Include details of where you were and what you were doing. Write down what happened just before the attack started.Try to find the events or triggers that bring on anxiety attacks.Caution: re-breathing into a paper bag is not recommended.Try to breathe through the nose with the mouth closed.Move your belly button out and in versus raising the shoulders up and down. Try to do belly-breathing, instead of chest breathing.Try to breathe quietly instead of deeply.Help your child slow down to 1 breath every 5 seconds (12 per minute).Getting control of their breathing will often stop the anxiety attack.Reassure your child they are healthy and the symptoms are from fast breathing.Once breathing is under control, the panic attack will often end.Since fast breathing is often part of a panic attack, deal with that first.Relax each muscle in your body, from head to toe. How to relax: lie down in a quiet place.Try to help your child put herself into a relaxed state.Do anything that has helped in the past.Here is some care advice that should help.The symptoms most often will stop in less than 30 minutes.Tell your child that the symptoms are scary, but harmless.Sometimes, they even fear that they are dying.During an anxiety attack, your child feels overwhelmed by fear.What You Should Know About an Anxiety Attack:.Anxiety attack (panic attack) was diagnosed in the past.Symptoms of anxiety or fear keep from doing normal things.Symptoms of anxiety or fear interfere with sleep.Symptoms of anxiety or fear and won't go to school.Anxiety attack (panic attack) has never been diagnosed by a doctor.You think your child needs to be seen, but the problem is not urgent.Patient takes psych meds and you have med questions. You want a referral to a mental health counselor.You think your child needs to be seen, and the problem is urgent (or call 988, the Suicide and Crisis Lifeline).You want an urgent psych exam for your child.Child is very upset can't be calmed down (or call 988, the Suicide and Crisis Lifeline).Anxiety attack (has been diagnosed in the past), but care advice is not helping.You think your child has a life-threatening emergency.Severe trouble breathing (struggling for each breath, can barely speak).When to Call for Panic Attack Call 911 Now Treatment: these patients often need to be seen urgently by a mental health provider. Adults at child care or school may also be impacted by the child's actions. Symptoms also impact relations with siblings and friends. They affect the way the child acts with parents. Severe Symptoms: Symptoms keep the child from doing most normal activities.Treatment: most often, brief counseling from a mental health provider or your child's doctor. Your child may not sleep well because of these symptoms. They may also keep him or her from going to child care or school. They affect how the child and parent interact. Moderate Symptoms: Symptoms keep the child from doing some normal activities.School, play, relationships and sleep have not changed. Mild Symptoms: Symptoms do not keep the child from any normal activities.When your child is anxious or worried, help them talk about their feelings.But, anxiety can be managed so that it does not keep you from doing normal things.It is a normal emotion that will always be part of you. Anxiety is a normal human response to stressful events.They can turn down the volume on anxious thoughts. SSRI meds may also be prescribed by a provider. Treatment, if frequent: Cognitive Behavior Therapy (CBT).Side effect: patient avoids social settings for fear of having an attack.How often attacks happen: no set pattern.Triggers of attacks: life stressors, though many attacks are unexpected.Cause: release of stress hormones as when "under attack".Risk factors: anxiety attacks are genetic.Normal anxiety, worries and fears also covered.The body goes on 'red alert.' Patient feels like they are dying or losing control of their body. Symptoms are fast, deep breathing (hyperventilation), fast heart rate, feeling dizzy and many others.Anxiety attacks (also called panic attacks).
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