Panic Disorder
WHAT IS PANIC ATTACK?
Its main characteristic is the intense seizures of fear or fear that appear suddenly and repeat from time to time, leaving people in horror. We often call these attacks, which our patients call crisis, we call PANIC ATTACK .
The Panic Attack suddenly starts , intensifies and becomes more intense within 10 minutes; usually after 10-30 minutes (infrequently up to 1 hour) continues automatically.
WHAT ARE THE SYMPTOMS OF PANIC ATTACK?
Chest pain or chest tightness,
Palpitation, strong or rapid heart beat
Sweating,
Shortness of breath or drowning,
Respiration
Dizziness, dizziness, falling or fainting
Numbness or tingling
Cold, shivering or flashing,
Nausea or abdominal pain
Shaking or shaking
Feeling altered, weird and different, or others around you
Fear of losing control or going crazy
The fear of death
A Panic Attack has at least 4 or more of these symptoms.
Attacks with fewer than four symptoms are called Restricted Panic Attacks .
WHAT IS PANIC DISORDERS?
Panic Disorder,
Repeater with unexpected Panic Attacks
Feeling constant anxiety that there will be more Panic attacks between the attacks,
Perpetual sadness or belief that Panic attacks can lead to bad consequences such as geçir having a heart attack and dying ”, y losing control and going crazy” or geçirme paralyzing ya or
Some behavioral changes (such as not going to work, sports, not doing housework, eating or drinking some food or drinks, carrying drugs, water, alcohol, various foods) are seen as a precaution against attacks and their possible bad consequences.
is a mental disorder.
HOW DOES panic disorder occur?
The first attack begins:
Chest pain, chest tightness, palpitations, inability to breathe, sweating, chills, chills or chills, sometimes nausea or abdominal pain, dizziness, imbalance; symptoms such as falling or fainting, numbness or tingling leave the person in horror.
He experiences an intense “fear of death” or kork fear of being paralyzed erek because he thinks that he is having a kriz heart attack ç or is paralyzed .
Sometimes, at the beginning of a strange, dizziness, feeling strange about himself or his environment, or the emergence of feelings, such as "loss of control" or " started to go crazy " he begins to fear to harm himself or others.
The patient is taken to the nearest doctor or emergency room by relatives with great fear and anxiety. Many examinations, films, ECGs, CTs and other examinations carried out there do not contain anything, they are sent home with oxygen or a “ calming iğne needle.
When asked what the patient is, doctors say yok he has nothing ” or olmuş stressed out” .
The attacks repeat :
The patient is relieved at that moment, but after a while, he begins to relive the same horror and fear as a new Panic Attack, and with each new attack he begins to move to the emergency services.
The patient does not recover in spite of re-examination, re-examination and no negative results each time; he even begins to believe that something bad is happening in his heart or brain, but that doctors cannot find it. For this reason, despite the fact that the world has spent a lot of money for examinations and examinations performed by different doctors, no physical illness can be identified that can explain the patient's complaints.
Sometimes, the patient is misdiagnosed and tried to be treated with different drugs ranging from antibiotics to breath-breathing, palpitation, blood pressure and heart medicine and vitamins, but no results can be obtained.
Expectation Anxiety is developing:
As the episodes continued to recur, the patient was in the period between episodes; tense, restless and anxious, he begins to wait for the coming of a new Panic attack. This anxious wait is called “expectation anxiety .. Attacks often come in uncertain times and places, increasing this anxiety.
As attacks become more frequent, fears of having a heart attack and dying, paralysis or losing control and going crazy are reinforced.
Intense and Continuous Sadness:
Patients are extremely afraid of having a heart attack at a time when no one is at home and dying before they reach the hospital or going crazy and committing suicide by losing control, harming oneself or their relatives with a knife and the like, and being disgraced by acting crazy and strange in others' environments. They also feel intense sadness that these thoughts come to mind all the time.
Behaviors are Changing:
After a while, they start to take some precautions against attacks and “disasters ları which they believe will occur during attacks and change some of their behaviors.
They give up activities and food and drinks that they think may cause attacks. They use alcohol / substance / medicine when leaving the house against attacks. They take precautions against what might happen during attacks.
