just enough stimulation to start a panic attack?

I have a person who has had all the usual medical tests, and has been pronounced healthy. However, he has incredible fatigue, and when, say, walks up those stairs he will get really really winded.

I seem to remember someone saying that nervous conditions can cause fatigue.






Answer:
I *think* I know exactly how he feels. If I'm feeling fatigued (usually I am) a little bit of exercise may cause me to get out of breath. So since my mind is so conditioned to "being out of breath"="panic attacks", that I begin to panic. Then my heart feels like it's going to pop out of my chest, the perspiration begins to roll off my forehead and so on...

Concentrating on some deep belly breaths before climbing the stairs sometimes helps me in those situations.

Has this person been screened for fibromyalgia? That can, and usually does cause constant fatigue, and has been linked to anxiety/panic attacks.

now that is an excellent question!!! Some people say that exercise is great for depression and anxiety. But in my life, after the age of 26, I noticed that any kind of exercise that speeds up the heart causes me to get fearful...and there were times when I suffered a panic attack. I don't do much exercise now at the age of 52, so when I climb a flight of stairs, I get winded a bit, and if I am not careful with my thoughts, I could suffer a panic attack. A fast heart rate for me is not good for me at all. I am 6 feet tall and weigh 195. Certainly not overweight, but I do feel kind of old and really out of shape if I attempt to ride a bike , or jog a little, or walk up stairs. So..for me, exercise is a negative experience for me, whereas other folks say its the best thing for you. I have a friend who also has panic, anxiety, and depression, and he swears that he thinks all of us who suffer this malady has some kind of hidden heart problem. I have always suspected this, but the doctors say otherwise. I have no answers for this, but your question is an excellent one. Food for thought here.

When I was first diagnosed with Panic Disorder I would often hyperventilate. I was constantly monitoring my breathing and this would be enough to trigger hyperventilation. It is known that exercise is beneficial, as part of an overall treatment package for anxiety, but in my case I needed medication and strategies to control the hyperventilation first.

It can cause physical experiences that *mimic* panic attacks (hyperventilation, feeling lig ht-headed or dizzy, heart racing etc.). The *panic* is a matter of *intepretation* (cognitive distortion, wrong analysis of the physical phenomena).

When I first got back into exercising I would think I was having anxiety but in time I became more aware of the need to deep breathe and self positive talk. You have to consciously remind yourself that some of the feelings are from exertion and not panic related. It's like when you are ill and feel dizzy or lightheaded then you have to remind yourself that you are sick and not having a panic attack.



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