Only a few have witnessed my panic attacks accompanied by tics. I try to stay home as much as possible when under increased stress or there is a change in normal routine to minimize anxiety. Tic disorders are not psychological, but neurological and not considered mental illnesses, but occur simultaneously with my Panic Attacks. Tics manifest as motor, vocal, and mental repetitions. Agoraphobia is fear of places and situations difficult to escape from with limited control,triggering my panic attacks.
I can definitely hide bipolar from you if all is calm, but not a chance when the panic attacks begin and I have nowhere to hide
Triggers-Panic Attacks with Agoraphobia:
- Being far away from home
- Going anywhere without the company of a “safe” person
- Physical exertion (because of the belief that it could trigger a panic attack)
- Going to places where escape is not readily available (e.g. restaurants, theaters, stores, public transportation)
- Places where it would be embarrassing to have a panic attack, such as a social gathering
- Eating or drinking anything that could possibly provoke panic (such as alcohol, caffeine, or certain foods or medications)
Agoraphobia patients can experience sudden panic attacks when traveling to places where they fear they are out of control, help would be difficult to obtain, or they could be embarrassed. During a panic attack, epinephrine is released in large amounts, triggering the body’s natural fight-or-flight response. A panic attack typically has an abrupt onset, building to maximum intensity within 10 to 15 minutes, and rarely lasts longer than 30 minutes. Symptoms of a panic attack include palpitations, a rapid heartbeat, sweating, trembling, nausea, vomiting, dizziness, tightness in the throat and shortness of breath. Many patients report a fear of dying or of losing control of emotions and/or behavior.
I do not have the skills to stop an attack from getting worse when it starts and sometimes they lasts for hours. The tics are what makes it difficult to mask while in public. Everything I do is repeated for a long time and I am guessing this is a coping mechanism to calm down. Vocal tics-barely audible muttering, repeating words, portion of words, and phrases. Motor tics- shrugging, squinting, twitching, eye blinking, arm flailing, grimacing, and tongue rolling. Mental tic-echo is when I repeat something someone else said. When all of this is happening I CANNOT STAND BEING IN MY OWN SKIN. It is disabling because the weakness in my legs prevent me from walking steady.
As the years go by without successful treatment of the panic attacks and bipolar, everything just gets worse. Medication to treat one problem causes adverse reactions with another or they are highly addictive (bipolar patients tend to have more addictions).