4 ms·

I deal with a panic disorder and what you're describing sounds super similar to what a garden-variety panic attack is like. Especially the part about your heart

I deal with a panic disorder and what you're describing sounds super similar to what a garden-variety panic attack is like. Especially the part about your heart rate rising but your oxygen saturation staying pretty much the same (the difference between 94-97 and 97-100 is within the normal variation during physical activity). What's likely happening is that your brain is latching onto some small thing, like laying down on your back and putting more pressure on your diaphragm. Instead of interpreting that small thing as totally normal, your brain interprets it as a "warning sign," because of your stress/anxiety around COVID, and it goes into panic mode. At this point, it's pumping out a lot of chemicals that stimulate what's called a "fight or flight" response; it's your natural response to any perceived threat, real or otherwise. Those chemicals will cause your heart rate to increase and will often cause shortness of breath. Usually these can last 45 minutes-a few hours and will subside. Deep breathing exercises work for some people, but I find that when I focus on my breathing I end up spiraling more, so I focus on grounding exercises and progressive muscle relaxation. I'd recommend trying those out next time you have a bout of that and see if it helps :)!

krooj 7y ago
Absolutely this. I've struggled with panic attacks that came on secondary to medical issues in the past couple years, and the elevated heart rate and perceived breathing problems are textbook. Other things to lookout for are: impending sense of doom (fixated on the idea something's wrong), lights appear brighter or have halos, bounding pulse (you feel your heart beating hard), eyelid twitching, amongst others. Block breathing will help. Inhale into your belly until you can't hold more air, hold for 5, exhale slowly. Take a couple of normal breaths, then repeat the block breath. Do it for 10 minutes. Other things to note: before and after the panic attack, you're in a "prodromal period", which means you're susceptible to subsequent attacks. Try to stay away from stimulants, like caffeine, and, honestly, get the hell off the internet and away from news.
- stordoff 7y ago
  > Try to stay away from stimulants, like caffeine Something of an aside, but I've actually found caffeine (400mg/day + variable amount in drinks) _helps_ with OCD-induced panic attacks. If I do have an attack, it seems somewhat worse, but it makes it _significantly_ easier to shift my attention away from obsessive thoughts, thus avoiding triggering the attack in the first place. I was pointed towards it by this paper - https://www.ncbi.nlm.nih.gov/pubmed/19573497 https://www.ncbi.nlm.nih.gov/pubmed/19573497 It's a pretty weak basis for making treatment decisions (n=24, caffeine was used as the control against d-amphetamine, both showed some effect), but my doctor and I reasoned that there was fairly limited risk in trying it. Other studies seem to have shown similar results - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6559101/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6559101/

krooj 7y ago

Absolutely this. I've struggled with panic attacks that came on secondary to medical issues in the past couple years, and the elevated heart rate and perceived breathing problems are textbook. Other things to lookout for are: impending sense of doom (fixated on the idea something's wrong), lights appear brighter or have halos, bounding pulse (you feel your heart beating hard), eyelid twitching, amongst others. Block breathing will help. Inhale into your belly until you can't hold more air, hold for 5, exhale slowly. Take a couple of normal breaths, then repeat the block breath. Do it for 10 minutes. Other things to note: before and after the panic attack, you're in a "prodromal period", which means you're susceptible to subsequent attacks. Try to stay away from stimulants, like caffeine, and, honestly, get the hell off the internet and away from news.

stordoff 7y ago
> Try to stay away from stimulants, like caffeine Something of an aside, but I've actually found caffeine (400mg/day + variable amount in drinks) _helps_ with OCD-induced panic attacks. If I do have an attack, it seems somewhat worse, but it makes it _significantly_ easier to shift my attention away from obsessive thoughts, thus avoiding triggering the attack in the first place. I was pointed towards it by this paper - https://www.ncbi.nlm.nih.gov/pubmed/19573497 https://www.ncbi.nlm.nih.gov/pubmed/19573497 It's a pretty weak basis for making treatment decisions (n=24, caffeine was used as the control against d-amphetamine, both showed some effect), but my doctor and I reasoned that there was fairly limited risk in trying it. Other studies seem to have shown similar results - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6559101/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6559101/