INTRODUCTION AND TREATMENT Dr. Julio Obst Camerini
Development Conference Consensus National Institutes of Health, held in 1991 in the U.S. NA, determined the existence of two effective treatments for the treatment of panic disorder: cognitive psychotherapies and pharmacotherapy. But only cognitive therapies have achieved definitive cure (which has not relapse).
psychotherapies have the following advantages over pharmacotherapy:
psychotherapies generate slower rate of decline of activity, fewer risk factors, no side effects.
psychotherapies are less expensive than medication and develop in a very few sessions.
medication, to reduce the signs, makes it harder for psychological treatment, perpetuating the disorder, often for years and sometimes for life.
medication often produces symptoms of withdrawal and also very often creates a psychological dependency which then interferes with their abandonment.
After finishing treatment, the outcome observed in the long run has been better with cognitive psychotherapy (taking into account, for example, rates of relapse).
cognitive behavioral therapy has been shown be very short and with a high success rate. If patients are medicated, if no other associated psychological disorders and / or medical problems, and if you do all the treatment they are told, can expect nearly 100% of successful results in no time.
attacks usually subside in two or three sessions and the whole treatment usually lasts two or three months.
However, some precautions are necessary: \u200b\u200b
Some medical conditions (and, sometimes, certain medications) can cause one or more symptoms of anxiety and may also cause anxiety. Therefore, a control and medical diagnosis is essential before diagnosing a disorder panic or just anxiety. A proper and complete medical examination can avoid the dangerous consequences of ignoring a physical disorder. But also the exclusive pursuit of a physical disorder in cases of anxiety disorders is obviously ineffective and worse. Therefore, proper diagnosis is vital in these cases.
semiology (Symptoms)
Symptoms "panic attack"
sudden escalation of intense fear or anxiety, reaching a peak within 10 minutes.
should be reported at least four of the 13 symptoms that points to the DSM-IV, They are as follows:
Palpitations, pounding heart or accelerated heart rate.
sweating.
Trembling or shaking.
choking sensation or shortness of breath.
choking sensation.
tightness or chest discomfort.
Nausea or abdominal discomfort.
instability, dizziness or fainting.
derealization or depersonalization
.
Fear of losing control or going crazy.
paresthesias (numbness or tingling in hands, feet, etc..).
Chills or hot flushes (hot). ETIOLOGY
(Causes)
Several theories have been proposed to analyze the etiology of this disorder. Some items may be considered as characteristics or predisposing factors and others as circumstances or triggers.
predisposing genetic factors and / or physiological:
Low threshold of excitability of sympathetic or limbic system.
chemoreceptor hypersensitivity carbon dioxide would trigger the alarm against false signals of suffocation.
dysfunction or abnormal ocular reflex lobby, visual-spatial and other vestibular system that could make a person more susceptible to imbalances.
chronic hyperventilation habits acquired and sustained in certain circumstances.
Several neurophysiological theories, taking into account the results achieved in the pharmacological treatment with inhibitors of serotonin reuptake, have focused on receptors and regulatory systems of various substances.
predisposing factors of psychological origin:
predisposing factor was significant as a children's story generates a dependent personality or fearful or generally more willing than usual to shy away from situations and / or internal signals and / or external circumstances that tend to associate with danger.
Triggers:
The first panic attack is triggered when the predisposed person perceives and faces the signs of anxiety. Seen in this way can be considered as stressful situations or triggers can generate anxiety (and symptoms), such as activity changes, removals, travel, love conflicts, separations, job insecurity, economic hardship, job search, examination, death significant others, theft, assault, etc. Having experienced
the first panic attack without knowing why or how to avoid it, the person has another reason to increase their anxiety: the fear of re-experience it. With this background increase their vigilance, along with signs of anxiety, making it more likely the next attack and so on.
Evolution (agoraphobia):
Often the fear of having an attack, is leading the person to avoid places and / or situations. These places or situations are becoming increasingly numerous, limiting the activities and life of the individual. When a person places limits or increases the torque requirements develop, such as: not going out alone, do not drive, do not go places very busy, etc. We are in the presence of additional disorder: agoraphobia.
Source: http://www.terapiacognitiva.com/trastorno_de_panico.htm # Causes
A natural solution to the problem
Fortunately, there are steps that form a natural solution that can help the person with seizures to control panic and starts working within 24 hours:Diet:
- Drink water in sufficient quantities . At least one and a half a day to combat dehydration and help repair nerve cells.- Eat green vegetables for nourishment of the alkaline minerals they contain.
- Eat with enough protein, because these are essential to build neurotransmitters. It is generally recommended to consume 2 grams of protein per kilo of body weight.
- Stop drinking coffee, regular tea and mate (a custom in Argentina and Uruguay), sugar, flour, alcohol and junk food ... all these foods have in common that accelerate wear and tear of nerve cells.
Lifestyle:
- is essential to a deep and restful sleep. To achieve this, you can help with drops of Valerian root and chamomile (also Hypericum, Melissa, Passiflora or Passionaria, and tea Kidron), as well as bed and get up at the same time ever.- Choose and practice discipline that combines body and mind, like yoga, Tai Chi and breathing practices profunda.La relaxing music therapy is highly recommended.
- Moderate exercise. Just by walking for 30 minutes, 3 or 4 times a week makes you stress free ... let's say "burning" part of the accumulated nervous energy.
And of course, I recommend that you seek the help of a specialist to treat panic attacks and nervous disorders. Do not feel bad about having to go to a psychiatrist, because a high percentage of the population has some manifestation of disorders of this type, and has nothing wrong to go for medical help.
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