The Riddle of Panic
One of the peculiarities of a panic attack is that it typically subsides and ends without harming the person or causing any of the calamities they fear. I’m sure you’ve heard this before. I mention it not because I expect it to relieve your fears but because it can reveal an important aspect of panic.

Why does that happen? Since people with panic disorder don’t get crippled, killed, or driven mad by the panic attacks, why do they continue to be afraid of them? Why don’t people eventually catch on and lose their fear without having to make any particular effort?

Demoralization
The days and weeks after a first panic attack are often a demoralizing experience. It’s not enough that you just went through a terrifying experience in which you thought you were dying or going crazy. You may also have encounters with physicians and other professional helpers who aren’t well prepared to respond to this kind of problem. At best, they may treat you kindly, and suggest you seek out a therapist or take some medication. At worse, they may be dismissive of a problem for which they’re not trained, and inclined to suggest that you just “get over it” or relax with a cup of tea and forget about it. But a person who fears death and insanity will not be cured by a cup of tea, or even a warm bath.

Your friends and family are probably also unprepared to be helpful, unless they have some personal experience with panic themselves. They may try their best to help you but find that they just don’t know how, and you may feel frustrated and unsupported.

Avoidance and Anticipation
You probably find that you worry about having another panic attack, and struggle to get rid of those thoughts, without success. You may already be making subtle changes in your daily routine in an effort to avoid another panic attack-for example, avoiding the site where the first panic attack occurred. Your sleep, appetite, and sense of well-being may be seriously disrupted in the aftermath of a first attack. Use Lexapro to achieve this!

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