For example, patients who believe that they will lose control and harm their children during the attack have all the knives in the house locked up as a precaution and try not to be alone with their children; women who fear to lose herself or faint during an attack when they have to go out to the street, fainted and fall to the ground legs are not seen when they wear pants, unconscious stolen when they do not take the jewelry, unconscious find her unconscious on the phone number, to help her It was seen that his doctor carried his business card on them for medical assistance.
In order to get emergency help quickly, these patients should; they prefer to spend all their days in the hospital garden or choose their route from places with a practice, pharmacy and emergency room.
WHAT IS AGORPHOBIA?
More than 60% of patients begin to avoid the location and circumstances of the attacks.
They cannot stay alone at home, go out to the street alone, get into vehicles, take the elevator, go through narrow streets or bridges, enter into crowded places such as market places, big stores or go to these places with intense worry and discomfort with someone. .
Agoragobi is the condition that patients cannot go to places where they think that they will come to Panic Attack alone and cannot stay in such places.
HOW IS PANIC DISORDERS A DISEASE?
Panic Disorder is a well-known and very common disorder by psychiatrists.
In fact, approximately 3-4 out of 100 people in the community have either had this disease before or are still experiencing it.
It usually starts for the first time between the ages of 20-35. It is seen in women 2-3 times more than men.
WHY DOES PANIC DISORDER CAUSE?
There are two scientific explanations as to why panic disorder occurs:
1. Panic Disorder is the result of abnormal functioning of some brain hormones secreted from nerve cells called neurons in our brain, regulating our excitement and emotional lives.
2. Panic Disorder, physical symptoms such as palpitations, sweating, shortness of breath or dizziness which are completely tamamen natural and harmless unda resulting from some of our behaviors in our daily life are evaluated by the patient as symptoms of a bad disease and as a result son heart attack I'm going to die, ”,“ I'm going crazy, olac “I will be paralyzed” occurs with the wrong interpretation.
Is it possible to treat panic disorder?
Panic Disorder is a treatable disease. Today, there are two types of treatment, the efficacy of which has been proven by scientific research. These are : 1.Pharmaceutical treatment, 2.Cognitive-behavioral treatment
1. Drug Treatment:
In the treatment of Panic Disorder, drugs that prevent Panic Attacks are used by correcting the hormone activities in the brain nerve cells . Currently, there are quite a large number of drugs that are good for this disease in our country.
Your doctor will select one of these medications and recommend that you start with a small dose and increase the dose as needed with regular checks.
Drug treatment will be continued gradually for at least one year and then gradually discontinued.
2. Cognitive-behavioral treatment:
There are two purposes in this treatment method:
1. It is aimed to correct the wrong information and beliefs about the symptoms of Panic Attack which is actually completely “harmless ve and to teach the patient to cope with these symptoms without fear.
2. The Panic Attack is gradually and repeatedly compared with the places and situations in which it avoids being alone because it is afraid of its future, and thus, it is aimed to overcome their fears by gitme going over ” their fears.
In this treatment, the doctor gives the patient activities such as going out to the market, going to the vehicles and getting into the vehicles that the patient cannot perform due to his fear and panic as inden exercise assignments ” starting from the simplest ones. As the patient becomes able to do simple exercises, exercises continue until all feared situations are over.
THE BEST CONCLUSION IS TOGETHER WITH THE TWO TYPES OF THERAPY.
PLEASE DO NOT FORGET!
PANIC DISORDER IS NOT A DISEASE THAT ABSOLUTELY DEATH, CRAZY, OR STABILIZATION.
DO NOT USE HEART, TENSION, CRASH MEDICINE, VITAMIN, TREATMENT OR ALCOHOL OR “OR NEED” TO PROVIDE YOUR FEARS UNLESS YOUR DOCTOR recommends.
USE ONLY THE MEDICINE OR DRUGS RECOMMENDED BY YOUR DOCTOR.
USE YOUR MEDICINE IN THE DOSAGE AND DOSAGE OF YOUR DOCTOR. DO NOT REDUCE THE DOSE AND INCREASE, IF YOU ARE GOOD OR BAD THAT DAY.
DO NOT Cease YOUR TREATMENT WITHOUT CONSULTING YOUR DOCTOR IF YOU ARE FULLY HEALED.
49AXX
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