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HI  Lynnette,

I am a 60 year old psychiatrist retired about 6 years due to PD.  My
info about Panic  disorder may be a   little out of date but I think it
may be useful to you..

What happens in Panic disorder patients is that the fear of having
another attack becomes  the most disabling symptom.  Because  the
symptoms of the attack are so severe people become avoidant of any
situation which reminds  them of having an attach..

When  I treated early Panic Disorder Patients I used to prescribe a
small amount of  of an  anti anxiety drug such as Xanax.  I would tell
them that taking one would break the attack and to take one only when
they felt an episode coming on.  . Knowing that they had something which
could abort an episode decreased the fear of the fear often to the point
that they never felt the need to take a pill.  The pills often
disintegrated  in their purse or wallet unused.

Good luck.

Charlie

Charles T. Meyer, MD
Madison, WI



Lynnette Love wrote:

>Hi.  I'm Lynnette in California.  I'm 55 years old and
>diagnosed with PD 9 years ago.  I work full time, drive,
>and take care of myself (no care giver needed yet).
>
>My HMO referred me to a psychologist and I just found
>out yesterday that I'm having panic attacks.  He thinks
>they are Parkinson's related, but not caused by PD.
>
>Basically I get butterflies in my stomach, sweaty palms,
>dizzy, a feeling of being frightened (adrenaline rush) and
>of course, violent shaking.  It's happening more and more
>frequently and it takes me a long time to recover from an
>episode.  It's happened in a variety of situations like driving
>on a freeway overpass, making a presentation at work, even
>while riding my horse (which I've been doing all of my life!)
>
>The psychologist gave me some good insight and suggestions,
>so am confident, with some work, I'll get control over the attacks.
>
>Just wondering if anybody else has experienced this and
>how you are coping with it?
>
>I might add that the panic attacks started about the same time
>I started taking Mirapex.  I've read the data I can find on Mirapex,
>and although it can cause anxiousness, it doesn't specifically say
>panic attacks.
>
>Happy Trails to You!
>Lynnette
>
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