Dentistry Attack Zhukovsky. Why are panic attacks so common? Cases from clinical practice
The most expensive clinic in the town. The price of treatment always rises from the declared one in an incomprehensible way. Administrators are rude at the reception.
wonderful dental clinic! Thank you dentists! Been a few times and loved it!
Great clinic! In December 2012, she applied with caries of 4 teeth, clinic in Zhukovsky "ATAKA", consultation, circle shot, treatment + ultrasonic cleaning cost at a reasonable price. Moreover, six months later they were invited for an examination, which was absolutely free. Quality service, reasonable prices, decent doctors.
It is with great pleasure that I recommend the clinic "Ataka" to everyone. I immediately found a common language with the doctor, and we mutually made a decision about the treatment of my teeth. He first explained the whole situation to me, then told me several methods for solving my problems and painted all the prices that they could offer me. Thanks to his advice, I chose the most suitable option for the price, and the doctor quickly got to work. The treatment went amazing. There are no complaints! ;)
In this clinic, they gave me a sentence: 4 caries and 1 tooth, which cannot be restored. I have almost come to terms with this fate, but suddenly they decided to offer me several attempts to save the tooth, but there are no guarantees that everything will be successful. I was already thinking of agreeing, but the doctors decided to tell me how much the whole treatment would cost me ... and then I realized that I needed to turn to other professionals. In another clinic, they didn’t find caries at all, and they tried to save that tooth without any huge money. From that moment I realized that in that clinic they just wanted me as best as they could. more money pull off!
And my child and I really liked this clinic! Pleasant sensations even began at the first call. The receptionist politely answered all questions and agreed to accept my child. The attending physician carefully approached the treatment of our small teeth and a short time problems like never before! Thank you very much for your kindness and vigorous activity!
Like most people in our world, I am terribly afraid of dentists. For me, every trip to the clinic becomes a shake... But this time something different happened)) I went to this clinic and was immediately received by hospitable people. The atmosphere is great! I immediately lost both fear and shaking)) Now I know which clinic to recommend to those who are very afraid of dentists)
I enjoy visiting dentists at this clinic. After pregnancy, a lot of problems with teeth accumulated, so I had to contact you! Here they quickly sorted out my problems, and most importantly, they showed the most sincere human qualities in relation to me!
Panic attack- a subspecies of anxiety disorder, which can be attributed to disorders of a neurotic nature, closely associated with stress. May be independent disease or accompany a mental disorder (in most cases). Panic attacks, acute anxiety are manifested against the background of rheumatic, cardiovascular or endocrine diseases. According to statistics, in modern world This disorder affects 4-5% of the population.
Attack panic attack can overtake a person suddenly in any place. Most often, the first manifestations occur in crowded places, for example, in public transport. It happens that a person experiences panic when entering a confined space. In a third of patients, exacerbation begins with a sharp change in the usual rhythm of life (for example, during a thunderstorm).
The symptoms of pathology are different, among the most frequent are heart palpitations, hyperhidrosis (excessive sweating), chills, muscle tremor, physiological tremor. The disorder is also characterized by:
- irradiation pain in the left side of the sternum;
- abdominal pain, or abdominal pain syndrome;
- violation normal operation gastrointestinal tract;
- shortness of breath with the transition to an acute attack, accompanied by pain in the chest;
- nausea, vomiting;
- gait disorder (dysbasia);
- dizziness;
- an increase in blood pressure.
Diagnostic studies
Diagnosis of the disease is carried out in several stages. The first is an assessment of the work of the patient's nervous system. The second is the study of the functional state of the vegetative structures of the face, abdomen, limbs, internal organs using computed tomography. The third is an examination by a neurologist and a study of reflexes of the central, autonomic and peripheral nervous systems. One day is enough for all these events.
A general clinical analysis of blood and urine, an ECG is also performed, less often - electroencephalography (a study of the bioelectrical activity of the brain).
Treatment is prescribed by a psychiatrist or psychotherapist based on the results of the diagnosis.
The main stages of treatment
Used to treat panic attacks psychotropic drugs and antidepressants, when choosing which the doctor takes into account the patient's level of sensitivity to medications.
Another method of treatment is laser therapy using infrared and red radiation. The course of treatment is 10 procedures. An addition to laser therapy is therapeutic blockades of the facial and paravertebral nodes.
