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 Post subject: Panic attacks??
PostPosted: Fri Feb 08, 2008 9:59 am 
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Q: I am seeing a patient who suffers from panic attacks. Any insights from the community of professional would be most helpful.
Blessings in the new year,

Jan B. Hamilton, Ph.D., R.D., Certified Nutrition Specialist, American College of Nutrition President and CEO of Nutritional Biomedicine Box 8458, Aspen, Co. 81612
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 Post subject: Panic attacks??
PostPosted: Wed Feb 20, 2008 3:59 pm 
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A1: It is most important to correctly assess the true cause of the PA. There are so many possibilities - from traumatic events (not even remembered by the patient) through endless number of medical conditions, be it hormonal imbalance or heart attack. If the PAs are so strong that your patient is completely incapacitated (can't work, or get out of the house), there is almost always a strong element of depression present, which does not make things any better. From an extensive experience with PAs patients I suggest that in truly severe cases there is little the CAM approaches can offer, and the first choice, to bring some balance into the victim's life he/she should be treated with what we don't really like: psychotropic substances (Rx drugs). Usually there is tendency to tailor a combination of an anti depressant along with a drug more specific to panic. Some of today's Rx offer relief of both in one pill.

Having said this, I must add that if your patient is able to control his PA and function, there is a wide range of CAM modalities that can help - again - depends on the source and cause of the condition.
Starting with Homeopathy, TCM, acupuncture and massage, and through supplementation with a simple B-12, Triptophan, lithium orotate, biofeedback, meditation, etc. In any case suggest an active involvement of a psychotherapist in the process.

Good luck,
Jim Lev


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 Post subject: Panic attacks??
PostPosted: Wed Feb 20, 2008 4:00 pm 
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A2: A: Jan
Is CO2 low? Can cause panic. Deal with breathing.
Perimenopausal? Progesterone. Testosterone.
Sleeping well? Melatonin, progesterone?
Diet pop with aspartame? Stop. Give GABA.
MTHFR issues? Methyl B12, various forms of folic acid.
Candida-type yeast issues? Get on yeast protocol.
Thyroid low or high?
Low adrenal function will show as panic or anxiety - especially under pressure.
Food allergies?
Heavy metals?
Wow - lots of things could be involved with that brief history.
Hope it goes well!
Rick Wilkinson


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 Post subject: Panic attacks??
PostPosted: Wed Feb 20, 2008 4:02 pm 
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A3: Jan:

I find panic attack occur very commonly among patients with underlying yeast or fungal infections.
I believe it has to do with the intoxicating effects of either mycotoxins or tartaric acid or arabinose or some other compound such as aldehydes or alcohols created by the fungus. Of course, man-made chemicals such as pharmaceuticals (Rx or OTC) can create similar CNS irritation or sensitivity. So too can sensitivities to perfumes, petrochemicals, or thousands of other volatile compounds. Please look for evidence of these.

RAM, MD (Ralph A. Miranda, MD, FACAM


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 Post subject: Panic attacks??
PostPosted: Wed Feb 20, 2008 4:03 pm 
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A4: For anxiety, seizure disorders and panic attacks I will often use GABA. You may also want to check out Neuroscience in Wisconsin for testing neurotransmitter levels.

Frederick Hult DC, PhD


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 Post subject: Panic attacks??
PostPosted: Wed Feb 20, 2008 4:04 pm 
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A5: Patient may have low serotonin (and low tryptophane). Worsened by high glycemic processed diet in predisposed patients. Meyer's cocktail with freamines often helps along with correcting diet and lifestyle (essentially the same biochemical correction created by SSRI's but without the side effects). Also look at mercury and/or lead toxicity.

Rick Linchitz MD (Linchitz Medical Wellness LinchitzWellness.com


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 Post subject: Panic attacks??
PostPosted: Wed Feb 20, 2008 4:08 pm 
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A6: Meyer's cocktail.

