{ "schema_version": "uw.editorial_geo.v1", "representation_profile": "lossless_source_sections", "local_stage_only": true, "catalog_id": "DEP-18-N02", "article_index": "DEP-18-N02", "language": "en", "headline": "Anxiety disorders and panic: why stopping a substance may not end the symptoms", "description": "Anxiety disorders and panic: why stopping a substance may not end the symptoms", "short_answer": "*Content edited: 15 October 2026.*", "short_answer_source": { "kind": "opening_after_h1", "role": "lead", "start_utf16": 82, "end_utf16": 116, "sha256_utf8": "6e603723d4eef1ac2e42f32b41ca738c200973bbd1b791594204fd0023af1706" }, "headline_source": { "role": "h1_heading", "start_utf16": 2, "end_utf16": 80, "sha256_utf8": "a674baddbda89ee12d6c43fc71fdb2b6e1c206ea3ec3977b1433861b00542234" }, "entities": [], "questions": [ { "q": "Anxiety does not disappear on a schedule", "a": "Someone reduces or stops using a substance, yet fear, tension, a racing heart, or sudden episodes still interfere with sleep, work, or leaving home. They may think, “Then nothing has changed.” The symptoms do not justify that conclusion. Changing substance use may benefit health without immediately ending every anxious feeling. [NIAAA's account of recovery from alcohol problems](https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/support-recovery-its-marathon-not-sprint) notes that negative emotional states and sleep problems can remain for some people after they cut down or stop drinking. That is information about alcohol, not a timetable or an explanation of your particular anxiety.\n\nThe word “panic” does not establish a diagnosis either. A person can have one panic attack without having panic disorder, or experience anxiety without attacks. The useful question is how to have persistent symptoms assessed, without making the change in substance use seem worthless.", "source_spans": [ { "role": "h2_heading", "start_utf16": 121, "end_utf16": 161, "sha256_utf8": "c607d0edd3edae5093e63f698dee8630f6cb271443e26dec77ecf27fdd00eda7" }, { "role": "h2_answer", "start_utf16": 163, "end_utf16": 1174, "sha256_utf8": "fc3173a5b433482532c7a236dd53685121c2431fe2f0146f527977447185577e" } ], "block_ids": [ "p0004", "p0005" ], "source_segment_index": 1 }, { "q": "Similar sensations can have different causes", "a": "There is no single required source of anxious sensations. A [professional NIAAA review of alcohol and co-occurring mental health conditions](https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/mental-health-issues-alcohol-use-disorder-and-common-co-occurring-conditions) describes several possible sequences: anxiety may predate drinking, alcohol use may intensify anxiety, and shared circumstances may affect both. Anxiety-like symptoms can also occur during alcohol use or after a change in drinking. These possibilities can overlap; one symptom or a count of alcohol-free days cannot distinguish them. Other substances and medicines may have different effects.\n\nPhysical illness, a medicine's effects, lost sleep, or an unsafe situation that is still going on may matter too. Even if an earlier episode was called panic, a new sensation should not automatically receive the same label. The opposite assumption—that every remaining symptom is “just withdrawal” and will go away if one waits—can also delay needed care.", "source_spans": [ { "role": "h2_heading", "start_utf16": 1179, "end_utf16": 1223, "sha256_utf8": "366cd2007d806177f514862da89a019b7149dfc74fc73ef82c0ed51c099b69da" }, { "role": "h2_answer", "start_utf16": 1225, "end_utf16": 2277, "sha256_utf8": "9055e5416ede69e6b8ea151a76ee766a7f1daf4e2aac44faa45385eb2a293825" } ], "block_ids": [ "p0007", "p0008" ], "source_segment_index": 2 }, { "q": "A panic attack is not the same as panic disorder", "a": "[NIMH distinguishes a panic attack from panic disorder](https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms). An isolated attack is not the disorder. With repeated attacks, a professional considers their history, their effect on daily life, and possible physical causes. Palpitations, shaking, dizziness, and trouble breathing may occur with panic, but a list like this cannot rule out another illness or poisoning at home.