Complications
The most common consequences of the disease are depression and hypochondria. With a long course of the disease, myocardial hypertrophy develops, which is expressed in violation of heart rate and increased risk of heart attack and stroke. Blood vessel disease is also possible.
How to treat panic attacks and anxiety? First, the doctor needs to make a diagnosis. Panic attacks may exist separately, may accompany a generalized anxiety disorder, specific phobias (pathological fear of a particular object or situation), neurasthenia, depression.
Panic disorder is diagnosed and treated by a psychotherapist.
What is a panic attack? Symptoms? How to treat this condition? A panic attack is an attack of super-strong anxiety, which is accompanied by a fear of death or insanity and autonomic symptoms. Those suffering from panic anxiety disorder experience the following manifestations of the disease:
- shortness of breath, choking, shortness of breath;
- sweating;
- tremor, chills;
- cardiopalmus;
- pain in the left side of the chest.
There are other characteristics that relate to the nervous system and general condition patient. In an article about diagnostics We analyze in detail the features of panic attacks, symptoms, signs. The doctor begins treatment only after confirming the diagnosis. For diagnostics are used:
- Clinical and anamnestic examination.
- Pathopsychological research.
- According to indications - consultation of a neurologist, blood tests, Neurotest, Neurophysiological test system.
A correct diagnosis is a guarantee that treatment will help. If the patient seeks help in time and strictly follows the recommendations of the psychotherapist, the panic attack syndrome can be cured forever.
How to cure panic disorder?
When diagnosing most psychiatric diseases specialists rely on the standards of rendering medical care, experience and qualifications. The more experienced the doctor, the more likely it is that the diagnosis is correct and the choice is made. correct tactics treatment.
What is prescribed for panic attacks? Treatment depends on the patient's condition, the severity of the disease, age, gender, and the presence of other diseases. The therapy includes the steps:
- Medical treatment.
- Treatment and rehabilitation stage (individual psychotherapy).
- maintenance stage.
Medical treatment for panic attacks antidepressants are prescribed as needed and only with the consent of the patient. Competent doctors know well modern drugs(SSRIs, SNRIs), which are not always prescribed in public clinics. They are as effective as the previous generation, but are better tolerated and have few, rare side effects.
Antidepressants don't just "treat depression." They normalize the exchange of serotonin (hormone of joy, pleasure) in the brain, which is disturbed in panic disorder too.
Antidepressants help relieve emotional stress, lethargy, melancholy. The effect comes gradually over several weeks. Thoughtless use of drugs or their self-administration can lead to a deterioration in the patient's condition, an increase in symptoms and the appearance of new ones.
Doctors often prescribe tranquilizers (anti-anxiety, anxiolytics) to quick release from anxiety when an attack is about to begin.
Therapy without pills is also possible: individual psychotherapy and biofeedback therapy is effective for panic disorder, it all depends on the specific case.
In the treatment and rehabilitation stage include psychotherapy, trainings for panic attacks. The disorder may be associated with a specific fear (phobia - agoraphobia, social phobia) or a person's general anxiety. Until a specialist helps get rid of them, panic attacks will happen again and again.
The psychotherapist helps the patient reduce the level of anxiety, find the causes of the disorder and get rid of them. Work with a specialist can be carried out both in parallel with pharmacotherapy, and some time after the start of taking medications.
Cognitive Behavioral Therapy in panic attacks allows the patient to identify negative thoughts that cause anxiety, unreasonable fear. The psychotherapist helps to evaluate thoughts and change them to more constructive ones that do not provoke panic or anxiety.
Patients are treated after symptoms subside. Nervous system it takes a long time to recover from an illness, and so that the symptoms do not return, the result must be consolidated. This is called maintenance therapy.
During the maintenance phase the patient visits a specialist. Visits are not so frequent, but they allow you to “keep your finger on the pulse” - quickly stop the symptoms, if they return, change the dosage of the drugs. With the joint work of the patient and the psychotherapist, following the recommendations of the doctor, it is possible to achieve a stable and long-term remission.
It is important that loved ones, family, take the human condition with all seriousness. Support from relatives, showing interest in treatment can quickly achieve remission. Family conflicts, difficulties in communicating with a partner, a spouse, on the contrary, can delay recovery. For harmonization family relations doctors recommend family therapy.
