Panic Disorder & Drinking Problems

Somebody looking dazed and confused, depicting the correlation between a panic disorder & drinking problemsPanic disorder and drinking problems are common conditions that can trigger problems in many areas of life.

If panic disorder and alcoholism co-occur, though, the conditions can feed into each other.

This guide explores panic disorders and alcoholism, and also outlines how you can engage with the most effective dual-diagnosis treatment at a treatment facility like Gratitude Lodge.

 

FACTS ABOUT PANIC DISORDER

Panic disorder is a type of anxiety disorder that is characterized by disturbing panic attacks.

There are five major types of anxiety disorder:

  • Panic disorder
  • Generalized anxiety disorder
  • Social anxiety disorder
  • PTSD (post-traumatic stress disorder)
  • OCD (obsessive-compulsive disorder)

Panic disorders can disrupt daily functioning unless treated. Fortunately, evidence-based treatment can allow you to live without the continual fear of a panic attack manifesting.

According to data from ADAA (Anxiety and Depression Association of America), 6 million adults in the United States are affected by panic disorder in any given year. Women are twice as likely as men to be diagnosed with a panic disorder.

The presentation of unexpected and frequent panic attacks is central to panic disorder. A panic attack involves sudden feelings of discomfort and fear, as well as these physical symptoms:

  • Rapid heart rate
  • Tingling sensation
  • Trembling

Beyond this, panic attacks can induce a sense of losing control, even when there is no apparent danger.

When panic disorder develops, it typically occurs in the teenage or early adult years.

Like all mental health conditions, panic disorder is diagnosed based on the criteria set out in DSM-5-TR. This is the most recent edition of Diagnostic and Statistical Manual of Mental Disorders.

The DSM criteria for panic disorder are as follows:

  • You experience regular, recurrent panic attacks.
  • Following a panic attack, you either alter your behavior in an attempt to avoid triggering another panic attack or worry excessively about another panic attack presenting.
  • The panic attacks are not better explained by a medical condition, mental health condition, or substance use disorder.

 

TYPES OF PANIC DISORDER

Panic disorders are categorized as follows:

  • Type I: Absence of symptoms except for an isolated panic attack.
  • Type II: Frequent presentation of panic attacks with no depressive or neurotic or depressive symptoms.
  • Type III: Recurrent panic attacks. Neurotic symptoms may present over time, such as generalized anxiety, anticipatory anxiety, or agoraphobia.
  • Type IV: Recurrent panic attacks in addition to depressive symptoms.

Type IV panic disorders can be sub-categorized as follows:

  • Type IV-1: Depressive symptoms are secondary to panic attacks.
  • Type IV-2: Panic disorder that develops into major depressive disorder.
  • Type IV-3: Independent presentation of panic attacks and symptoms of depression.

 

PANIC DISORDER SYMPTOMS

Panic attacks typically present without warning, with the frequency varying from person to person.

Most of the symptoms associated with a panic attack will peak within a few minutes, leaving you feeling drained and disoriented. The most common symptoms include:

  • Sense of imminent danger
  • Trembling
  • Shaking
  • Constricted throat
  • Shortness of breath
  • Feeling of unreality or detachment
  • Numbness
  • Tingling
  • Lightheadedness
  • Headaches
  • Nausea
  • Stomach cramps
  • Chill
  • Hot flashes
  • Sweating
  • Accelerated heart rate
  • Dizziness
  • Faintness
  • Chest pains
  • Fear of death

While panic attacks can be extremely distressing, almost all panic disorders respond positively to personalized and evidence-based treatment.

 

PANIC DISORDER TREATMENT

For a panic disorder to be treated effectively, an accurate diagnosis is essential.

You should first consult your physician and voice your concerns about panic disorder. They may provide a referral to a mental health professional, a psychologist, or a psychiatrist.

The following medications are commonly prescribed to treat panic disorders:

  • Benzodiazepines: Benzos can be effective for addressing the symptoms of many anxiety disorders. This class of medication is only advisable for short-term use due to the rate at which tolerance, physical dependence, and addiction develop.
  • Antidepressants: SSRI (selective serotonin reuptake inhibitor) or SNRI (serotonin-norepinephrine reuptake inhibitor) antidepressants are most commonly prescribed to treat depression, but these medications may also be effective for alleviating the symptoms of anxiety.
  • Beta-blockers: Less frequently, beta blockers are prescribed to address the physical symptoms of panic disorders.

Medications may be beneficial in isolation or delivered in combination with psychotherapy (talk therapy).

CBT (cognitive behavioral therapy) is the most common type of psychotherapy used for the treatment of panic disorders. During sessions of CBT, you will work closely with a therapist to explore the closely interrelated nature of your thoughts, feelings, and behavior, both during and after the manifestation of a panic attack.

