Weddings are generally joyous occasions, but not so for Marissa Wolicki, 25, of Toronto, Canada, who reluctantly attended one recently with her boyfriend.
"All of a sudden, the room started to spin. I started to feel really nauseated. My heart went pound-pound-pound-pound. I grabbed my boyfriend's hand and said we had to go. He said, 'We can't go. We're in the middle of a wedding!' He started getting mad at me. People who don't have these attacks don't understand. My legs started to shake. I had a fear of fainting and embarrassing everyone -- a fear I was going to die."
The first step is to rule out the possibility that your symptoms are being caused by a medical condition that is not psychiatric. Among the conditions that produce symptoms similar to those of anxiety are hyperthyroidism or other endocrine problems, too much or too little calcium, low blood sugar, and certain heart problems. Certain medicines also can sometimes cause anxiety. A thorough evaluation by your health care provider will determine if any of these conditions are the cause of your symptoms...
For Wolicki, this was another in a series of attacks brought on by a social phobia, a form of anxiety disorder marked by irrational fears so terrifying they can sometimes lead a person to avoid everyday situations. How many people suffer from phobias? About 8% of American adults, according to the American Psychiatric Association.
"Phobias are real," says Jerilyn Ross, who is a licensed clinical social worker, president of the Anxiety Disorders Association of America, and director of the Ross Center for Anxiety and Related Disorders Inc. in Washington, D.C. "People should not feel ashamed. For some reason, their bodies do this. Phobias are serious -- and can be treated."
When Panic Attacks
Ross is familiar with phobias from two vantage points: as a medical expert and as a patient. She overcame a serious phobia of being trapped in tall buildings.
"The experience of phobia is so unlike what most people know as fear and anxiety. If you try to tell them there's nothing to be afraid of, that just makes the person feel more alone and distant," Ross tells WebMD. "People with phobias are always aware that their fear doesn't make any sense. But they cannot face it."
"An adult with phobia does indeed recognize the fear response is exaggerated," says Richard McNally, PhD, a Harvard psychology professor. For example, "they recognize that this is not a poisonous spider but can't help but react with disgust and aversion to any spider they see. So these people cannot go into their backyard for fear of spiders."