I read about panic attack long time ago. The symptom goes like this:
"In the middle of the day/night I suddenly have a heart attack. I have chronic panic. My chest hurts so much. I have a hard time breathing. I want to scream, but I can't. Why do I panic? I do not know. It just happen."
As weird as it is, I believe it is caused by repressed trauma. Something traumatize you in the past. It's so freaking terrible, that you just repress the whole thing completely. You cannot acknowledge to face it in the first place.
But the thing about repressed emotion is, they haunt you. They will always return. They beg to be fixed. When they return to you, you might do your best to repress them again. Then they came back again. Then you repress them again. The cycle goes on and on.
Everytime it comes back, it gets worse and worse. To the point, where it become unmanagable. It evolve into the worst possible version of nightmare you can ever imagine ever. From there, begin series of panic attack.
I think panic attack came as a physical manifestation of your repressed emotion. Your emotion try to get your attention, but you've ignore it completely. So it manifest into a physical one. From there panic attack begin. It's your emotion trying to get your attention.
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