SOCIAL Yes, Workout-Induced Panic Attacks Are a Real Thing

Yes, Workout-Induced Panic Attacks Are a Real Thing There's nothing more exhilarating than the boost of endorphins you get from exercise. However, for some people, that workout high can feel dangerous. Intense feelings of anxiety can cause disorientating symptoms like heart palpitations, dizziness, and an overwhelming sense of dread. Yep, it's a panic attack, and it can be completely debilitating, says Eva Ritvo, M.D., a Miami-based psychiatrist. "A panic attack is a state of extreme arousal that doesn't match the situation, and usually feels very unpleasant," says Dr. Ritvo. There are a few different factors at play when you're having an exercise-enduced panic attack vs. a regular panic attack. For starters, an excess of lactic acid can be one of the major reasons behind an attack, says Dr. Ritvo. You may think of it as the cause of sore muscles, but that build-up of lactic acid affects your brain as well. Some people have more difficulty clearing lactic acid from their brain than others. As this acid builds up, it can cause the amygdala to over-fire, ultimately leading to a panic attack. Also, elevated heart rate and breathing rate (both synonymous with exercise) cause a release of cortisol, the body's stress hormone. For some people, cortisol dials-in their workout performance. For others, it can lead to increased perspiration and limited focus, which can ignite feelings of panic. Ashwini Nadkarni, M.D. "If you then experience fear of feeling this way again, the dread of future panic attacks is what comes together to define a panic disorder," Nadkarni added. It's worth noting that the exercise itself isn't to blame; it's all about how your body is responding to the exercise. And, over time, engaging in regular cardio exercise can actually help. A recent study found that the gradual practice of aerobic exercises promotes a reduction in overall anxiety levels in patients with panic disorder. "It's hypothesized that exercise can reduce anxiety by improving the brain's ability to prevent lactic acid accumulation," says Dr. Nadkarni. If you're having a panic attack while exercising, there a few things you can do to help calm yourself down: 1. Stop exercising and see if you can slow your heart rate down. 2. Try deep breathing exercises. 3. Get some fresh air. 4. Take a warm shower or bath. 5. Talk to a friend. 6. Stretch or lay down until the anxiety decreases. If you spiraled out of control during a recent workout, your best bet is (you guessed it!) to see your doctor.