Panic disorder - the spirit in conflict

Panic disorder - the spirit in conflict
A person who experiences a panic attack feels an undeniable wave of fear for no special reason. The individual heart begins to beat quickly, his chest hurts and it becomes more and more difficult to breathe; At this point, the individual believes to have a heart attack and will die if it does not receive an appropriate intervention.
A patient defined his symptoms as follows: I am such afraid; Every time I start, I have this terrible feeling in the stomach pit and I am afraid that another panic attack will come or that I or someone in my family will happen to another unknown terrible thing. "
panic attacks usually do not last longer than a few minutes, but it can be the worst state that a person can experience. People who have experienced an attack have others. Those who suffer repeated seizures or have increased fear of another seizure have probably developed a panic disorder.
Panic disorders are a serious health problem in the USA. Recent studies came to the conclusion that around three million people will eventually suffer panic attacks in their lives. The symptom differs significantly from other types of anxiety. Panic attacks are very sudden and often unexpected, do not seem to be provoked and are often deactivated.panic attacks can occur at any time, even in sleep. A seizure often occurs within ten minutes, but some symptoms can last much longer.
What causes panic attacks: And how do you treat panic disorders?
An approach to understanding the cause of panic disorders is that the body is normal alarm system The mental and physical mechanisms that enable a person to react to a threat are usually triggered unnecessarily if there is no real danger in the immediate vicinity. Most medical studies cannot explain exactly why this happens.
However, several psychological studies have shown that the basic cause of panic disorders can begin at an emotional or physical level or can be both. The feeling of increased fear always begins with a triggering This initiates the fight or flight Answer from the limbic system. For example, the first indication of an obvious danger to your brain chemistry, your bloodhormones and your cell metabolism becomes effective.
If you suffer from a chronic anxiety disorder over time, your anxiety symptoms can be triggered by less and less serious events, since the limbic system has been sensitized to a strong reaction.
For example, if they were constantly shouted at as a child; As an adult, you can feel anxious if there is a confrontation with an authority. And you can take extreme measures to avoid such a confrontation, even in a situation that is as harmless as the rejection of a simple request from a family member or an authority person. At this point, her awareness has lost sight of the connection between her current feeling and past emotional experience. You now have no idea why you feel panicked about something of so little meaning.
past emotional experience
Early emotional experiences are the place of birth for the development of panic disorders. Experience could have been an early childhood trauma, such as the death of a parent, divorce, child abuse, constant criticism, abandonment, deprivation or a highly emotional family environment; Very fearful parents, including alcohol and drug addicts.
Childhood is a time of little power and control. When children happen bad things, their coping mechanisms are not fully developed. They are unable to process and continue what has happened in a health way. In a very real sense, these negative childhood experiences are caught deep inside. As adults, these hidden problems often appear as anxiety symptoms. It can be difficult to connect what your panic state triggers with your earlier experiences. But there is always a link.
The experience of the past has taught me that they should not try to treat a panic disorder unless they are ready to tackle them from many sides. This approach can be time -consuming and emotionally intense, which too often avoid conventional practitioners. Instead, antidepressants such as sweets are spent on panic patients to calm their physical symptoms. However, it does not matter what kind of panic symptoms appears for you. You have to deal with the emotional component if a symptom reduction is to be achieved.
Type of treatment
There are a variety of treatments for panic disorders, including several effective psychotropic impact interventions and specific forms of psychotherapy. Psychotherapy for panic disorders is just as important as drug intervention. Several studies show that the combination of medication and psychotherapy for panic disorders is more effective than any intervention alone.
Cognitive behavioral therapy (CBT) is widely recognized as a superior form of psychotherapy. CBT is supposed to help people with panic disorder to identify and reduce irrational thoughts and behaviors, reinforce the panic symptoms.
Psychodynamic psychotherapy is a different form of intervention, which is rarely mentioned as suitable treatment for panic disorders. In fact, many therapists reject the idea of using psychodynamic techniques as an intervention to reduce the symptoms associated with panic disorders.
What distinguishes psychodynamic therapists from the others is their ability to recognize an undeniable fact: panic states can appear symptomatic as identical weather from which they emerge neurotic or from a manic depression.
clinical examinations showed that neurotic panic states should only be treated with psychotherapy. And manic-depressive conditions are to be treated with one of the many effective antidepressants. The right differential diagnosis is the super highway for symptom reduction for all mental disorders, including panic disorders.
Treatment of panic disorders with psychodynamic techniques
Although studies have shown the effectiveness of cognitive behavior-related and psychotropicic treatments; Many patients do not address these interventions positively or have persistent or recurring symptoms. In view of the high costs and the re -occurrence of panic disorders, there is a need to examine treatment options.
Psychoanalytic techniques are often used to treat panic disorders, but were rarely exposed to the strict scientific research procedure. Such a study would highlight and describe the psychoanalytic concepts for understanding panic disorders. At the same time, a "more client -friendly" psychodynamic psychotherapy for panic disorders is proposed Panic -oriented psychodynamic psychotherapy.
The potential use of this form of therapy is based on the conviction that panic patients have a psychological susceptibility to panic disorders that are associated with personality disorders, relationship problems, difficulties, difficulties, internal emotional experiences, and are associated with unconscious conflicts about separation, anger and sexuality. Psychodynamic psychotherapy focuses more, but not exclusively, on these impairments than other therapies, including psychopharmacology, which may reduce susceptibility to recurrence symptoms.
unconscious feelings
After psychoanalytic theory, panic symptoms are at least partially based on unconscious fantasies and affects. In fact, both clinical and research observations suggest that panic patients have special difficulties with anger and fantasies, such as: B. revenge requests. These wishes are often a threat to important loved ones, especially for those with whom we are closely connected. So triggers a panic attack.
The patients are often not aware of the power of these affects and the associated vengeful fantasies. To become aware of these negative aspects of mental life and make them less threatening are important components of psychodynamic psychotherapy.
FAZIT
Since panic disorders in the United States still represent a big health problem, it is important to continue to develop an effective approach. Panic-focused psychodynamic psychotherapy will be a useful alternative or supplement to the cognitive-behavior-related approach and medication. Psychodynamic therapy deals with internal psychological conflicts, defense mechanisms and development problems on which other therapeutic methods are probably not concentrated
The psychodynamic approach also affects psychological factors that lead to a susceptibility to recurring panic or other difficulties in connection with a panic disorder. A complete and randomized controlled study should provide further information about the effectiveness of panic -focused psychodynamic psychotherapy.
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