Enfield knows how to take care of itself. It's a town that's held on through decades of change — sitting right at the Massachusetts border, blue-collar roots, self-sufficient in the way that northern Hartford County towns tend to be. And that self-reliance? It's a strength. But it can also make it really hard to ask for help, especially when what you're dealing with sounds as strange as a panic attack. One minute you're fine. The next, your heart's slamming against your ribs, your hands are tingling, you can't catch your breath, and some part of your brain is absolutely convinced you're dying. You're not dying. But try telling your body that in the middle of one. Sindhia Shyras, APRN — a board-certified Psychiatric Nurse Practitioner with nine years of clinical experience — works with people in Enfield and across Connecticut to treat panic and anxiety properly, not just manage it.
Here's what's happening when one hits: your brain's alarm system fires as if there's real danger — a threat you can't see, can't name, and can't outrun. Your nervous system floods your body with adrenaline. Your heart rate surges. Your lungs tighten. Blood rushes away from your hands and feet. And your brain, trying to make sense of all these signals, concludes the worst. Heart attack. Stroke. Going crazy. None of those things are true, but the physical sensations are completely real — and that's what makes panic attacks so exhausting to live with. It's not "just anxiety." It's your own body staging a false alarm at full volume, sometimes without any obvious trigger at all. And once you've had a few of them, you start dreading the next one — which can actually make them more frequent. That cycle is one of the most demoralizing parts of panic disorder, and it's exactly what treatment is designed to break.
A lot of people who come to Sindhia have already spent months Googling symptoms, trying breathing exercises, cutting out coffee, and willing themselves to calm down. Some of that helps at the margins. But when panic attacks are frequent, severe, or starting to change how you live your life — avoiding situations, canceling things, not driving alone — that's a signal that your nervous system needs more than a coping strategy. It needs treatment. Sindhia's first step is always a full psychiatric evaluation. Not a five-question quiz. A real conversation about how panic shows up for you specifically: how often, what seems to trigger it (even if the answer is "nothing"), how long episodes last, what you've tried, and how it's affecting your sleep, your work, and the things you used to be able to do without thinking. From there, she builds a plan. That might include medication — SSRIs and SNRIs are often a first line for panic disorder, and there are fast-acting options for acute situations as well. It might include supportive therapy techniques. It's usually both. And she'll tell you exactly what to expect so you're not guessing. Sindhia speaks English, Malayalam, Tamil, and Telugu, and she accepts Aetna, Cigna, Husky Health, Medicaid, United Healthcare, Anthem, ConnectiCare, and self-pay. Telehealth is available to anyone in Connecticut — you don't have to come to New Britain, though the office at 1 Liberty Sq, Suite 301 is there if you'd rather meet in person.
Serving Enfield and all of Connecticut via telehealth. Call us at 860-515-8689 or book online.
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