Ways to treat panic attacks in Moscow
A competent specialist does not act on the symptoms, but on the causes of panic attacks. Where is this disorder treated? How to find a psychotherapist?
It is best to consult a private psychotherapist. AT public institutions doctors use medicines, dispensaries cannot afford long courses of psychotherapy - medicines are much cheaper.
In private clinics, effective treatment for panic attacks in Moscow includes:
- individual psychotherapy.
- BOS-therapy.
- Family or group psychotherapy, if desired and indicated.
Biofeedback Therapy (Biofeedback Therapy)- a non-drug method of dealing with vegetative symptoms. Specialist uses computer program and sensors that tell a person the frequency of breathing, heartbeat, pulse, muscle tension. He gives the patient tasks, and if he performs them correctly, the program reports success. So a person quickly learns the techniques of relaxation, relaxation and can use them in stressful situations to prevent seizures.
Biofeedback therapy is a great chance to take control of your body and the symptoms of panic attacks.
How long are panic attacks treated? The doctor determines the duration of therapy individually. The duration of therapy is influenced by the causes of the condition, personality traits, age, accompanying illnesses(depression, phobias, generalized anxiety disorder and other neuroses). Depending on the severity, the terms vary from several months to several years.
Is it possible to get rid of panic attacks forever? It is possible, when timely treatment and adherence to the recommendations of a psychotherapist.
In our center, experienced psychotherapists (more than 10-15 years of experience), candidates and doctors of medical sciences, professors are engaged in the treatment of panic attacks. Talk about their professionalism
Panic attack- unpredictable seizure strong fear or anxiety, combined with a variety of vegetative multiple organ symptoms. During an attack, there may be a combination of several the following symptoms: hyperhidrosis, palpitations, shortness of breath, chills, hot flashes, fear of insanity or death, nausea, dizziness, etc. The diagnosis is confirmed by the compliance of the clinic with the diagnostic criteria for panic paroxysms and exclusion somatic pathology, in which similar seizures can occur. Treatment is a combination of psychotherapeutic and drug methods of arresting an attack and therapy in the intercrisis period, teaching and training the patient in ways to independently overcome paroxysms.
General information
The name "panic attack" was introduced by American specialists in 1980. Gradually, it became widespread and is now included in international classification diseases (ICD-10). Previously, the term "emotional-vegetative crisis" was used and similar paroxysms were considered within the framework of vegetative-vascular dystonia. In modern medicine, the concept of "panic attack" is being revised. Understanding the primacy of the psychological factor and the secondary nature of vegetative symptoms led to the need to attribute such paroxysms to neuroses, and the accompanying autonomic disorders to autonomic dysfunction, which is an integral part of a neurotic disorder.
Panic attacks are a widespread problem. Statistical sources indicate that up to 5% of the population has experienced similar conditions. The vast majority of them are residents of metropolitan areas. Most typical age the onset of the first attack - 25-45 years. In old age, a panic attack occurs with significantly less symptoms and a predominance of the emotional component. In some patients, it is a recurrence of paroxysms observed in youth.
A panic attack can occur as a single paroxysm or as a series of attacks. In the latter case we are talking about panic disorder. If earlier in domestic medicine panic attack was the subject of supervision exclusively by neurologists, today it is an interdisciplinary pathology, the subject of study of psychology, psychiatry and neurology. In addition, the psychosomatic coloring of attacks brings a panic attack into the category of problems that are relevant for practitioners in many other areas of medicine - cardiology, gastroenterology, endocrinology, pulmonology.
The reasons
There are 3 groups of factors that can provoke the occurrence of a panic attack: psychogenic, biological and physiogenic. In clinical practice, it has been observed that a combination of several provoking triggers often acts. Moreover, some of them are decisive in the occurrence of a primary attack, while others initiate repetitions of a panic attack.
Among the psychogenic triggers, the most significant conflict situations- showdown, divorce, scandal at work, leaving the family, etc. In second place are acute psycho-traumatic events - an accident, death of a loved one, illness, etc. There are also abstract psychogenic factors that affect the psyche by the mechanism of opposition or identification . These include books, documentaries and feature films, television programs, various Internet materials.
