��������������By JAMES TSAI
������Cavalier Daily Associate Editor
��(This it the first in a two-part weekly series
about fear.)
��We all have experienced it at one time or another. For some people. it causes stabbing pain
in their stomachs. For others, beads of moist
sweat appear on tense necks. It is fear.
��Primal, but sophisticated, this emotion is basic to our very existence as human beings. But
for some people, fear dictates their daily life.
Eileen Power leads what can be considered a normal life. As a mother of two
grown children, living in a nice home
in Newfoundland, Canada she seems to
have it all.
��But beneath this surface lurks the darkness of
something Eileen kept a secret for years -- she
suffers from panic-anxiety disorder. According to the American Psychiatric Association,
about 23.3 million Americans - or 12 percent
of the country's population - suffer from
some form of this disorder.
�� Professor Pedro L. Delgado, University of
Arizona's department of psychiatric research director, said the disorder is preva-
lent, and sometimes is misdiagnosed as other diseases.
�� "Many people come into the emergency
room short of breath saying they had a heart
attack when in fact they had a panic attack,"
Delgado said.
�� Eileen has dealt with attacks regularly most
of her life.
�� "Every morning, for the last 22 years, I have
had a panic attack." Eileen said. "I tremble, I
have shortness of breath and it feels like I'm
going to die."
�� She said these attacks last 10 to 15 minutes,
and can occur up to three times a day. For Eileen, they are a way of life.
��Eileen said she experienced her first panic attack when she was 13.
��"I was called upon in school to read out
loud," she said. "I was trembling, shaking."
��She added that the fear overwhelmed her so
much she refused to read out loud. She told her
teacher a lie about having poor eyesight, making it impossible for her to read the words on
the page. Eileen said she would have said anything to make the panic stop.
��She said she felt anxiety and fear. the only
vague words she has to convey the feeling
of her attack. Shortly after this incident, Eileen started wearing glasses. The next time
her teacher called on her to read. she burst
into tears.
��"I left school in ninth grade." she said. "I
couldn't do it anymore.
��She avoided public situations
where she knew she would go into a panic attack. She found a solution to her problem in
alcohol.
��"One day. I discovered that if I had a drink
or two, I lost most of my inhibitions and
could compete with the best of friends." Eileen wrote in "Social Fears." an online essay she published to increase awareness
about phobias.
��"But once I had my children, I stopped
drinking. not wanting them to go through
what I had to as the child of an alcoholic
mother," she said.
��It wasn't until she was in her mid 30s, however, that Eileen had her first full-blown panic
attack, prompting the paralyzing fear from
which she still suffers.
��"I was viewing a minor traffic accident." she
said. "All of a sudden, I started to shake, and I
just wanted to get away. The closer and closer
I got to home, the better I felt."
��This was the beginning of Eileen's development of agoraphobia, the fear of open
public places. Eileen refused to leave the
house alone without the company of one of
her children.
��"Being agoraphobic. there weren't too many
places I went alone. Come to think of it, I never went anywhere alone," Eileen said.
�� Now, after therapy and medication, she is
overcoming her illness.
��"It's really hard for anyone that doesn't have
this to understand what it feels like. But for
those that do, the support that's out there today
is tremendous," Eileen said.
Psychiatrists continually debate possible
cures for panic-anxiety disorder.
��Later this month, the American Psychiatric Association will release a set
of recommended guidelines regarding the treatment of excessive panic anxiety.
One suggestion the list will offer is a combination of
cognitive therapy and medicines like valium
to combat the illness.
�� The reasons behind the disorder remain difficult to pinpoint, Delgado said.
�� "It may be genetic. There is evidence supporting inheritance of the
likelihood of developing panic-anxiety disorder," he said.
��The genetic susceptibility may be related
to a region in the brain known as the
amygdala.
��"The amygdala, over to the side of the brain
near the hippocampus, is largely responsible
for the attachment of emotion to memories,"
Delgado said.
��When the amygdala continually experiences
fear and anxiety in certain situations, it will
send a signal to the hippocampus, which causes the body to react in such ways as breathing
rapidly and increasing adrenalin.
�� "People often develop this fear of being
afraid after a traumatic attack", Delgado said.
��In Eileen's case, her sequence of panic attacks occurred after the traumatic experience
of witnessing an accident.
��The disorder's origin, however, is difficult to
quantify. But this is only one theory of what
could have caused Eileen's case to be so severe.
"It's not likely that there is a single factor.
It's like asking how many ways can you
make a computer fuzzy. It's a whole circuit
of things that could have caused that problem with the fuzziness of your monitor",
Delgado said.
��Therapy for the disorder includes use of
relaxation therapy. such as yoga. After patients learn how to relax, they are ready for
exposure therapy - making someone face
what they fear.
��"Exposure therapy is important." Eileen said.
She said she repeatedly visited the same supermarket stores and banks that she had found
frightening to overcome her fear.
��Eileen still is in therapy, and she has constructed a webpage entitled "Eileen's Panic
Page." The 100 e-mails she receives each week
comment about her story.
��Eileen said the public needs to know about the
disorder. According to a 1991 survey by the National Institute of Mental Health, only 4 percent
of those surveyed could correctly answer questions about the panic-anxiety disorder.
��"There's a wealth of information out there."
Eileen said. "I'm sure people can learn a lot
from my story."
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