Coping with Exam Panic Attacks?

UniGirlBot asks: "I am a distinction / high distinction student who normally doesn't have any major levels of stress during exams. Today I managed to have a major panic attack during an exam on databases and ended up leaving the room in tears about halfway through a 3-hour paper. This panic attack was an absolute first for me and I now have to begin the special consideration procedure, which I am grateful exists. For the record, I did study enough and the course was something I enjoyed doing. Does anyone out there have any advice on what I could do stop this from happening again, please?" If you've been in this position, how did you recover?

Comments

Well ..

[ahmedsaad]

You can read about other people experiences at http://www.panicsurvivor.com/

Been There

[Jedi Master Cody]

As someone who has been there, I would suggest talking to your physician first. He/She can then help you figure out a plan of attack. My Panic Attacks stemmed from basically the same problem as you. Mine became so bad I got caught up in a feedback loop. I would have an attack, then get so worked up about having another, it would lead into one. It became so bad I became EXTREMELY agoraphobic. Not something I would reccomend to anyone. I finally went and got help from my Dr and a mental health professional. I am now on medication and have been attack free for over a year. The medication I would suggest is Paxil or the generic equivalent, but your doctor would be the best one to check with. Hope this helps and good luck!

Deal with your stress now

[McMuffin Man]

I'm at a very different moment in life than you are, but several years ago I had a severe panic attack "out of the blue" while managing a large project. Once I'd understood what was going on, I responded like a good little geek and checked out the research on panic attacks.

While you should definitely seek the help of a professional, as you can dangerously misdiagnose yourself, the most likely cause is a high level of stress that you haven't been managing. Anxiety disorders in general become progressively harder to treat the longer you live with them, so don't try to just tough this out.

If you need it, a psychiatrist may be able to prescribe medication which can provide short term relief. Far more effective over the long term will be to engage in some cognitive therapy and learn to recognize the early symptoms that you are not managing stress and respond to them before your stress results in anxiety.

I would recommend the site www.anxieties.com as a good place to start. It's run by a respected clinician in the field, and while the site advertises plenty of materials you could pay for, it has a fair amount of information and advice available for free.

The good news is that if you take this seriously, respond quickly, and learn to comprehensively manage your stress, then your odds of avoiding a chronic anxiety disorder are quite good.

you are not going nuts

[kshkval]

The above sounds like an awful thing to bring up, but don't confuse panic attacks with psychosis. I had panic attacks in HS and - years later - so did my daughter. Both of us worried ourselves sick wondering if the next stop was voices, social shunning and the lockup ward. I was an A student and just backed off a little. My daughter got a lot of relief just knowing that panic attacks are familial, can be controlled with medication and relaxation and that panic attacks aren't a sign you are a basket case. Turns out that my daughter also discovered that SLEEP - aka getting to bed before 11 PM and just stopping doing the homework - made the greatest impact on her anxiety and her ability to deal with stress. Another writer complemented you on bringing this up in a Slashdot venue... same here. But do yourself a favor and get to bed early, no more caffeine, get some exercise and have some good times. You'll eventually learn to live with the panic attacks (or, mostly, the worry about having the panic attacks). If they continue or get worse, call a Clinical Psychologist or Psychiatrist as soon as you can. So many of these things, if treated early - even the emotional disorders - resolve and get quickly better. The professionals will help you through the worst of the crisis and are really worth it. I'm a nurse and someone who's lived through this and speak from personal experience. Good luck.

Empathy

[hahiss]

Hi.

Sorry to hear about this; while I've never had an attack while taking an exam, but I have had my share of panic attacks.

Short term strategies (for when they hit):

1) If you have some benzos (xanax, valium, and the like), take one. Xanax takes about 20 minutes to hit, and it is possible to take a dose that cuts the attack without making you a drooling idiot. Really, having these around (esp. legally) will make a difference in your anxiety levels.

2) Close your eyes and breathe deeply---FOCUSING on breathing. You want to get more oxygen to your brain; apparently the shallow breathing of anxiety increases anxiety.

3) If you can get to a water fountain, a cold drink might help. I find that cold, sugary drinks are soothing---just no caffeine.

4) If you can get to a quiet, relatively isolated place, that might help too.

5) Keep reminding yourself that this really sucks, but it is just a panic attack and you're not going crazy and you're not going to have a heart attack.

Long term:

1) Get enough sleep, eat properly, exercize, and cut back on caffeine. (Sorry, this is what works. I was hoping for smoking, boozing, downing Krispe Kreme donuts and freebasing chocolate covered espresso, but no such luck.) As an aside: if you're smoking pot (especially if you're a habitual user), you may find it necessary to stop.

2) If the attacks continue, you'll want to get with a therapist who can help you figure out what your triggers are and how to work through them.

3) If you have panic with depression, I recommend meds. They have their downsides, to be sure, but they have made a huge difference. (Be forewarned that the first med you've been prescribed will work quite right.)

Of course, I'm not an MD---just a Ph.D. (in philosophy) who has some personal experience with this. YMMV, and be sure to get professional help if this becomes more than a one-off.