Various biological triggers hormonal changes(mainly in women due to pregnancy, abortion, childbirth, menopause), the onset of sexual relations, hormone intake, features menstrual cycle(algomenorrhea, dysmenorrhea). It should be noted that panic attacks are not considered paroxysms due to endocrine diseases- hormonally active tumors of the adrenal glands (pheochromocytoma) and diseases thyroid gland occurring with hyperthyroidism.
Physiogenic triggers include acute alcohol intoxication, drug use, meteorological fluctuations, acclimatization, excessive insolation, and physical overstrain. Certain medications can trigger a panic attack. For example: steroids (prednisolone, dexamethasone, anabolic steroid); bemegride, used for induction into anesthesia; cholecystokinin used in instrumental diagnostics organs of the gastrointestinal tract.
As a rule, the appearance of panic attacks is observed in individuals with certain personal qualities. For women, this is demonstrativeness, drama, the desire to attract attention to themselves, the expectation of interest and participation from others. For men - initial anxiety, increased concern for their health and, as a result, excessive listening to the state of their physical body. Interestingly, altruistic people, more inclined to give to others than to wish for themselves, never encounter problems such as panic attacks and other neurotic disorders.
Pathogenesis
There are several theories that attempt to explain the triggering and unfolding mechanism of a panic attack. The absence of a direct connection between paroxysm and a traumatic situation, the inability of patients to determine what provoked it, the rapid onset and course of an attack - all this greatly complicates the work of researchers.
The starting moment of the attack is considered to be disturbing sensations or thoughts that imperceptibly “surface” on the patient. Under their influence, as in a really threatening danger, the body begins increased production catecholamines (including adrenaline), which leads to vasoconstriction and a significant rise in blood pressure. Even in patients with a normal premorbid background, arterial hypertension during a panic attack can reach 180/100 mm Hg. Art. There is tachycardia and shortness of breath. The concentration of CO2 in the blood decreases, sodium lactate accumulates in the tissues. Hyperventilation causes dizziness, feelings of derealization, and lightheadedness.
Hyperactivation of noradrenergic neurons occurs in the brain. In addition, cerebral chemoreceptors are activated, which are sensitive to lactate and changes gas composition blood during hyperventilation. It is possible that at the same time, neurotransmitters are released that block the inhibitory effect of GABA on the excitability of neurons. The result of the neurochemical processes occurring in the brain is an increase in feelings of anxiety and fear, increased panic.
Panic attack symptoms
Often a panic attack is a symptom of an underlying pathology - somatic disease(CHD, neurocirculatory dystonia, gastric ulcer, chronic adnexitis, etc.) or a mental disorder (hypochondria, depression, hysterical or anxiety-phobic neurosis, obsessive-compulsive disorder, schizophrenia). Its features are polysymptomaticity and dissociation between objective and subjective symptoms due to psychological factors.
A panic attack is characterized by a sudden unpredictable onset, an avalanche-like increase and a gradual subsidence of symptoms, and the presence of a post-attack period that is not associated with the existence of a real danger. On average, paroxysm lasts about 15 minutes, but its duration can vary from 10 minutes to 1 hour. The peak of clinical manifestations is usually ascertained at the 5-10th minute of the attack. After suffering a paroxysm, patients complain of "brokenness" and "emptyness", often describe their feelings with the phrase "as if a skating rink drove over me."
The most common manifestations of a panic attack are: a feeling of lack of air, a feeling of "coma" in the throat or suffocation, shortness of breath, difficulty breathing; pulsation, interruptions or fading of the heart, palpitations, pain in the region of the heart. In most cases, there is sweating, the passage of cold or hot waves through the body, chills, dizziness, paresthesia, polyuria at the end of the attack. Less often, symptoms from the gastrointestinal tract are observed - nausea, belching, vomiting, discomfort in the epigastrium. Many patients point to cognitive impairments - a feeling of dizziness in the head, unreality of objects (derealization), a feeling of "as if you are in an aquarium", an impression of muffled sounds and instability of surrounding objects, loss of a sense of one's own self (depersonalization).
The emotional-affective component of a panic attack can vary both in type and intensity. In most cases, the first panic attack is accompanied by a pronounced fear of death, reaching in its intensity to an affective state. In subsequent attacks, it gradually transforms into a specific phobia (fear of a stroke or heart attack, fear of insanity, etc.) or internal tension, a feeling of inexplicable anxiety. At the same time, some patients experience panic paroxysms, in which there is no anxiety-phobic component, and the emotional component is represented by a feeling of hopelessness, longing, depression, self-pity, etc., in some cases - aggression towards others.