\n\nIf anxiety continues, you can describe it to a qualified medical or mental health professional while you are still addressing substance use. Assessment may include a conversation about both symptoms and physical health; the next steps depend on the person. Psychotherapy, including cognitive behavioural approaches, and medicines are possible treatments for panic disorder. This article cannot choose a treatment for you.", "source_spans": [ { "role": "h2_heading", "start_utf16": 2282, "end_utf16": 2330, "sha256_utf8": "7d7c7b390584f1722a95e67e53c8c1158a29f6dde6bf4ee0743bf95f3c3faf10" }, { "role": "h2_answer", "start_utf16": 2332, "end_utf16": 3207, "sha256_utf8": "a6db6b22d4f784cd4f938be29648ac9d6d052f992d38bfa16c65a7a41bc245dc" } ], "block_ids": [ "p0010", "p0011" ], "source_segment_index": 3 }, { "q": "A timeline helps a conversation, not self-diagnosis", "a": "A professional may find it useful to know when episodes first appeared, how substance use, sleep, and prescribed medicines changed, whether symptoms occurred before that change, and what is happening now. You do not need to “test” yourself by using a substance again, stopping abruptly, or waiting for another attack. Approximate memories are enough to begin a conversation if exact dates are unclear. A sequence of events alone does not establish cause.\n\n[NIMH's information on co-occurring substance use and mental conditions](https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health) explains that symptoms can overlap and that looking at both areas can reduce missed problems. This supports coordinated care; it does not mean that everyone has two diagnoses. You need not first reach “perfect sobriety” to bring up anxiety. If one service handles only substance use or only anxiety, you can ask whether staff can coordinate or identify an accessible referral. Such arrangements vary by location.", "source_spans": [ { "role": "h2_heading", "start_utf16": 3212, "end_utf16": 3263, "sha256_utf8": "918310e1ea63eafd042835d4da0744b3734665a7cd8f95591ed4ab74c00aa160" }, { "role": "h2_answer", "start_utf16": 3265, "end_utf16": 4278, "sha256_utf8": "39c709c64d0633999794376e0cf93a0f49ed0d4b068baf1f03d8efb5daf23fe6" } ], "block_ids": [ "p0013", "p0014" ], "source_segment_index": 4 }, { "q": "Reducing or stopping use calls for medical safety", "a": "Stopping alcohol abruptly after prolonged heavy use can be dangerous. [NIAAA describes the medical risks of alcohol withdrawal](https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/alcohol-use-disorder-risk-diagnosis-recovery). Anxiety can be one feature, but it does not show how severe the condition is or what its sole cause may be. Do not use this article as a home plan for reducing or stopping. If you plan to stop drinking after prolonged heavy use, or strong symptoms have appeared while cutting down, seek medical assessment; signs of immediate danger call for urgent local help.\n\nDistressing sensations may tempt someone to return to a substance “to calm down” or take more of a sedating medicine. Brief relief would not confirm the cause of the symptoms and could add medical risk. Tell the professional what substances and medicines you currently use, as far as you can do so safely. This is information for care, not a reason for shame.", "source_spans": [ { "role": "h2_heading", "start_utf16": 4283, "end_utf16": 4332, "sha256_utf8": "223d793502ce822205aaf8f8cabd74ac0d48641ee4aaa04d0f884afbb9907572" }, { "role": "h2_answer", "start_utf16": 4334, "end_utf16": 5314, "sha256_utf8": "1e9e3c6756d14f1de3735a10c36f3fb317bab27adce4ca1494b7f4122d102cbd" } ], "block_ids": [ "p0016", "p0017" ], "source_segment_index": 5 }, { "q": "Prescribed medicine is a separate question", "a": "Anxiety after a change to a prescription does not automatically mean either “the illness has returned” or addiction to the medicine. The [Royal College of Psychiatrists distinguishes physical adaptation to an antidepressant from addiction](https://www.rcpsych.ac.uk/mental-health/treatments-and-wellbeing/stopping-antidepressants): symptoms can occur on stopping, but their meaning and the next decision belong in a discussion with the prescriber. Other medicines have their own risks; the [NHS warns about withdrawal symptoms when diazepam is stopped suddenly](https://www.nhs.uk/medicines/diazepam/). This example is not a reason to label everyone who takes prescribed medication as having a substance use disorder.