Panic attacks and blackouts

Any practical advice on how to overcome them?

I was recently describing some of my problems with a mental health team and they diagnosed it as a panic attack.

Many years ago, when I was 12, I think, I was out buying shoes and I walked into one of these small independent shoe shops where there is a narrow stair case to get to the men's shoes floor.  And I lost consciousness. I remembered the distinctive smell of shoes and then my legs to weaker and head started feeling as if my brain was collapsing and I lost consciousness.

A few days later I had a similar problem walking into other shoe stores. It was always the same, smell of shoes in a confined space, legs weakening and head spinning and a blackness overcoming my mind.  Stopping and retreating reversed the effects.

Once I collapsed in a city centre boots store with no warning.  I just came to, sitting in a chair being asked if I was ok and did I want a drink of water.  I don't even remember losing consciousness.

In One place I was working at, I couldn't walk into the main canteen, I could hear everyone talking and having a good time, but I couldn't walk through the door.  The closer I got the weaker my legs and a black cloud enveloping my mind.  It took me repeated attempts over a month before i could walk through the door.  People thought I was aloof and antisocial.

Walking alone into pubs caused me similar effects.  It's only in the last five years that I can walk through a pub door and order a drink and a meal.

I live in constant fear that I will have a blackout in public.

Parents
  • Former Member
    Former Member

    Firstly get your GP to screen for postural hypotension because you can sometimes get fainting fits with this due to heat or stress.

    Secondly, think if you know your symptoms 5-10 minutes out from a panic attack, because the end event (walking into a pub) is probably the last point in a chain of stressors. For example the pub stress chain would include for me; getting there on time, finding the place, wondering if the person I'm meeting will be there, wondering how I will find them, worrying about dealing with noise issues.

    Then after this the trick is learning effective ways to reduce the likelihood of panic...so my favourite tools include diaphragmatic breathing, mindfulness using a walking awareness script I've memorised and problem solving. If I'm meeting someone in a pub I always ask them to text me their number and ask them to sit as near the door as they can while waiting. Good friends now "check out" the best place for noise in a pub if they get there first. If I'm alone for work and eating in a pub, I ask for a wall seat (say I don't mind waiting) and ALWAYS bring a book :-)

    It sounds a lot of work, but it's  worth it. 

Reply
  • Former Member
    Former Member

    Firstly get your GP to screen for postural hypotension because you can sometimes get fainting fits with this due to heat or stress.

    Secondly, think if you know your symptoms 5-10 minutes out from a panic attack, because the end event (walking into a pub) is probably the last point in a chain of stressors. For example the pub stress chain would include for me; getting there on time, finding the place, wondering if the person I'm meeting will be there, wondering how I will find them, worrying about dealing with noise issues.

    Then after this the trick is learning effective ways to reduce the likelihood of panic...so my favourite tools include diaphragmatic breathing, mindfulness using a walking awareness script I've memorised and problem solving. If I'm meeting someone in a pub I always ask them to text me their number and ask them to sit as near the door as they can while waiting. Good friends now "check out" the best place for noise in a pub if they get there first. If I'm alone for work and eating in a pub, I ask for a wall seat (say I don't mind waiting) and ALWAYS bring a book :-)

    It sounds a lot of work, but it's  worth it. 

Children
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