The structure of a panic attack can be interspersed with functional neurological symptoms. Among them, a feeling of weakness in a separate limb or its numbness, visual disturbances, aphonia, mutism, the development of chills into tremors, individual hyperkinesis, tonic disorders with twisting of the arms and legs, twisting of the arms, elements of a "hysterical arc". There may be an unnatural change in the patient's gait, more reminiscent of psychogenic ataxia.
Flow
Distinguish between a developed panic attack, manifested by 4 or more clinical symptoms, and abortive (small), in the clinic of which less than 4 symptoms are observed. One patient often has an alternation of developed and abortive panic paroxysms. Moreover, extended attacks occur from 1 time in several months to 2-3 times a week, and abortive ones are noted much more often - up to several times a day. Only in some cases only developed paroxysms take place.
The period between panic attacks can be different course. In some patients, autonomic dysfunction is minimally expressed and they feel completely healthy. In others, psychosomatic and autonomic disorders are so intense that they can hardly distinguish between a panic attack and an inter-crisis period. Clinical picture the interval between attacks is also widely variable. It can be represented by shortness of breath, shortness of breath, a feeling of lack of air; arterial hypo- and hypertension, cardialgic syndrome; flatulence, constipation, diarrhea, abdominal pain; periodic chills, subfebrile condition, hyperhidrosis; dizziness, hot flashes, headache, hypothermia of the hands and feet, acrocyanosis of the fingers; arthralgia, muscular-tonic syndromes; emotional and psychopathological manifestations (asthenovegetative, hypochondriacal, anxiety-phobic, hysterical).
Over time, patients develop restrictive behavior. Because of the fear of a recurrence of a panic attack, patients try to avoid places and situations associated with the occurrence of previous paroxysms. So there is a fear of driving in certain form transport, being at work, being alone at home, etc. The severity of restrictive behavior is important criterion assessing the severity of panic disorder.
Panic Attack Diagnosis
Clinical examination of the patient at the time of panic paroxysm reveals objective symptoms autonomic dysfunction. This is pallor or redness of the face, increased (up to 130 beats / min) or slowing (up to 50 beats / min) of the pulse, rise in blood pressure (up to 200/115 mm Hg), in some cases - arterial hypotension up to 90/60 mm rt. Art., change in dermographism and orthostatic test, violation of the oculocardial (heart rate reduction with pressure on closed eyes) and pilomotor (contraction of the hair muscles of the skin in response to its irritation) reflexes. In the period between attacks, objective signs of vegetative disorders may also be noted. The study of the neurological status does not determine any serious abnormalities.
Patients who have had a panic attack should undergo a comprehensive psychological examination, including a study of personality structure, neuropsychological and pathopsychological examination. The polysystemic nature of the manifestations of panic paroxysms causes a wide range of additional surveys needed to identify/exclude background disease and differential diagnosis.
Depending on the clinical manifestations of the attack, the patient may be prescribed: ECG, daily monitoring of ECG and blood pressure, phonocardiography, ultrasound of the heart, radiography of the lungs, examination of the level of thyroid hormones and catecholamines, EEG, Echo-EG, radiography of the cervical spine, MRI of the brain, UZDG of cerebral vessels, FGDS, research gastric juice, Abdominal ultrasound. Often, related consultations of narrow specialists are required - a psychiatrist, a cardiologist, an ophthalmologist, a gastroenterologist, a pulmonologist, an endocrinologist.
Diagnostic criteria
The diagnosis of panic attack is established in the case of recurrence of paroxysm, reaching a peak of its manifestations within 10 minutes, accompanied by an emotional-affective disorder ranging from intense fear to discomfort, in combination with 4 or more of the following symptoms: rapid or increased heart rate, chills, or tremor, hyperhidrosis, dry mouth (not associated with dehydration), chest pain, difficulty breathing, "lump" in the throat, choking, abdominal discomfort or dyspepsia, dizziness, depersonalization, derealization, presyncope, fear of death, fear of getting off crazy or losing control of oneself, flashes of cold and heat, paresthesia or numbness. The presence of at least one of the first 4 symptoms is considered mandatory.