\n\nDo not change doses yourself or abruptly stop prescribed medicine because of anxiety, a family's fear of “addiction,” or this article. If a medicine seems ineffective, causes side effects, or may be interacting with a substance, speak with its prescriber or another qualified professional. Decisions and urgency depend on the situation; a general article cannot supply a stopping schedule.", "source_spans": [ { "role": "h2_heading", "start_utf16": 5319, "end_utf16": 5361, "sha256_utf8": "3e040a238ee73e421cf98b86b3dd72548aa4ba5f8c2414085426563f3418f1b9" }, { "role": "h2_answer", "start_utf16": 5363, "end_utf16": 6471, "sha256_utf8": "60f54506dbad2e2cec55d44530012f914227baac64c3047008232e773aad8155" } ], "block_ids": [ "p0019", "p0020" ], "source_segment_index": 6 }, { "q": "You can start a conversation about care now", "a": "Outside an emergency, a short request is enough: “I have cut down or stopped using a substance, but anxiety and episodes continue. I would like help looking at both the link with substance use and other possible causes, including physical health and medicines.” You can ask for assessment of anxiety and substance use together, or for professionals to coordinate if care is divided. You do not have to prove that only one issue is responsible first.\n\nCheck the practical conditions where you live: who sees people with both concerns, which language they use, the price, waiting time, what information you must provide, and whether you can make safe contact before an appointment. If access is limited, a primary medical contact or an available local service may help identify a next step; neither its result nor its timing is guaranteed. Loved ones, faith, or traditions may be voluntary sources of support if they help you. They do not replace medical assessment or serve as a condition for receiving care.", "source_spans": [ { "role": "h2_heading", "start_utf16": 6476, "end_utf16": 6519, "sha256_utf8": "c7539b944edf98eabb073eefcdf0eb028176dcc8d8d20c68403fdd8a06f13c5c" }, { "role": "h2_answer", "start_utf16": 6521, "end_utf16": 7528, "sha256_utf8": "e9ebd112998318e34745fb6385561bb948940242505d10a9a76eec281eaa9c8d" } ], "block_ids": [ "p0022", "p0023" ], "source_segment_index": 7 }, { "q": "When danger is present now", "a": "New strong or pressing chest discomfort, severe difficulty breathing, loss of consciousness, or a person not responding normally must not be labelled “just panic” in advance. The [NHS describes these as possible signs of a heart attack](https://www.nhs.uk/conditions/heart-attack/). If poisoning is suspected, including in a child, the [NHS advises urgent medical help even before symptoms appear](https://www.nhs.uk/conditions/poisoning/). Serious deterioration after abruptly stopping alcohol or a prescribed sedative also needs urgent medical assessment.\n\nContact an available local emergency medical service immediately or go to a nearby facility providing emergency care. Do not delay this for breathing exercises, a symptom diary, a wait-and-see “test,” or a decision about what to call the episode. Numbers, routes, and availability vary by location; the linked sources do not establish them for your area.", "source_spans": [ { "role": "h2_heading", "start_utf16": 7533, "end_utf16": 7559, "sha256_utf8": "7ea723c6856ece734b79675318c5f75c8d0a641b476d7aa828cfa1b860f598fd" }, { "role": "h2_answer", "start_utf16": 7561, "end_utf16": 8474, "sha256_utf8": "22b799d42f9fcfe12cb02510071a91b0423062d41f4182b686b227431425c369" } ], "block_ids": [ "p0025", "p0026" ], "source_segment_index": 8 }, { "q": "Sources and limits", "a": "- [NIAAA: alcohol and co-occurring mental health conditions](https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/mental-health-issues-alcohol-use-disorder-and-common-co-occurring-conditions) — US professional review, revised 8 May 2025; symptom timeline and coordinated care, not self-diagnosis or a universal sobriety period.