Can Anxiety or Panic Attacks Feel Similar to Being High?

Yes, anxiety or panic attacks can share certain sensations with being high, particularly due to the heightened feelings of disconnection from reality. Understanding these similarities and differences is crucial for managing anxiety effectively.

Similarities between Anxiety and Being High

Anxiety and panic attacks can feel similar to being high due to the intensity of the sensations involved. Key similarities include:

Enhanced heart rate Shortness of breath Intense feelings

These heightened sensations can make the experience feel disjointed and surreal, reminiscent of altered states brought on by psychoactive substances. However, it is crucial to distinguish between the two, as the strategies for managing anxiety differ significantly from those for managing the effects of mind-altering substances.

Derealization and Depersonalization: The Mind's Escape Mechanism

During a panic attack, feelings of disconnection from reality and from oneself are common. These feelings, often referred to as derealization and depersonalization, can be likened to some of the effects of drugs like marijuana, but there is no euphoria or positive experience. These symptoms can serve as a mental escape from the overwhelming emotions of a panic attack. However, the experience is largely unpleasant and can intensify anxiety and even trigger a full-blown panic attack.

Derealization

Derealization involves a detachment from one's surroundings, making things seem unreal or distorted. It can result in heightened sensory experiences, such as:

Intensified flavors in food Enhanced sensuality of physical experiences More intense emotions in jokes or conversations Overwhelming patriotic feelings during the National Anthem Perceptions of people walking down the street as cartoon characters

Depersonalization

Depersonalization is a more extreme form of derealization, where individuals perceive themselves as being detached from their bodies or as if they are external observers. This can lead to:

Viewing others as mindless drones or dehumanized entities Experiencing fear and paranoia Feeling extremely dangerous in public

Effects of Psychoactive Substances on Anxiety and Panic

While psychoactive substances can provide an escape for those in good spirits, they can exacerbate anxiety and lead to panic attacks when used in an already anxious or low mood. For instance, smoking marijuana can intensify anxiety and even trigger a panic attack, leading to heightened paranoia and a sense of danger.

Individual Differences

The effects of anxiety and panic on the experience of psychoactive substances vary widely among individuals. People who have never experienced a panic attack may find it challenging to understand the severity and impact of these sensations. Those with significant anxiety or panic issues are generally recommended to avoid using such substances, as the risk of a severe anxiety attack or panic attack is very high.

Conclusion

While anxiety and panic attacks may share certain similarities with the experience of being high, they require different strategies for management. Understanding and distinguishing between these experiences is crucial for effective mental health intervention. If you are experiencing persistent anxiety or panic attacks, seeking professional help is advisable for proper evaluation and guidance.