In addition to the listed symptoms, others may also be observed: a change in gait, hearing and vision disorders, pseudoparesis, cramps in the limbs, etc. These manifestations are atypical. The presence of 5-6 such symptoms in the clinic of panic paroxysm casts doubt on the diagnosis. A single panic attack that develops as a psychogenic reaction against the background of psychological or physical overstrain, exhaustion after a long illness, etc., is not treated as a disease. The development of the disease should be discussed with repeated attacks, accompanied by the formation psychopathological syndromes and autonomic disorders.
Panic attack treatment
As a rule, a panic attack is treated by the joint efforts of a neurologist and a psychologist (psychotherapist). Among the methods of psychotherapy, cognitive-behavioral therapy is the most effective; according to indications, family and psychoanalytic psychotherapy is used. The fundamental point is the patient's conviction that a panic attack does not threaten his life, is not a manifestation of serious illness and can be controlled by them. Importance for recovery, the patient has to reconsider his attitude to many life situations and people.
Among the numerous non-drug methods control of the symptoms of an attack is the most simple and effective control of breathing. First you need to make the most deep breath, then hold your breath for a couple of minutes and make a smooth gradual slow exhalation. As you exhale, it is better to close your eyes and relax all the muscles. Similar breathing exercise it is recommended to repeat up to 15 times, possibly with some breaks for several ordinary breaths. Special patient training in slow and calm breathing techniques allows him to stop hyperventilation during an attack and interrupt vicious circle development of paroxysm.
Tetra- and tricyclic antidepressants are used (clomipramine, amitriptyline, imipramine, nortriptyline, maprotiline, mianserin tianeptine). However, their effect begins to appear only after 2-3 weeks and reaches a maximum by about 8-10 weeks of treatment; in the first 2-3 weeks of therapy, exacerbation of symptoms is possible. The safest and most suitable for long-term treatment are serotonin reuptake inhibitors (sertraline, paroxetine, fluoxetine, fluvoxamine, cipramil). But in the first weeks of taking them, insomnia, irritability, and increased anxiety can be observed.
The drugs of choice are benzodiazepines (clonazepam, alprozalam), characterized by rapid efficacy and no increase in symptoms at the beginning of therapy. Their disadvantages are low efficiency in relation to depressive disorders, the possible formation of benzodiazepine dependence, which does not allow the use of drugs for longer than 4 weeks. Benzodiazepines fast action(lorazepam, diazepam) proved to be the most suitable for stopping the already developed paroxysm.
The selection of pharmacotherapy for panic paroxysms is a complex task that requires taking into account all the psychological characteristics of the patient and the clinical symptoms of the disease. The duration of the drug course, as a rule, is at least six months. Cancellation of the drug is possible against the background of a complete reduction of expectation anxiety, if a panic attack has not been observed within 30-40 days.
Forecast
The course and severity of a panic attack is largely determined by the personal characteristics of the patient and the reaction of others. More fast development and severe course panic disorder is observed if the first panic attack was perceived by the patient as a complete disaster. Sometimes the wrong reaction of doctors contributes to the aggravation of the situation. For example, the hospitalization of a patient by ambulance indicates, in his understanding, the presence serious problems with health and danger to the life of the attack that happened to him.
In terms of prognosis important point is to start treatment as early as possible. Each subsequent panic attack aggravates the patient's condition, is perceived by him as evidence of a serious illness, reinforces the fear of waiting for an attack and forms restrictive behavior. Untimely and inappropriate medical measures contribute to the progression of panic disorder. timely adequate therapy combined with correctly directed efforts of the patient himself usually leads to recovery, and when chronic course- to minimize clinical manifestations and frequency of attacks.
Often people who experience panic attacks look for panic attack clinic where you could get effective help. Many patients visiting the clinic Veina for psychotherapy, when asked why you chose our clinic, they answer that the clinic has a good reputation, it is praised and recommended by colleagues from others medical institutions, including government ones. The clinic employs doctors who are passionate about their work and are interested in the treatment process. In the treatment of panic attacks, the clinic. Academician Wayne occupies a priority place. So Professor Wayne published a monograph on the treatment of panic attacks, and this area is one of the main specializations of the clinic.
Who treats panic attacks and panic attacks?