Regards,

Douglas Hopper MD


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 Post subject: Panic attacks??
PostPosted: Wed Feb 20, 2008 4:09 pm 
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A7: I would highly recommend the book The Mood Cure by Julia Ross and she has lots of tools to learn how to manage these cases on her website at http://www.moodcure.com. Training DVD's for sale on the site. Also, go to http://www.alternativementalhealth.com. Great references and ideas. GABA has been one of my most effective tools. If you have to wean them off of benzodiazapenes, vit C iv's and Glutathione iv pushes at 600 mg 1-2 times a week is very helpful as you s-l-o-w-l-y wean them off of the drugs over 8-12 weeks. S-L-O-W is the key.
Best of luck,
Ann Auburn, DO
Grand Rapids, MI


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 Post subject: Panic attacks??
PostPosted: Wed Feb 20, 2008 4:12 pm 
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A8: Try 5-HTP 300 mg/day.
Check adrenal function (17-OH-steroids and cortisol in 24 hours urine) and magnesium.
Kind regards,

Paul van Meerendonk, MD
Biologisch Medisch Centrum
Lariksweg 28
8162 EG Epe
Netherlands


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 Post subject: Panic attacks??
PostPosted: Wed Feb 20, 2008 5:09 pm 
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A9: Herbal : try Avena Sativa (this is actually a mixture of several other herbs not just avena sativa from Marco Pharma(541) 677-8300 ) you can have patient easily self adjust dose from 10-30 gtt prn - tid for severity of panic attacks. The higher dosages will cause sleepiness while 10-15 gtts and are usually fast acting within 15-30 minutes and significantly mitigates mild to moderate panic attacks. Patient should also be off all caffeine, processed sugar, etoh, and gluten products. Food allergy testing helps reveal foods that can contribute to sympathetic augmentation.
Homeopathic: need to know specifics of panic attacks; how often, where and when they occur, what makes them worse or better etc. For example Gelsemium 15C or 30C qd-bid is very effective in mild to moderate panic attacks specifically in relation to performance anxiety, school exam, public speaking etc. There are several others but you need to take the case history.

Dr David Zeiger
Medical Director
healthWorks -Integrative Medical Center
1165 N Clark St
Suite 608
Chicago, IL 60610


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 Post subject: Panic attacks??
PostPosted: Wed Feb 20, 2008 5:11 pm 
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A10: First, have a psychiatrist available in case the condition evolves into a Major Depression that can be a life threatening illness, especially in a teen or if the condition is new. After that and a counseling consult if needed, I would use amino acid therapy. See Don Tyson at Montiff, Inc. or amino acids.com. Daily use of L-tryptophan and Gaba taken with juice before bed on an empty stomach should greatly reduce the problem or eliminate it quickly. Also, see the book The Mood Cure. Knowing and curing the cause however is the real skill not just treating the symptom. Many patients become dependent upon Xanax if they rely upon a traditional rather than an alternative health care approach. As a Biofeedback Clinician I am of course skills oriented and encourage you to be as well.

Charles Jacques III, LPC, LMT, LMFT
Licensed Mental Health Counselor


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 Post subject: Panic attacks??
PostPosted: Wed Feb 20, 2008 5:13 pm 
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A11: Acupuncture and/or hypnosis are options to consider.

Velvet Chong, RN
Maxim Longevity & Research Institute
200 Glades Road, Suite 2
Boca Raton, FL 33432
http://www.maximlrg.com


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 Post subject: Panic attacks??
PostPosted: Wed Feb 20, 2008 5:19 pm 
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A12: I have seen incredible success with panic attacks by addressing upper airway dysfunction. Farrand Robson, DDS of Tacoma has done miraculous work in this area with dental appliances. Getting the airway open tones down the autonomic nervous system and reduces adrenaline, a major cause. I wrote about this in my newsletter. Please visit the website and check it out.
Robert Jay Rowen, MD
http://www.secondopinionnewsletter.com


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 Post subject: Panic attacks??
PostPosted: Wed Feb 20, 2008 5:21 pm 
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A13: Look into the possibility of subacute mercury toxicity or another neurological toxic agent. During the time of chronic mercury toxicity from a spill, I suffered from several acute anxiety attacks. Check EEG especially for temporal lobe dysfunction and/or bursts of theta activity.

Stuart Scheckner, DMD


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 Post subject: Panic attacks??
PostPosted: Wed Feb 20, 2008 5:22 pm 
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A14: Check out Ridha Arem's Thyroid Solution.
Roby Mitchell M.D.(Dr Fitt)


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