Pregnancy is one of the most important and sensitive periods of women's lives. This period is accompanied by many hormonal, physical and psychological changes. In some cases, these changes can lead to severe and sudden anxiety reactions, which are accompanied by symptoms such as shortness of breath, palpitations and feelings of fear for no reason. These symptoms, which appear in the form of panic during pregnancy, affect not only the mental health of the mother but also the development of the fetus. Therefore, timely recognition of this disorder and receiving expert advice and support play a key role in controlling panic during pregnancy. What is panic in pregnancy and how does it occur? Severe and sudden anxiety is one of the reactions that may occur during pregnancy and confuses many women. In this case, the person will experience symptoms such as heart palpitations, dizziness, tremors and a feeling of impending death without warning. The occurrence of such attacks during pregnancy is not only due to hormonal changes; It can also happen under the influence of mental worries, fear of childbirth or even past unpleasant experiences. In such a situation, many women worry about the health of the fetus and the effect of this situation on their pregnancy. In general, panic in pregnancy is a condition in which sudden anxiety appears frequently and for no reason and disrupts a person's daily functioning. Understanding the difference between normal pregnancy feelings and panic attacks is very important, because if left untreated, this disorder can eventually become a serious obstacle to experiencing a healthy pregnancy. Common symptoms of severe anxiety during pregnancy Early detection of warning signs is the first effective step in controlling this disorder. Many women may attribute the symptoms to the normal changes of pregnancy, but if these symptoms are severe, sudden, or recurring, a closer examination is necessary. The most common symptoms that may indicate panic in pregnancy are: Shortness of breath or feeling of suffocation for no apparent reason - Strong heartbeat or irregular heartbeat - Feeling dizzy or unsteady in movement - Excessive sweating or body tremors - Sudden nausea or stomach upset - Feeling disconnected from the environment or severe confusion - Fear of losing control - Numbness or tingling of limbs Common causes of anxiety disorder in pregnant women Pregnancy is associated with extensive changes in the level of hormones. These changes can stimulate the nervous system and reduce a person's psychological excitability threshold. In addition to these physiological factors, mental concerns such as fear of childbirth, financial concerns or anxiety about the child's future can also cause severe anxiety reactions. This combination of internal and external pressures creates a suitable environment for intense nervous reactions. In some cases, women who have a family history or previous experiences related to anxiety disorders are more susceptible to this condition. For this reason, people who have had a history of anxiety or depression in the past are more likely to experience panic during pregnancy. The effect of panic disorder on maternal and fetal health Repeated anxiety attacks can have negative effects on the general health of the mother. Severe mental stress leads to an increase in the secretion of hormones such as cortisol, which, if chronic, will weaken the immune system, disrupt sleep, decrease appetite, and increase blood pressure. On the other hand, the mental health of the mother plays an important role in the emotional and physical development of the fetus. Chronic stress and anxiety during pregnancy increases the possibility of premature delivery or low birth weight of the baby. Therefore, timely control of this condition is vital not only for the health of the mother but also for the optimal development of the fetus. How is severe anxiety diagnosed in pregnancy? Accurate diagnosis of this disorder requires a clinical examination by a psychiatrist or a specialist psychologist. Clinical interview, examination of mental health history, type and severity of symptoms and their duration are important factors in evaluating the individual's condition. If necessary, psychological tests and standard questionnaires are used to measure the level of anxiety and severity of attacks. Although many of the symptoms are similar to the general state of pregnancy, there are differences that can only be identified through specialized examination. Identifying panic in pregnancy in the early stages makes the person receive treatment faster and prevent its aggravation. Treatment strategies without drugs during pregnancy Non-drug treatments are very important, especially during pregnancy, when the use of drugs is limited. These methods can be used individually or in combination to provide more mental peace to the mother. The most effective ways to control panic in pregnancy without drugs are: - **Cognitive-behavioral therapy (CBT):** Help identify negative thoughts and replace them with rational thoughts - **Deep breathing exercises and meditation:** Reduce heart rate and improve mind concentration - **Yoga and light movements for pregnancy:** Creating physical and mental relaxation - **Writing feelings in a diary:** Evacuation of inner tensions - **Participating in online or face-to-face support groups:** Sharing experience and reducing feelings of loneliness The role of spouse and family in the management of panic disorder One of the most important sources of comfort for a pregnant woman is the emotional support of her husband and family members. Understanding emotions, non-judgment and companionship in difficult moments have a very positive effect on controlling severe anxiety. Accompanying the wife in counseling sessions, creating a calm environment at home, and communicating effectively makes the pregnant woman feel more psychologically safe and respond better to the treatment process. Relaxation during pregnancy with the help of Nourali Clinic specialists The occurrence of severe anxiety during pregnancy is a complex but controllable issue. What is important is to recognize the symptoms in time and refer to specialized centers for evaluation and treatment. With a team of psychiatrists and psychologists, Nourali Neurology Center offers a comprehensive approach to managing this disorder in pregnancy. Our goal at Nurali is to support mothers in this challenging path and provide a basis for a healthy, peaceful and safe pregnancy experience.