Panic attacks & thanatophobia

Imagine you know for certain that tomorrow you will die. There is not a thing you can do about it, tomorrow will be your last day on earth and tonight will be your last night. How would you feel? I can’t imagine many people, if any, would answer with anything that isn't fear, frustration, anger, confusion or sheer panic. Well I don't know for sure that I will die tomorrow. But what I do know for sure is that there will come a night that will be my last. Following that last night will be my final day on earth. It may not be tomorrow, it may not be the next day. It may not even be for the next 50 years, I don't know. But it will come.

I guess the best way to sum up my thanatophobia is to explain the feeling you would probably be overcome by, knowing you are about to die, is how I feel almost all the time. It is a constant state of fear, of worry, of anxiety. Sometimes the sheer desperation of the situation, the situation that everyone who is born must inevitably face, manifests in what I am forced to call a panic attack.

Panic attacks are defined as "episodes of intense fear or apprehension that are of sudden onset and of relatively brief duration." To clearly define a panic attack, many specialists believe that at least four of the following symptoms should be experienced:

• Clear intense panic
• Palpitations, or accelerated heart rate
• Sweating
• Trembling or shaking
• Muscle tension
• Blurry vision
• Sensations of shortness of breath or smothering
• Feeling of choking
• Feeling waves of being flushed
• Chest pain or discomfort
• Nausea or abdominal distress
• Feeling dizzy, unsteady, lightheaded, or faint
• Derealisation (feelings of unreality) or depersonalization (being detached from oneself)
• Fear of losing control or going insane
• Fear of dying
• Paresthesias (numbness or tingling sensations)
• Chills or hot flashes
• Weakness in the knees
• Confusion
• Tunnel vision
• Blank mind
• Sensing time going by very slowly
• Feeling the need to escape
• Feeling of warmth inside, expanding from within
• Head pressure, unlike headache

In my moments of thanatophobia-induced panic, I have at some point, experienced all of these symptoms and consistently experience 15 of the 25 symptoms. However (and this is very much a point of interest to my psychologist and my psychiatrist) the most glaringly obvious sign of my panic and distress that he hasn't heard of before is my uncontrollable, piercing and blood-curdling screams. I actually reach a state of such frenzy and desperation that I scream, so long and so loudly I often lose my voice for up to four days.

The sound of my screams, usually somewhere between 1am and 4am, would wake my father up with a chilling fright. He has often marvelled that our neighbours have never called the police to report a potential crime. He's explained this as being due to us living on acreage or thanks to the Genovese Syndrome, the bystander effect where witnesses often tend to believe someone else will help. It is because of this that I even found myself in the uncomfortable situation of explaining to my new neighbours, who shared apartment walls with me in my new unit block, that if they were woken by my late night screaming I was simply having a panic attack. I actually had to promise my neighbours that if I was ever in danger I would scream real words such as, "help me, please!" so they would be able to assist me.

I don't remember much about these intense screaming panic attacks. My psychologist is even wary of calling them that, but I have no other word for them. I've been told I scream 'What if I'm wrong?' This alludes to my Buddhist beliefs but obviously, if I am wrong, what is there? Is there nothing? And that is ultimately my base fear. Ceasing to exist. And then I scream.

I do not have these panic attacks in daylight hours – although I have come dangerously close in cinemas. I do however have the traditional panic attacks. I will feel as if everything is closing in on me, the sheer inevitability and overwhelming desperation at my lack of control of death renders me unable to function. I will gasp for breath, my heart will race, I will sweat and I will need to call someone to talk. I often choke down the phone, “talk to me! About anything!” My network of friends and family know not to ask questions and to just start rambling about the first thing that comes to mind – their job, football scores, traffic, the weather, anything to distract my mind. I focus on their voice and their words until I feel it’s safe to open my mouth without a blood-curdling scream escaping.

Miss SAMawdsley xx


PS: For help with Thanatophobia, please join my Facebook support group: Thanatophobia / Fear of death

Questions:

• Have you ever had a panic attack?
• Have you ever perhaps lost control and started screaming?
• What are your thoughts on thanatophobia or anxiety?