One minute everything seems fine. Then in a flood of intense emotion and erratic thoughts, it all changes. Life becomes a distorted kaleidoscope, with nothing familiar from before. Even speaking is difficult. It is impossible to explain what is happening because the event is so unlike anything experienced prior.
In the past, the term nervous breakdowns described such an event. But this is not a diagnosable disorder; rather it is a cultural euphemism. Instead there are three main possibilities for the condition described above. Each has unique characteristics and very different treatments.
Panic Attack. One possibility is a panic or anxiety attack. For a person never experiencing this event, it can seem similar to the symptoms of a heart attack. The sudden onset of intense fear usually reaches a peak within minutes. Initially, most are unable to identify the fear that caused the event. It is only after some counseling that the trigger can be recognized and properly addressed. Other symptoms include:
- Pounding heart
- Trembling or shaking
- Shortness of breath
- Feelings of choking
- Chest pain
- Chills or heat sensations
- Numbness or tinging sensations
- De-realization or depersonalization
- Fear of losing control
- Fear of dying
It is important to rule out a medical condition first, so see the help of a physician immediately. Once the physical symptoms have subsided and there is no finding other than a panic attack, seek the help of a counselor to discover the cause. Untreated attacks can lead to an increase in the duration, frequency and intensity.
Manic Episode. Another possibility is a manic episode which may or may not be part of Bi-Polar Disorder or another type of depression. Unlike a panic attack, periods of mania tend to be longer lasting and have less panicky physical symptoms. Rather, the episode creates a larger than life impression. For a person experiencing this for the first time, it can increase anxiety so some of the symptoms of a panic attack could also be present. The main characteristics of mania are:
- Intense feelings of euphoria
- Fast speech, talkative
- Racing thoughts
- Impulsive and “high-risk” behaviors: shopping, gambling, sex
- Insomnia or feels rested after three hours of sleep
- Ideas of grandeur: can do anything
- Easily distracted
- Increase in goal-directed activity
- Discernable pattern of episodes
It is best to see a psychiatrist to get a proper diagnosis of manic depression. The good news is that this condition is can be successfully treated with medication. This is a brain chemistry issue and not a manifestation of intense fear or anxiety.
Brief Psychotic Episode. The last possibility is a brief psychotic episode. While the name may sound a bit intimidating, the condition is more common than realized. This does not mean a person has a psychotic disorder, although it might be an indicator of one. Usually this lasts for a couple of hours to several days but not longer than a month. It has the following symptoms:
- Delusions (beliefs without any basis in reality)
- Hallucinations (hearing voices or seeing things that are not actually present)
- Disorganized speech
- Severely disorganized or catatonic behavior
- No discernable pattern of episodes
To receive the best diagnosis, it is good to be treated in a mental facility for this condition. A combination of medication and rest might be just what is needed. Anyone can have a one-time episode; it is not a sign of weakness in any way.