\n- [NIMH: help for co-occurring substance use and mental conditions](https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health) — US official information, reviewed March 2025; overlapping symptoms, without a guarantee of integrated local care.\n- [NIMH: panic disorder](https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms) — US official publication, revised 2025; an attack is not a diagnosis, and physical causes may need assessment.\n- [NIAAA: alcohol use disorder and withdrawal](https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/alcohol-use-disorder-risk-diagnosis-recovery) — US professional review, revised 8 May 2025; alcohol withdrawal risk, not a home plan for all substances.\n- [NIAAA: recovery from alcohol problems](https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/support-recovery-its-marathon-not-sprint) — US professional review, revised 8 May 2025; emotional symptoms can persist, without an individual forecast.\n- [Royal College of Psychiatrists: stopping antidepressants](https://www.rcpsych.ac.uk/mental-health/treatments-and-wellbeing/stopping-antidepressants) — UK professional patient information, March 2024; physical adaptation is not automatically addiction, without a medication schedule.\n- [NHS: diazepam](https://www.nhs.uk/medicines/diazepam/) — UK medicine information, reviewed 2 June 2026; abrupt stopping risk, without imported doses or prescribing rules.\n- [NHS: heart attack](https://www.nhs.uk/conditions/heart-attack/) — UK medical information, reviewed 31 March 2026; danger signs, without an imported UK emergency number.\n- [NHS: poisoning](https://www.nhs.uk/conditions/poisoning/) — UK medical information, reviewed 12 June 2025; urgent assessment can precede symptoms, without home diagnosis.", "source_spans": [ { "role": "h2_heading", "start_utf16": 8479, "end_utf16": 8497, "sha256_utf8": "f91f16500d95114ea5dd62762b302ab95f247ca4f49fe0affb04993b09f0a299" }, { "role": "h2_answer", "start_utf16": 8499, "end_utf16": 10700, "sha256_utf8": "c3cba5e80727c202d5b331641a371ddbd9c8b91a2e59a07644d070446b3dc0db" } ], "block_ids": [ "p0028" ], "source_segment_index": 9 }, { "q": "Tags", "a": "anxiety, panic, substance use, alcohol, withdrawal, co-occurring conditions, physical health, medicines, professional care, emergency care, safety, recovery", "source_spans": [ { "role": "h2_heading", "start_utf16": 10705, "end_utf16": 10709, "sha256_utf8": "1331275bc537b4c2bf1e46f7275677967515342e30b572e6852fa6f51b831fe8" }, { "role": "h2_answer", "start_utf16": 10711, "end_utf16": 10867, "sha256_utf8": "8ea922e6c8f4a0ec6da5a821d6f9360ae7e73cbc1b8ec13975355336dd50ccc7" } ], "block_ids": [ "p0030" ], "source_segment_index": 10 }, { "q": "About the authors", "a": "Andrey Zarinsh is an author and the founder of United Wisdom. He explores inner transformation, the unity of traditions, intercultural dialogue, and contemporary spiritual discipline. Instagram: @andrey.zarinsh.