Doctors of various specialties, psychiatrists, psychotherapists and neurologists treat panic attacks. There is no unambiguous decision about who should treat this disease, so both psychotherapists and neurologists can deal with panic attacks. However, the leading specialist of the clinic, psychotherapist, psychiatrist Aleksey Vladimirovich Gorodnichev believes that the use of psychotherapy in the treatment of panic attacks reduces and replaces the use of antipsychotics - medicines which are often prescribed by neurologists. These drugs have a number of strong side effects for the human body. Therefore, the most modern and rational solution in the treatment of panic attacks, phobias, anxiety states is an appeal to a psychotherapist and psychotherapy sessions.
Symptoms of panic attacks
A state of fear close to panic that occurs for no apparent reason and is accompanied by rapid breathing, heart rate and other symptoms. Often the disease, in addition to changes in the rhythm of breathing and heartbeat, is also manifested by pallor, trembling of the body, a feeling of lightheadedness, swaying, shortness of breath, suffocation and other signs. Such symptoms most often lead the patient to think about neurological and vegetovascular diseases.
Panic attacks that require treatment most often occur in crowded places, in enclosed space or, conversely, among a large crowd of people. Wherein objective reasons not for fear and anxiety. This makes the patient similar state feel insecure outside the home and suffer from anticipation of the next attack. Therefore, the treatment of panic attacks is a must for anyone who has ever experienced a similar phenomenon. If you are experiencing a panic attack, make an appointment with one of our clinic's psychotherapists.
Choose a panic attack specialist and make an appointment:
Chief Physician, doctor of medical sciences, professor, neurologist the highest category
Neurologist, professor, doctor of medical sciences
Neurologist, Doctor of Medical Sciences
Neurologist, Doctor of Medical Sciences, Professor
Psychotherapist, psychiatrist
Psychotherapist
Neurologist, candidate of medical sciences
Neurologist, functional diagnostician, candidate of medical sciences
Psychotherapist
Neurologist, biofeedback specialist, postgraduate student of the Department of Nervous Diseases, Moscow State Medical University. THEM. Sechenov.
Epileptologist, functional diagnostician, candidate of medical sciences
Neurologist
Neurologist, candidate of medical sciences
Psychotherapy in the treatment of panic attacks
According to Americans, investing in psychotherapy is one of the most profitable investments. Since it helps not only to get rid of various destructive conditions in a person, including panic attacks, but also to develop his potential, improve the quality of life.
How does psychotherapy help with panic attacks?
Feeling of panic, anxiety and worry has acquired a social character and is now literally inherited, as a habit and a certain pattern of behavior. Unfortunately, today the level of psychological ignorance of society is high, and a person, as a rule, does not know that his behavior is influenced by internal subconscious beliefs.
What to do with a panic attack, how to deal with panic?
Psychotherapy helps a person to discover the beliefs that contribute to the formation of a bad habit and is effective methodology panic attack treatment. Psychotherapy for panic attacks can replace a destructive strategy and help a person abandon destructive behavior patterns. Although the person himself has enough intelligence to understand much, such beliefs nest at too deep levels of the psyche. In this connection, it is difficult for a person to independently discover what is happening in the subconscious. This requires help of a psychotherapist .
Common causes of panic attacks:
- The patient had previously experienced very severe stress.
- In the case when a person is in a state of chronic anxiety, depression.
- Heredity.
Why are panic attacks so common?
Panic attacks, anxiety attacks, chronic anxiety very common today. A panic attack often occurs against the background of chronic anxiety and anxiety, but sometimes it strikes a person completely unexpectedly.
Fear plays a protective role in the human body. So, for example, it is perfectly natural to experience fear when your life or physical condition something threatens. This mobilizes the strength of a person, gives him energy for possible fight. But human body not intended for long-term experience of such a state.
At some point, people noticed that anxiety (an uncomfortable state of expectation of something negative) works - it makes a person more alert and collected, causes a feeling of control. An effective short-term strategy for dealing with a likely threat has turned into a mistake - people have begun to apply the feeling of anxiety in a generalized way, even where it is not necessary. Thus, anxiety and causeless fear imperceptibly pumped into a constant, pseudo normal condition in humans, which is destructive to the psyche. Therefore, in the background constant anxiety and anxiety, panic attacks often occur.
