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Why Didn't The Severe Panic Attacks Start In Childhood ?

Question:
I'm specifically interested in severe panic attacks.

Why don't "normies" have severe panic attacks ?

What is so special about us that we have severe panic attacks that can leave lifelong memories and phobias ?

If we were we born with the capacity to have severe panic attacks, why didn't they start in childhood ?






Answer:
the seeds for them have-and in some cases so did the panic attacks, but they inability of a childs mind to fathom the repurcusions, the ramifications or the future consequences of further attacks on their life is more limited, so they actually are protected from developing secondary fear-or fear of the panic attack itself. Children manifest anxiety more somatically-ie: headaches, belly aches, learning or concentration difficulties, depression, tics, nervous habits etc... they are less complex and developed both psychologically or biologically so they show different symptoms and affectations

Interesting what you wrote here. Since I have no memories of not having this disorder and the OCD I can say this is very true. for instance the AA started later much in my life. AFAICS now I felt as child that all attacks where incidents. And yes as child you get more physical complaints as you wrote them above. Misleading to the GP of course.

I have seen severe PA's in 'normies" in very panick-provoking situations that subsided very quickly and where not processed as a fear for a future attack.

They do. There are studies showing that at least 25% of the population have at least one panic attack in their life time. IMO this is a very conservative figure and that its probably closer to 80-90%. But less than 2% of the population develop PD.

Don't know. I did have at least two PAs before the one that propelled me into full blown PD. The first one was even more severe than the third, but I brushed it off because I was able to rationalise a logical explanation for it. However, I couldn't for the third.

The second one wasn't as severe as either 1 or 3, but bad enough for me to make an appointment with my doc, but I still wasn't overly concerned. However, it almost certainly influenced my reaction to PA number 3.

Timing also played a part. Numbers 1 and 2 were about 6 months apart whereas the third PA occurred soon after number 2.

As Margrove has already written, as children we don't have either the physical or mental maturity to process our anxieties in the same way we do as adults. However, while far fewer children than adults experience PAs, some kids do have them.

Another factor may be that most anxiety disorders begin within 6-12 months of some significant stressful event, a bereavement, divorce, job change etc. It may be that we need to be pushed beyond our personal anxiety threshold before we anxiety at a level that could be called a disorder. Your neighbour may be just as physically prone to PD as you, but hasn't been stressed beyond his coping ability yet and so hasn't developed PD. Its quite possible he will never will.

A strong clue that this may be the case is that while less than 2% of the population get PD, the figure can be much higher in groups that have been exposed to extreme stressful. For example, the percentage of Holocaust survivors with anxiety and depression disorders is 5 or 6 times higher than the general population rate. Similarly, cops, fire fighters, medical professionals etc, also have higher incidence of both anxiety and depression disorders.





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