Causes Of Anxiety Attacks
Although the exact causes of anxiety or panic attacks and panic disorder are unclear, panic disorder has been found to run in families, and this may mean that inheritance plays a strong role in determining who will get it. However, many people who have no family history of the disorder develop it. Obsessive compulsive disorder, post traumatic stress disorder, hypoglycemia, hyperthyroidism, Wilson’s disease, mitral valve prolapse, pheochromocytoma, inner ear disturbances (labyrinthitis) as well as vitamin B deficiency can all be triggers of anxiety attacks. People will often experience panic attacks as a direct result of exposure to a phobic object or situation. Significant personal loss, including an emotional attachment to a romantic partner, life transitions or significant life change can all cause attacks too.
Stimulants such as caffeine or nicotine, or other drugs such as marijuana and psilocybin, can act as triggers. Sometimes panic attacks may be a listed side effect of medications such as Ritalin (methylphenidate) or even fluoroquinolone type antibiotics. These can be a temporary side effect, only occurring when a patient first starts a medication, or could continue occurring even after the patient is accustomed to the drug, which likely would warrant a change in either dosage, or type of drug. It is not uncommon for inexperienced users to have panic attacks while weaning on or off the medication, especially ones prone to anxiety. Various substances both prescribed and un-prescribed can cause panic attacks to develop as part of their withdrawal syndrome or rebound effect. Alcohol withdrawal has also been known to cause panic attacks, like any drug withdrawal.
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