\n\nMaria Evilkut is a co-author of United Wisdom. Alongside her research, she seeks to test these ideas in practice and observe how principles of unity and mutual understanding work in real life between people and cultures. Instagram: @ilkutki.", "source_spans": [ { "role": "h2_heading", "start_utf16": 10872, "end_utf16": 10889, "sha256_utf8": "e120452a2b9952200310f55df00e52d0bbd068d32bba8a322511ed65e3d4967d" }, { "role": "h2_answer", "start_utf16": 10891, "end_utf16": 11345, "sha256_utf8": "2f8f23ed091e4670e09e3f86c2dd03949e8cdb01ed3430fec6a5de8974a58edf" } ], "block_ids": [ "p0032", "p0033" ], "source_segment_index": 11 } ], "claims": [], "claims_policy": "no_reclassified_claims", "sources": [ { "id": "src_455aa4b6978e4687", "title": "NIAAA: recovery from alcohol problems", "url": "https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/support-recovery-its-marathon-not-sprint", "source_spans": [ { "role": "markdown_link", "start_utf16": 493, "end_utf16": 670, "sha256_utf8": "eb71bacde751e37850307a08993cce24715376368959dad972f8098ea38cca18" }, { "role": "markdown_link", "start_utf16": 9619, "end_utf16": 9784, "sha256_utf8": "d8c50c109054d7e60acee3662592160cb40647402976094abd7c73b6c96bc2ee" } ], "read_scope": "- [NIAAA: recovery from alcohol problems](https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/support-recovery-its-marathon-not-sprint) — US professional review, revised 8 May 2025; emotional symptoms can persist, without an individual forecast.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 9617, "end_utf16": 9894, "sha256_utf8": "1cf1c5a4c38b224459ee982e353763104890b5f1a1c9f0f9e0764e3785f8478b" }, "shared_entry_urls": [] }, { "id": "src_b55b0e07e203e8fb", "title": "NIAAA: alcohol and co-occurring mental health conditions", "url": "https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/mental-health-issues-alcohol-use-disorder-and-common-co-occurring-conditions", "source_spans": [ { "role": "markdown_link", "start_utf16": 1285, "end_utf16": 1527, "sha256_utf8": "5147b50c83497e0ce5c84eb3c165617afd567795b637b63990e08e68655ea5df" }, { "role": "markdown_link", "start_utf16": 8501, "end_utf16": 8721, "sha256_utf8": "430cc11d7999c92e9625410a4390fddf2d1e71306445de372734d491ff887563" } ], "read_scope": "- [NIAAA: alcohol and co-occurring mental health conditions](https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/mental-health-issues-alcohol-use-disorder-and-common-co-occurring-conditions) — US professional review, revised 8 May 2025; symptom timeline and coordinated care, not self-diagnosis or a universal sobriety period.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 8499, "end_utf16": 8857, "sha256_utf8": "149596db73190947a1d0aac388891b9a5914f4366d9c969f85648c0ea904a0ca" }, "shared_entry_urls": [] }, { "id": "src_ca73eb1a7d80d45e", "title": "NIMH: panic disorder", "url": "https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms", "source_spans": [ { "role": "markdown_link", "start_utf16": 2332, "end_utf16": 2469, "sha256_utf8": "7ccfe3a7838b0f840132a9cf4c5ba6627abad98ce6ad22be7a643b1884204639" }, { "role": "markdown_link", "start_utf16": 9116, "end_utf16": 9220, "sha256_utf8": "2c1724092be4572e93006b5d362856c0a887d350bf3cee0508f39fde54269a41" } ], "read_scope": "- [NIMH: panic disorder](https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms) — US official publication, revised 2025; an attack is not a diagnosis, and physical causes may need assessment.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 9114, "end_utf16": 9332, "sha256_utf8": "21daf3b5d88af120453b0de49455e958ade60e8c0beb82b76626b55d9bbe964a" }, "shared_entry_urls": [] }, { "id": "src_ccd9c1d7863aff81", "title": "NIMH: help for co-occurring substance use and mental conditions", "url": "https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health", "source_spans": [ { "role": "markdown_link", "start_utf16": 3721, "end_utf16": 3865, "sha256_utf8": "74190e3a69be5315ea656c38e41f730e4c17ba733c6d4ced8fa200a8526ca54f" }, { "role": "markdown_link", "start_utf16": 8860, "end_utf16": 8997, "sha256_utf8": "1cf654d226e82e598e86d5111844fedd562fbdc71333de1d5dc097dccd013ddb" } ], "read_scope": "- [NIMH: help for co-occurring substance use and mental conditions](https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health) — US official information, reviewed March 2025; overlapping symptoms, without a guarantee of integrated local care.