Panic Attack Treatment in Delhi

There's rarely a single cause. Usually there's been chronic stress and anxiety for months first: twelve-hour days, an EMI that's hard to meet, or a parent's hospital visits squeezed around office hours. Sometimes the first attack comes during a calm holiday, weeks after the stressful period has ended. Traumatic experiences, from a road accident on the Ring Road to an assault, can also make the body react to reminders with panic.

Phobias and social anxiety often sit underneath. For some, the first attack hits on stage at a cousin's sangeet, or when a relative asks for the fifth time, "aur beta, shaadi kab?" (so, when's the wedding?). Major life changes play their part too, such as moving to Delhi for a first job, marrying into a joint family or having a baby. It also runs in families, and it often turns up alongside depression, other anxiety problems or heavy drinking.

Some triggers are chemical. Five cups of chai, energy drinks before an exam, a strong vape or a first joint at a farmhouse party can all set off an attack in someone who is prone to them. Hangovers and sudden withdrawal from alcohol or sleeping pills are other common culprits. A few medical problems look almost identical, such as an overactive thyroid, an irregular heartbeat, low blood sugar or asthma, so we always want basic tests done.

Online consultations suit panic treatment surprisingly well, mostly for practical reasons. There's no sitting in Delhi traffic on the way to a clinic, which matters when traffic itself is a trigger, and you can join from your living room, your office or a parked car. Online sessions also make it easier to practise exposures in the exact places where attacks happen.

Still, an in-person assessment at the start has its advantages, especially if your symptoms need a physical examination. If you have chest pain, fainting or palpitations that haven't been checked, a medical evaluation is necessary before we treat it as panic, and our psychiatrist will tell you which tests to get. Some people simply feel safer starting face to face, and that's a perfectly good reason.

Whichever you pick, what you say in sessions with Anvaya Healthcare stays private. Many people do the assessment in person and continue therapy and follow-ups online, which keeps treatment going during travel or exam season.