
Q Why do panic attacks come on suddenly? Is there something wrong with my brain?
A A panic attack occurs when the brain's amygdala over-processes threat signals and explosively activates the sympathetic nervous system — it is distinct from structural brain damage.
Detailed Answer
During a panic attack, the amygdala fires extreme danger signals even when no real threat is present, causing a simultaneous surge of the sympathetic nervous system. Palpitations, shortness of breath, chest pain, dizziness, and tingling in the hands and feet peak within 10–30 minutes. People experiencing their first attack often mistake it for a heart attack or stroke and visit the emergency room. Because this is a functional hypersensitivity of neural circuits — not structural brain damage — it can be well managed with appropriate treatment.
Korean Medicine Clinic Perspective
At Dongjedang Korean Medicine Clinic, panic attacks are understood as Simdamheogeop (心膽虛怯) — a state in which Heart Qi (심기) is deficient and the Gallbladder cannot withstand startling stimuli. When Heart Qi is insufficient, even minor triggers cause palpitations and amplified fear. A pattern-differentiation consultation identifies the panic as an imbalance of internal organs rather than a brain malfunction.
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Can people with panic disorder maintain their work and daily life?
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I have panic disorder and also feel quite depressed. Can both be treated together with Korean medicine?
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