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If you elect treatment with an antidepressant, make sure that your clinician starts you on the lowest dose possible, because -- paradoxically -- antidepressants can cause panic attacks when they are first taken and can certainly worsen them in people already afflicted.
CNN: How can I control my panic attacks?
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If the adrenalin response continues to fire off too regularly, then the body manufactures more, and eventually the mechanism fires off unexpectedly, which incidentally explains how people can have panic attacks at 2am in the morning when they should be asleep.
BBC: Stewing in your juices
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So, when a work crisis triggered a second bout of depression and panic attacks, he had no intention of trying meds again.
CNN: Using downward dogs to treat depression