Good for the elderly
The stresses and changes that sometimes go along with aging—poor health, memory problems, and losses—can cause an anxiety disorder. Common fears about aging can lead to anxiety.
Selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants, monoamine oxidase inhibitors, benzodiazepines and cognitive behavioural therapy are efficacious treatments for panic disorder.
What Causes Panic Attacks? There are 3 root causes to panic attacks that have individual factors: genetic predisposition, anxiety stemming from childhood, and response to the challenges of adulthood. These factors all have one thing in common and it is: They are not your fault.
Anxiety in older adults may be linked to several important risk factors. These include, among others: Chronic medical conditions (especially chronic obstructive pulmonary disease [COPD], cardiovascular disease including arrhythmias and angina, thyroid disease, and diabetes) Overall feelings of poor health.
Here Are 10 Ways to Relieve Anxiety Feelings in Seniors
Diseases that cause cognitive declines such as Parkinson’s Disease, Alzheimer’s, and dementia can also cause a patient to have panic attacks, disorientation, agitation, and distress.
Follow the 3-3-3 rule Start by looking around you and naming three things you can see. Then listen. What three sounds do you hear? Next, move three parts of your body, such as your fingers, toes, or clench and release your shoulders.
It’s a natural response to stressful or dangerous situations. But someone with panic disorder has feelings of anxiety, stress and panic regularly and at any time, often for no apparent reason.
Low serum concentrations of vitamin B6 and iron are related to panic attack and hyperventilation attack.
If you’re having lots of panic attacks for no obvious reason, you may be diagnosed with panic disorder. This is a type of anxiety disorder. You might feel worried about going out in public because you’re afraid of having another panic attack. If this fear becomes intense, it may be agoraphobia.
Antidepressants are the first-line treatment in anxiety disorders [16]. The selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs) are more commonly used in the elderly, due to their tolerability and safety profile in this population [17].
Answer From Jonathan Graff-Radford, M.D. The term “sundowning” refers to a state of confusion occurring in the late afternoon and spanning into the night. Sundowning can cause a variety of behaviors, such as confusion, anxiety, aggression or ignoring directions.
Anxiety becomes more common with older age and is most common among middle-aged adults. This may be due to a number of factors, including changes in the brain and nervous system as we age, and being more likely to experience stressful life events that can trigger anxiety.
Paroxetine has strong anticholinergic and sedative properties, which can lead to negative effects on cognition. Anticholinergic medications such as paroxetine are often considered potentially inappropriate for the elderly patients with dementia and cognitive impairment.