If you have been avoiding potentially triggering situations in an attempt to prevent panic attacks from occurring, you may benefit from engaging with a course of exposure therapy.

 

Alcoholism Facts

Alcoholism is a non-clinical term for AUD (alcohol use disorder).

A chronic and relapsing brain condition, alcohol use disorder is characterized by compulsive alcohol consumption in spite of adverse outcomes.

The most recent data from SAMHSA indicates that over 28 million U.S. adults were diagnosed with alcohol use disorder in 2020. Among those, less than one in ten engaged with any form of alcohol addiction treatment.

According to CDC (Centers for Disease Control and Prevention), any form of alcohol consumption that impacts health, interpersonal relationships, and professional performance is classified as alcohol abuse.

Binge drinking and heavy drinking are classified as alcohol abuse. The same applies to underaged drinking and alcohol consumption by pregnant women.

NIAAA (National Institute on Alcohol Abuse and Alcoholism) reports that 25% of U.S. over-18s engaged in an episode of binge during any given month. 6% of adults in the United States also exceed the guidelines for moderate drinking.

Alcohol abuse can be remarkably destructive whatever form it takes, frequently leading to the following complications:

  • Financial problems
  • Depression
  • Social withdrawal
  • Isolation
  • Absence from work or school
  • Engaging in risky behaviors
  • Uncontrollable anger
  • Legal ramifications

 

ALCOHOLISM SYMPTOMS

Alcoholism is diagnosed according to the diagnostic criteria in DSM-5-TR, the fifth edition of APA’s Diagnostic and Statistical Manual of Mental Disorders.

You will be asked the following eleven questions relating to your alcohol consumption the previous year:

  • Have you made more than one failed attempt to moderate your alcohol consumption or to stop drinking?
  • Do you frequently drink more than planned or for longer than intended?
  • Have you experienced alcohol withdrawal symptoms?
  • Do you require more alcohol to achieve the same effects due to tolerance?
  • Are you spending the majority of your time drinking and recovering from the effects?
  • Do you get cravings for alcohol?
  • Is the amount of alcohol you consume causing you to neglect personal or professional commitments?
  • Do you drink alcohol in dangerous situations?
  • Is your alcohol consumption triggering problems in your closest relationships?
  • Do you spend more time drinking and less time doing things you previously enjoyed?
  • Do you still consume alcohol even though it is causing or inflaming a physical or psychological issue?

Alcohol use disorder is classified as mild, moderate, or severe depending on the number of criteria that present:

  • Mild: 2 or 3 criteria
  • Moderate: 4 or 5 criteria
  • Severe: 6 or more criteria

 

Alcoholism Treatment

The ideal pathway to recovery from alcohol use disorder typically involves a supervised medical detox followed by ongoing treatment in an inpatient or outpatient setting.

A supervised medical detox allows you to withdraw from alcohol with the benefit of FDA-approved medications and continuous clinical care to streamline the process. After a week or so, you will be ready to engage with a personalized treatment program that may include:

  • MAT (medication-assisted treatment)
  • Psychotherapy (CBT or DBT)
  • Individual counseling
  • Group counseling
  • Family therapy

Choosing to engage with a treatment plan suitable for the severity of your alcohol use disorder and your personal circumstances can strengthen your chances of initiating a sustained recovery without relapsing.

 

DUAL DIAGNOSIS TREATMENT FOR PANIC DISORDER WITH CO-OCCURRING DRUG ADDICTION

Alcoholism frequently co-occurs with panic disorders and other mental health disorders. Research shows that a coordinated and integrated approach to treatment delivers the most positive outcomes.

NAMI (National Alliance on Mental Illness) data for 2020 indicate that 17 million adults in the United States were diagnosed with co-occurring disorders associated with AMI (any mental illness). 5.7 million U.S. adults were diagnosed with a dual diagnosis of addiction and an SMI (serious mental illness).

If panic disorder and alcohol use disorder co-occur, either condition may present first.

Every case of dual diagnosis is unique. Treatment should be personalized accordingly.

In most cases of co-occurring disorder, residential treatment provides the most secure and structured environment for recovery.

 

Treatment for panic disorders co-occurring with alcoholism may include:

  • MAT (medication-assisted treatment)
  • Group counseling
  • Individual counseling
  • CBT or DBT
  • Exposure therapy
  • Family therapy
  • Holistic therapy

We can help you tackle dual diagnosis at Gratitude Lodge in Southern California.

 

TREATMENT FOR PANIC DISORDER AND ALCOHOL ADDICTION AT GRATITUDE LODGE

At Gratitude Lodge, we offer luxury impatient rehab at three Southern Californian locations.

If you are diagnosed with co-occurring panic disorder and alcohol use disorder, take advantage of our licensed medical detox center to withdraw from alcohol as comfortably as possible. Around-the-clock clinical care will minimize the likelihood of complications during your detox. You can also access emotional care and counseling to help you tackle cravings for alcohol.

