@floralou
It sounds like you may benefit from seeing a neurologist for evaluation and testing. You may need an MRI of your head and bloodwork to check if there is anything affecting your central nervous system that needs treatment. Panic attacks can be very scary for you and those around you who don’t know how to help.

I have had panic attacks that cause hyperventilation and feelings of passing out. I was prescribed Zoloft/sertraline and this helped. I do think hormones and changes in hormones can trigger panic attacks in some. Mine were worse through puberty, pregnancy and perimenopause/menopause.

Here is what AI summarizes about this:

“😟 Panic Attacks and Blackouts: Testing and Treatment

Panic attacks and blackouts can be distressing experiences, and understanding their causes is essential for effective diagnosis and treatment.
🔍 Testing and Diagnosis

Medical History: A healthcare provider will begin by taking a detailed medical history, including:
Frequency and duration of panic attacks and blackouts.
Any triggers or patterns noticed.
Associated symptoms (e.g., heart palpitations, dizziness, confusion).
Family history of anxiety disorders or other medical conditions.
Physical Examination: A thorough physical exam can help rule out any underlying medical issues that may contribute to symptoms.
Diagnostic Tests:
Blood Tests: To check for thyroid function, electrolyte imbalances, or other metabolic issues.
Electrocardiogram (ECG): To assess heart health and rule out cardiac causes of symptoms.
Holter Monitor: A portable ECG monitor worn for 24-48 hours to detect irregular heart rhythms.
Neurological Evaluation: If blackouts are frequent, a neurologist may conduct tests such as an EEG to assess brain activity.
Psychological Assessment: A mental health professional may conduct interviews or questionnaires to evaluate anxiety levels, panic disorder, or other psychological conditions.
💊 Treatment Options

Therapy:
Cognitive Behavioral Therapy (CBT): This is a common and effective treatment for panic attacks, helping individuals identify and change negative thought patterns and behaviors.
Exposure Therapy: Gradual exposure to feared situations can help reduce anxiety and panic symptoms.
Medications:
Antidepressants: Selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs) are often prescribed for panic disorder.
Benzodiazepines: These may be used for short-term relief of acute anxiety symptoms but are generally not recommended for long-term use due to the risk of dependence.
Beta-Blockers: These can help manage physical symptoms of anxiety, such as rapid heart rate.
Lifestyle Modifications:
Stress Management: Techniques such as mindfulness, meditation, and yoga can help reduce anxiety levels.
Regular Exercise: Physical activity can improve mood and reduce anxiety.
Healthy Diet: A balanced diet can support overall mental health.
Education and Support: Understanding panic attacks and their triggers can empower individuals to manage their symptoms better. Support groups can also provide a sense of community and shared experiences.
🏥 When to Seek Help

If panic attacks or blackouts are frequent, severe, or interfere with daily life, it’s important to consult a healthcare professional for a comprehensive evaluation and tailored treatment plan. Early intervention can lead to better outcomes and improved quality of life.”