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 8858, "end_utf16": 9113, "sha256_utf8": "004dfcd940f55d398e2c96673de0bc7c2ade24ed98f1a25fab33255cefc8caf3" }, "shared_entry_urls": [] }, { "id": "src_9e893bf5475317e6", "title": "NIAAA: alcohol use disorder and withdrawal", "url": "https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/alcohol-use-disorder-risk-diagnosis-recovery", "source_spans": [ { "role": "markdown_link", "start_utf16": 4404, "end_utf16": 4591, "sha256_utf8": "b244edcf673c67f86d565776198686c0ce993cf3b4dcf9767dc8660ec169150a" }, { "role": "markdown_link", "start_utf16": 9335, "end_utf16": 9509, "sha256_utf8": "daadd3063db1244c00a53c05c5a77e8b61a8ed8c6c8de682adfa5c8df31227e2" } ], "read_scope": "- [NIAAA: alcohol use disorder and withdrawal](https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/alcohol-use-disorder-risk-diagnosis-recovery) — US professional review, revised 8 May 2025; alcohol withdrawal risk, not a home plan for all substances.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 9333, "end_utf16": 9616, "sha256_utf8": "4cb9dd0d33bc336a80cc2d5724820cf9dd0e77f27b2491c7b81757bb820bae27" }, "shared_entry_urls": [] }, { "id": "src_f59fdc01945ccc3e", "title": "Royal College of Psychiatrists: stopping antidepressants", "url": "https://www.rcpsych.ac.uk/mental-health/treatments-and-wellbeing/stopping-antidepressants", "source_spans": [ { "role": "markdown_link", "start_utf16": 5500, "end_utf16": 5693, "sha256_utf8": "d159bfa2b092deb3a6dc01b89f6500cc2ceb1a3e3da978feb177c846a938ef0c" }, { "role": "markdown_link", "start_utf16": 9897, "end_utf16": 10046, "sha256_utf8": "681c8079920ed2593f64bafb17623178725cac8aded9c128ac59ff754ccdfc70" } ], "read_scope": "- [Royal College of Psychiatrists: stopping antidepressants](https://www.rcpsych.ac.uk/mental-health/treatments-and-wellbeing/stopping-antidepressants) — UK professional patient information, March 2024; physical adaptation is not automatically addiction, without a medication schedule.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 9895, "end_utf16": 10180, "sha256_utf8": "6adb304d6eea500ba6fd879184f1d94b7c2c9d9d0de2233c98d45d785e77f463" }, "shared_entry_urls": [] }, { "id": "src_14cc80ce2b66cfab", "title": "NHS: diazepam", "url": "https://www.nhs.uk/medicines/diazepam/", "source_spans": [ { "role": "markdown_link", "start_utf16": 5853, "end_utf16": 5964, "sha256_utf8": "ebc4c3cd3e1fa439a8e54b194f8cbcc337a2a9d000972f0d857dd18c0982ed09" }, { "role": "markdown_link", "start_utf16": 10183, "end_utf16": 10238, "sha256_utf8": "6940124a4d35f7a6e5ed314a027a51f405a5747abd336b18d4e553c40f86e1e8" } ], "read_scope": "- [NHS: diazepam](https://www.nhs.uk/medicines/diazepam/) — UK medicine information, reviewed 2 June 2026; abrupt stopping risk, without imported doses or prescribing rules.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 10181, "end_utf16": 10354, "sha256_utf8": "ba44424f177b3e459cf8b60f653a792008d7d20e492aa33f4c58dc160c5aa1fb" }, "shared_entry_urls": [] }, { "id": "src_ca362a1d898a206d", "title": "NHS: heart attack", "url": "https://www.nhs.uk/conditions/heart-attack/", "source_spans": [ { "role": "markdown_link", "start_utf16": 7740, "end_utf16": 7842, "sha256_utf8": "9f64c470096b01db579116b3ce3fcae8cb01c798d7ffe7512eb216f9a0c4b2b2" }, { "role": "markdown_link", "start_utf16": 10357, "end_utf16": 10421, "sha256_utf8": "5fc0566bed853273e769004821c65d39b6507f5b261b5bc064c55e1d778e5a51" } ], "read_scope": "- [NHS: heart attack](https://www.nhs.uk/conditions/heart-attack/) — UK medical information, reviewed 31 March 2026; danger signs, without an imported UK emergency number.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 10355, "end_utf16": 10526, "sha256_utf8": "22170752a3d567ec5753e950eda9a963941a2243b0227b6f5eeb9d7f6877d6d6" }, "shared_entry_urls": [] }, { "id": "src_10790fb1fab48f9a", "title": "NHS: poisoning", "url": "https://www.nhs.uk/conditions/poisoning/", "source_spans": [ { "role": "markdown_link", "start_utf16": 7897, "end_utf16": 8000, "sha256_utf8": "6f725b426ad0fadd2ab57aa32c9ce435031c103d73fb0cc32b9c641070014004" }, { "role": "markdown_link", "start_utf16": 10529, "end_utf16": 10587, "sha256_utf8": "4d85af2a7956996aa04bd18e26aa19fa39877d98a0b764fbba72d74397509d87" } ], "read_scope": "- [NHS: poisoning](https://www.nhs.uk/conditions/poisoning/) — UK medical information, reviewed 12 June 2025; urgent assessment can precede symptoms, without home diagnosis.