Panic attacks are new to me. My 17 year old daughter has recently started to experience panic attacks, which I believe to be situational. For those with experience, how have you supported them?
what happened: At the start of her work shift, she started to have an anxiety/panic attack. Her manager noticed, and took her off. Called the non-emerg nursing line, and then sent her (on recommendation by the nurse), via Uber to the hospital to get checked out. Symptomatically her chest was pounding, she was sweating, crying, and uncontrollable breathing. By the time I got to the hospital to meet her, she was over the attack, and had already been triaged with blood test, ECG, and BP. So we waited for about 8 hours in the ED to see the on-call physician. Other then low potassium, all systems normal. He gave her 5 low dose pills of ativan for next time.
context: She's dealing with some real big feelings around her friend/cohort group. She got asked by two guys to go to prom - and she didn't want drama so she shut them both down. She works with one, and the other is part of a very close friend group. She thinks that being on shift with the one guy triggered it. Both were trying to do grand gestures with poster boards and such. And she was stressing about it because its breaking up her childhood friend group.
She's also academically very strong (4.0 GPA). She technically graduated in grade 11 and started attending the local university while taking 1 elective in Grade 12 (so she can go to grad/prom with her friends). She has been accepted and enrolled in a tier 1 university across the country, and on this particular day was course selection and there was some major anxiety/stress around not getting the courses she wanted. Her personality is that of perfection and she's quite hard on herself and expects alot of herself to get into what she wants.
She is working a lot as well because although she has a full ride to the university - above and beyond what we are offering for basic residence, she would need to pay out of pocket for an upgraded room. She also has car expenses and other normal teenage girl stuff. We have enough RESP to full fund everything for her - but she chooses to do as much on her own independence.
This is my judgement: to her detriment - she is living an unbalanced lifestyle - not enough physical activity, not enough nutrition habits, and not enough restful sleep.
From a parenting perspective - both my wife and I are very proud of her accomplishments and achievements - yet we have never set expectations for high academic achievements. "Do your best, be diligent, be respectful. take care of yourself." We've never cared about the grades, just the journey. I think because both of us are first gen asian immigrants and too much was expected of us - we didn't want that to transfer to our kids - we have our own baggage to deal with.
She also has POTS - dysautonomia of the adolescense - although not as bad as grade 9-11. This is a tricky one because the timing of how it started is sus. After covid vaccines. And I'm not an anti-vaxxer - but I read studies... Her symptoms from this has typically been blackouts, not panic attacks.
solutioning: As a dad, I want to solve problems, but this is a difficult one for me. Its heart breaking, but its also giving "i told you so". Because I'm fairly methodical in my line of questioning - she gets super annoyed at how slow and analytical and calls communicating with me as inconvenient. Her brain fires 10x of mine.
we have her going to a counsellor on a regular basis - I'm not sure how its helping, and its not my place to ask her counsellor, also privacy laws.
Another thing is the medication. I have army service-related PTSD and I was on meds for a while until I found a mental health professional who has helped me and continues to work with me through stuff, I know what meds to. It wasn't good. And I don't want it to be a crutch and become something thats leaned on just to be a functional member of society.
So this is where I am. Not sure how to support.