Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
A panic attack is a sudden, overwhelming feeling of terror or fear accompanied by physical symptoms such as sweating, heart palpitations, or dizziness. Panic attacks happen suddenly and usually peak in 10 minutes or less, although it may take much longer for all the symptoms to go away, anywhere from 30 minutes to several hours. A panic attack can occur at anytime (day or night) and anywhere (at home, at work, while driving, or even while sleeping).
Panic attacks have been experienced by 15 to 30 percent of adults. Some people only have one or two panic attacks during their lifetime. People who have more frequent panic attacks may also have a panic disorder.
Panic attacks can be successfully treated with a combination of counseling, self-care techniques, and, in some cases, medication.
Our bodies naturally react to danger with an increase in heart rate and faster breathing, which provide the energy to react quickly to a threatening or fearful situation. This is called the "fight-or-flight response." Some people respond this way even if there is no imminent danger, but we are not sure why. It may be that a combination of factors plays a part in triggering panic attacks, including the following:
Genetic. You are more likely to have panic attacks if you have a family member who suffers from them or if you have a parent with depression.
Life stress. Chronic and long-term life stress can trigger panic attacks.
Other factors that might also trigger or increase your risk for developing a panic attack are:
You may be a higher risk for panic attacks if any of the following apply to you:
A panic attack is a sudden, intense feeling of fear or discomfort accompanied by physical symptoms. A number of different symptoms may occur during a panic attack. You may experience some or all of the following:
These symptoms can be so severe that some people mistake their panic attack for a heart attack.
In order to determine whether you have had a panic attack, we may conduct a physical examination including checking your heart rate and blood pressure. We may also ask you to take a blood test to determine if your symptoms might be the result of a physical condition.
We can discuss your symptoms, what happens during the panic attack, and how often you get them. We can also talk about any stress, concerns, or fears you may have, as well as any relationship, substance abuse, or other problems in your life.
Panic attacks can be successfully treated with both therapy and medication.
Therapy can help you understand panic attacks and learn to manage your symptoms. There are different types of therapy that are helpful in treating panic attacks, including:
There are different types of medication that help control the symptoms of panic attacks. We will work with you to see if the following types of medications may be appropriate for you:
If you have symptoms of panic or have other behavioral health concerns, you can contact the Psychiatry or Health Education Departments directly, without a referral from me. They will be able to help you find the resources that best fit your needs. The Health Education Department can help connect you with a wide variety of related classes. You can also find classes in the Health Tools and Classes section on this site.
You can also contact me. Depending on the situation and what is most convenient for you at the time, you can connect with me in a variety of ways. I am available online, by telephone, or in person.
You may also contact the Chemical Dependency Recovery Program if you have concerns about your use of alcohol or other substances.
Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology and health education, makes getting your care easier for you.
Another major benefit is our comprehensive electronic medical record system which allows all of the doctors and clinicians involved in your care to stay current on your health status and to collaborate with each other as appropriate.
When every member of the health care team is aware of all aspects of your condition, care is safer and more effective.
We will work together to monitor and assess how your medications are working and make adjustments as needed. Prescriptions can be filled at any Kaiser Permanente pharmacy. Just let me know which pharmacy works best for you and I will send the prescription electronically in advance of your arrival at the pharmacy.
If refills are needed in the future, you can:
For lab tests, I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory of your choice. For imaging procedures we will schedule an appointment with the radiology department. When the results are ready I will contact you with your results by letter, secure e-mail message, or phone. In addition, you can view most of your laboratory results online, along with any comments that I have attached to explain them.
My specialty colleagues are readily available to assist me if I need additional advice about your condition. In some cases, I may contact them during your visit, so we can discuss your care together. If we decide you need a specialty appointment after that discussion, we can often schedule it the same day or soon thereafter.
As part of our commitment to prevention, additional members of our health care team may contact you to come in for a visit or test. We will contact you if you are overdue for cancer screenings or conditions which may require monitoring.
My goal is to provide high quality care and to offer you choices that make your health care convenient. I recommend that you become familiar with the many resources we offer so that you can choose the services that work best for you.
My Doctor Online is available 24/7 so that you can access and manage your care where and when it is most convenient. From my home page you can:
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.