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 10527, "end_utf16": 10700, "sha256_utf8": "6af0b0b06d27cf0c5915f203fc85ee477cef7f9606c60d7c262d5d8a27372a22" }, "shared_entry_urls": [] } ], "retrieval_limits": [ "This local GEO representation applies only to the specified source article version and its SHA-256.", "Qualifications, sources and attributions remain in the full sections and byte-identical Markdown copy.", "No new source research was conducted in this GEO stage." ], "master_sha256": "be4b0f9f355eda67214feb1d7fffdfedf3fd650a21f4d57296cc607736eb2d76", "provenance": { "raw_reader_sha256": "be4b0f9f355eda67214feb1d7fffdfedf3fd650a21f4d57296cc607736eb2d76", "ru_master_sha256": "cb4b860484acef035d7c9edcf89fec8c719595c0fe787e6271eb473698cd838a", "reader_path": "outputs/uw-addictions-corpus-20261013/articles/DEP-18-N02/ARTICLE_EN.md", "review_pointer": "outputs/uw-addictions-corpus-20261013/articles/DEP-18-N02/INDEPENDENT_REVIEW.json", "review_sha256": "3840e3aa9d5c5a414d981252c44ef50349ecd99cd3c51c6ce44b0b9dda356485", "clean_md_relative_filename": "GEO.en.md", "body_length_utf16": 11346, "source_segments": [ { "kind": "opening", "index": 0, "heading": null, "start_utf16": 0, "end_utf16": 118, "sha256_utf8_raw_slice": "2ae076c62b12fea037dd302dc0495bb7613527d48b14e401423913b1c3a98618" }, { "kind": "h2_section", "index": 1, "heading": "Anxiety does not disappear on a schedule", "start_utf16": 118, "end_utf16": 1176, "sha256_utf8_raw_slice": "5e8e6b9d1a43e8c34418355460d78cc715d96010cced74afbfc3161ba6826d92" }, { "kind": "h2_section", "index": 2, "heading": "Similar sensations can have different causes", "start_utf16": 1176, "end_utf16": 2279, "sha256_utf8_raw_slice": "feeb07aebc07c60a0d53ee9c61371db7152d9f4648fcc7dcb32f06113d691ba9" }, { "kind": "h2_section", "index": 3, "heading": "A panic attack is not the same as panic disorder", "start_utf16": 2279, "end_utf16": 3209, "sha256_utf8_raw_slice": "b80f4ddde312e8297a536f2359c8eecd1abe3f622660dee51113b0123343ddd3" }, { "kind": "h2_section", "index": 4, "heading": "A timeline helps a conversation, not self-diagnosis", "start_utf16": 3209, "end_utf16": 4280, "sha256_utf8_raw_slice": "1c8b3ecadd8369b6d937c4a27d88c02f725ff9f88d9de0802e2b6be18c69e42a" }, { "kind": "h2_section", "index": 5, "heading": "Reducing or stopping use calls for medical safety", "start_utf16": 4280, "end_utf16": 5316, "sha256_utf8_raw_slice": "fdba47822a79ee879c467a835d2868eb2bd728a5f3fef3da33759dad666cc827" }, { "kind": "h2_section", "index": 6, "heading": "Prescribed medicine is a separate question", "start_utf16": 5316, "end_utf16": 6473, "sha256_utf8_raw_slice": "6cc3e696d5e9550b18646ea727af5bbf0b7b600a19b5ed557ca0bd6435565ff0" }, { "kind": "h2_section", "index": 7, "heading": "You can start a conversation about care now", "start_utf16": 6473, "end_utf16": 7530, "sha256_utf8_raw_slice": "40b75ed0c936bd914febb0667524a1b8f366fb0340618008c9b58ee4421fc9cc" }, { "kind": "h2_section", "index": 8, "heading": "When danger is present now", "start_utf16": 7530, "end_utf16": 8476, "sha256_utf8_raw_slice": "6d0060730dfb20564e06e36d1eb8d04cfa3dd44d5c07811cf4ff889896a19027" }, { "kind": "h2_section", "index": 9, "heading": "Sources and limits", "start_utf16": 8476, "end_utf16": 10702, "sha256_utf8_raw_slice": "758ae534b7781d126f967904d3db0d84e6480b3351572a560d030b7b6bf8e63c" }, { "kind": "h2_section", "index": 10, "heading": "Tags", "start_utf16": 10702, "end_utf16": 10869, "sha256_utf8_raw_slice": "dfa17f92d8f765d5ae85262670ee9c291816704ddf1c071c760a4299abe851ec" }, { "kind": "h2_section", "index": 11, "heading": "About the authors", "start_utf16": 10869, "end_utf16": 11346, "sha256_utf8_raw_slice": "eadb6f18364d688213d75e17a744f2e16a33284d23111b6dd2b8442fe397143e" } ], "common_blocks_module_sha256": "6cf638661a819f960c39d08058bf6d0d0696e8b816f677d95b389f5f1d11e4d2" } }