Treatment of panic attacks in the clinic
Most often, this condition is a symptom of a more serious disorder, as well as many other conditions, phobias, and dysfunctions. Therefore, in our clinic, the treatment of panic attacks and the treatment of panic attacks begins with a diagnosis and examination to identify the cause of their occurrence. The specialists of our clinic use the most modern methods(both medicinal and psychotherapeutic). This allows you to make the treatment of panic attacks fast and effective, relieving the patient of discomfort and anxiety in the shortest possible time.
- BFB (biofeedback) therapy in the treatment of panic attacks
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- Help of a psychotherapist
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Panic attacks - vegetative crises: from a workshop on neurology by A. Wayne
Vegetative crises, which in modern medical practice, are denoted as panic attacks happen to every person at least once in a lifetime. As a rule, this dramatic event remains in the memory for a long time, but in most cases it remains the first and only episode. However, every 18-20 people have an episode panic attack acquires a stable form, significantly disrupting the implementation of the life program. Several stages can be distinguished in the development of ideas about such vegetative crises.
I Vegetative
At the beginning of the 20th century, they described various forms vegetative crises - vagal crises of Gowers, sympathetic crises of Barre, mixed crises of Polzer. All this developed against the background of the formation of ideas about sympathicotonia, vagotonia, amphotonia, that is, persistent pothophysiological structures that are characteristic of a certain type of people and are the basis for the possible development of diseases.
II Neurological
The main idea of the neurological stage was to find the structural, anatomical basis of paroxysms. There was an attempt to identify paroxysms associated with structural and functional insufficiency of the temporal-limbic, stem-reticular structures, as well as insufficiency of peripheral vegetative formations.
III Psychophysiological
Mental phenomena in panic attacks have been described for a very long time and were included as component in such generalized syndromes as vagotonia and sympathicotonia, remaining, as it were, on the periphery of these syndromes rich in vegetological manifestations. The last twenty years of studying this syndrome have shown the leading role mental factor in the development of panic attacks.
Panic attacks, attacks of fear and panic are often described in fiction. In the story "Notes of a Madman", Leo Tolstoy clearly described his feelings that arose after the completion of "War and Peace", when, in search of a further path, he experienced serious mental turmoil. Also popular writer Paulo Coelho in one of his parables, "Veronica wants to die," panic disorder is described in detail and reliably.
What is a panic attack - a syndrome or a disease?
It would be more complete to define the condition now called "panic attack" as psychovegetative crises or attacks. critical role in the formation of this neurotic disorder takes a mental or emotional-personal factor. Feeling of panic is not the only manifestation of a mental disorder during a crisis. There are grounds for asserting that panic attack is a syndrome, a set of simultaneously manifested clinical symptoms. Complete panic attack treatment significantly changes the patient's condition, but does not cure it, leaving the possibility of relapse. In a constant bunch of mental and vegetative disorders, the leading role is played by mental disorders. Therefore, it is most appropriate for occurrence of panic attacks speak to psychotherapist. But it is also necessary to take into account autonomic symptoms, which makes our clinic attractive for panic attack treatment .
The study of panic attacks in the clinic. Wayne
Exploring Panic Attacks , we use the principles of functional neuroscience, analyzing the functional states of the brain that contribute to the implementation of panic attacks. There are patients in whom crises occur only during the period of wakefulness, in others - only during sleep, and in others - both in wakefulness and in sleep. Certain clinical and psycho-physiological data of these paroxysms have been obtained, which reveal important cerebral mechanisms of panic attacks. Now there is no doubt about the danger of conditions that occur during sleep. In this series are strokes, and myocardial infarction, and epileptic seizures, and much more, panic attacks also occupy a certain place. The presence of a stable, regular psycho-physiological-biochemical pattern in certain phases and stages of sleep, knowing at what stages a crisis occurs is another way to understand and effective treatment panic attacks. Functional neuroscience led us to develop an important problem - sleep medicine.
Who is more likely to have panic attacks, men or women?
Panic attacks are significantly more common in women.. At men panic attacks arise not only less often, but also flow, as a rule, atypically. Behind all this are the endocrine, social, mental aspects of panic attacks. In this connection, the treatment of panic attacks in men and women also differs. Essential to use in combination psychotherapy in the treatment of panic attacks and pharmacology.