After a week or so, you can transition directly into one of our dual diagnosis treatment programs, enabling you to unpack both aggravating conditions at the same during an intensive 30-day inpatient program.

For those who require a more flexible pathway to recovery, we also provide intensive outpatient treatment programs.

Regardless of the level of treatment intensity that is most appropriate for your needs, the treatment team will personalize your treatment plan drawing from the evidence-based interventions described above.

All Gratitude Lodge rehabs are pet-friendly environments free of triggers and distractions. To initiate your recovery from panic disorder and alcoholism, call 844-576-0144 today.

Drug detox can vary according to the patient’s addiction factors, including the substance abused, how long the addiction has lasted, the patient’s medical condition, if any other disorders are present, and more. Our skilled and credentialed team at Gratitude Lodge work closely with every patient going through drug detox, facilitating the beginnings of a successful recovery at our rehab addiction centers in Orange County, CA.

Drug detox can vary according to the patient’s addiction factors, including the substance abused, how long the addiction has lasted, the patient’s medical condition, if any other disorders are present, and more. Our skilled and credentialed team at Gratitude Lodge work closely with every patient going through drug detox.

Many patients don’t realize the toxicity of prolonged alcohol abuse and how it affects the body. Alcohol detox at the luxurious rehab addiction centers at Gratitude Lodge leeches your body of these toxins in preparation for successful treatment for drugs and alcohol abuse. Alcohol detox may not take as long or produce severe withdrawal symptoms, but it is still an essential beginning to your recovery.

Many patients don’t realize the toxicity of prolonged alcohol abuse and how it affects the body. Alcohol detox at the luxurious rehab addiction centers at Gratitude Lodge leeches your body of these toxins in preparation for successful treatment for drugs and alcohol abuse.
an image of clients representing drug detox california

Holistic Therapy

Our holistic therapy treatments offer a full-scope approach to recovery, addressing your mind, body, and emotions as part of a comprehensive treatment plan. This therapy is designed to help address underlying issues and integrate alternative therapies to promote overall health and well-being.
Gratitude Lodge clients laughing, representing drug detox california

Psychotherapy

An essential part of your treatment experience, we offer individual (CBT and DBT talk therapy) and group addiction treatment counseling to help you explore and address the emotional component of addiction, providing you with the tools, self-awareness, and empowerment you need to maintain recovery.
woman at beach representing drug detox in california

Dual Diagnosis

Dual Diagnosis is a highly effective addiction treatment that addresses substance use and mental health disorders simultaneously. Often co-occurring, these disorders are best managed when treated together with specific and targeted therapy.
an image of a client and therapist at Gratitude Lodge's Long Beach addiction treatment center

Medication-Assisted Treatment (MAT)

Medication-Assisted Treatment provides you with FDA-approved medications to help ease the symptoms of withdrawal while you’re in treatment. This makes the detox process easier and safer, as well as increasing the chances of a successful recovery.
an image of clients outside after getting help at Gratitude Lodge's rehab in Long Beach, California

Sober Living

Sober living provides a supportive and substance-free living environment for your ongoing recovery. We partner with a number of upscale and carefully vetted sober living homes that are available to our clients after inpatient alcohol and drug addiction treatment.
an image of clients at Gratitude Lodge's carson drug rehab

Outpatient Treatment

Once detox and inpatient are complete, we provide an easy transition to outpatient care through our hand-selected partners. This program offers a more flexible approach, allowing you to ease back in to daily life while still receiving frequent & effective care.
An image of clients going through inpatient substance abuse treatment

Inpatient Treatment

Inpatient treatment provides an intensive and comprehensive addiction treatment program in a structured environment. You will receive 24/7 expert care, therapy, and support as you build your foundation for long-term recovery.
an image of clients at clients at Gratitude Lodge's representing fear in recovery

Drug & Alcohol Detox

A crucial first step in the recovery process, our detox program provides a comfortable, medically supervised environment that addresses the physical aspect of addiction and eliminates substances from your body.
Share on Facebook
Share on Twitter
Share on Linkedin
Share on Email
Jenni Bussi

Jenni Busse MS, LPCC

Jenni Busse MS, LPSS is the Clinical Director at Gratitude Lodge. Jenni oversees the clinical program and the clinical team at Gratitude Lodge as a whole. Jenni has worked in treatment for almost 14 years. Her background as a licensed therapist and her passion for helping others intersected with addiction recovery when she started working primarily in detox residential treatment.
Joe Gilmore

Joseph Gilmore

Joseph Gilmore has been working in the addiction industry for half a decade and has been writing about addiction and substance abuse treatment during that time. He has experience working for facilities all across the country. Connect with Joe on LinkedIn.

Use Our 24 Hour text line. You can ask questions about our program, the admissions process, and more.