Fear is a normal reaction - but when fear takes the upper hand again and paroxysmal increases up to the panic, there may be a panic disorder.

A sudden attack of anxiety or panic comes 'from nowhere' and is accompanied by physical symptoms such as palpitations, dizziness, sweating, dizziness, pain or tightness in the chest. These symptoms reach their peak within a very short time, so they are perceived by stakeholders as a life-threatening or at least have the feeling of losing control of himself, or 'crazy' to be. 

In general, the person concerned does not cause the underlying fear of the doctor, but the sudden onset, perceived as threatening physical symptoms - is the first occurrence of an anxiety attack, often called an emergency physician or visited the emergency room of the nearest hospital. The emergency surgery, however, studies remain inconclusive. Sometimes a number of other investigations carried out, can be defined until the symptoms finally as a panic attack. As it usually does not stay with a panic attack may now be a fear of the next attack manifestations, the so-called 'fear of fear'. Accordingly, interested parties are beginning to retire to incriminate themselves less physically and possibly the subjective perception of their anxiety-or panic to avoid triggering situations and places. Once Affected avoid certain situations and places, is a panic disorder with agoraphobia. 

Colloquially, the term means agoraphobia. Specifically speaking, this is, however, at places, places or situations to avoid frequent Angsterkrankte - including, inter alia, crowds, elevators, public transportation, bridges, highways, shopping malls, cinema and travel. Typical of these places is that an escape is difficult, painful or impossible. Or, however, that there is no one to help in the vicinity - therefore be avoided because of their isolation sites, such as meadows and forests. It seems concerned for own safety at risk so that sometimes only the flat offers enough protection, which can be exited at worst not at all, only under the greatest distress or in company. One does not need to panic disorder associated with agoraphobia, panic disorder can occur quite independently. Similarly, agoraphobia can occur independently. 

The growing avoidance behavior following withdrawal and isolation. Furthermore, panic disorders are often accompanied by depression. To simplify the situation, alcohol and other drugs are often used, but which do not contribute to solving the problem, because the panic disorder persists. 

The causes of panic disorder can be complex. Apart from genetic factors, traumatic events, psychiatric disorders and education, play in panic disorder probably slips of the brain an important role. 

Treatment depends on the severity and the cause of panic disorder. In any case, the anxiety triggers should be scrutinized in order to learn a real estimating the fear-triggering Moments - such as an ache in his chest does not necessarily mean having a heart attack. Ultimately available for the treatment of panic disorder behavioral, psychodynamic, such as Craniosacral therapy, are available. The parallel use of drugs should be carefully considered because of side effects. Highly recommended is a visit to a group and experience exchange with other stakeholders.