Understanding Panic Disorder Library

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FINDING HELP FOR PANIC DISORDER

Often the person with panic disorder must undertake a strenuous search to find a therapist who is familiar with the most effective treatments for the condition. A list of places to start follows. The Anxiety Disorders Association of America can provide a list of professionals in your area who specialize in the treatment of panic disorder and other anxiety disorders.

Self-help and support groups are the least expensive approach to managing panic disorder, and are helpful for some people. A group of about 5 to 10 people meet weekly and share their experiences, encouraging each other to venture into feared situations and cope effectively with panic attacks. Group members are in charge of the sessions. Often family members are invited to attend these groups, and at times a therapist or other panic disorder expert may be brought in to share insights with group members. Information on self-help groups in specific areas of the country can be obtained from the Anxiety Disorders Association of America.

Sources of Referral to Professional Help for Panic Disorder

Here are the types of people and places that will make a referral to, or provide, diagnostic and treatment services for a person with symptoms resembling those described in this brochure. Also check the Yellow Pages under "mental health," "health," "anxiety," "suicide prevention," "hospitals," "physicians," "psychiatrists," "psychologists," or "social workers" for phone numbers and addresses.

Family doctors
Mental health specialists, such as psychiatrists, psychologists, social workers, or mental health counselors
Health maintenance organizations
Community mental health centers
Hospital psychiatry departments and outpatient clinics
University- or medical school-affiliated programs and clinics
State hospital outpatient clinics
Family service/social agencies
Private clinics and facilities
Employee assistance programs
Local medical, psychiatric, or psychological societies

HELP FOR THE FAMILY

When one member of a family has panic disorder, the entire family is affected by the condition. Family members may be frustrated in their attempts to help the affected member cope with the disorder, overburdened by taking on additional responsibilities, and socially isolated. Family members must encourage the person with panic disorder to seek the help of a qualified mental health professional. Also, it is often helpful for family members to attend an occasional treatment or self-help session or seek the guidance of the therapist in dealing with their feelings about the disorder.

Certain strategies, such as encouraging the person with panic disorder to go at least partway toward a place or situation that is feared, can be helpful. The director of one anxiety disorder clinic has developed a list of suggestions for family members who want to help loved ones cope with an anxiety disorder (see below). By their skilled and caring efforts to help, family members can aid the person with panic disorder in making a recovery.

Also, it may be valuable for family members to join or form a support group to share information and offer mutual encouragement.

What to Do if a Family Member Has an Anxiety Disorder

Don’t make assumptions about what the affected person needs; ask them.
Be predictable; don’t surprise them.
Let the person with the disorder set the pace for recovery.
Find something positive in every experience. If the affected person is only able to go parkway to a particular goal, such as a movie theater or party, consider that an achievement rather than a failure.
Don’t enable avoidance: negotiate with the person with panic disorder to take one step forward when he or she wants to avoid something.
Don’t sacrifice your own life and build resentments.
Don’t panic when the person with the disorder panics.
Remember that it’s all right to be anxious yourself; it’s natural for you to be concerned and even worried about the person with the disorder.
Be patient and accepting, but don’t settle for the affected person being permanently disabled.
Say: "You can do it no matter how you feel. I am proud of you. Tell me what you need now. Breathe slow and low. Stay in the present. It’s not the place what’s bothering you, it’s the thought. I know that what you are feeling is painful, but it’s not dangerous. You are courageous."

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Don’t say: "Relax. Calm down. Don’t be anxious. Let’s see if you can do this (i.e., setting up a test for the affected person). You can fight this. What should we do next? Don’t be ridiculous. You have to stay. Don’t be a coward."

Adapted from Sally Winston, D.Psy., The Anxiety and Stress Disorders Institute of Maryland, Towson, MD, 1992.

FOR MORE INFORMATION ON PANIC DISORDER AND RELATED CONDITIONS

American Psychiatric Association
1400 K Street, N.W
Washington, DC 20005

American Psychological Association
750 First Street, N.E.
Washington, DC 20002

Anxiety Disorders Association of America
11900 Parklawn Dr., Suite 100
Rockville, MD 20852-2624

Association for the Advancement of Behavior Therapy
305 Seventh Avenue
New York, NY 10001

National Alliance for the Mentally Ill
200 North Glebe Road, Suite 1015
Arlington, VA 22203-3754

National Anxiety Foundation
3135 Custer Drive
Lexington, KY 40517-4001

National Depressive and Manic Depressive Association
730 North Franklin Street, Suite 301
Chicago, IL 60610

National Institute of Mental Health
Publications List
5600 Fishers Lane, Room 7C-02, MSC 8030
Bethesda, MD 20892

National Mental Health Association
1021 Prince Street
Alexandria, VA 22314-2971

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