Sudden anxiety. Constant anxiety: what to do? Psychologist's recommendations. Psychological causes of constant fear and anxiety

It is impossible to live without it. We are talking about an unpleasant and vague state called anxiety or anxiety. Such sensations arise when a person is waiting for something bad: bad news, an unfavorable course of events or the outcome of something. Despite the fact that many view anxiety as something negative, it is not 100% good or bad. In some situations, it can even be useful. Which ones exactly? Let's figure it out together.

Anxiety disorder: what is it?

First of all, it is worth noting that worry and anxiety have little in common with the concept of "fear". The latter is subject - it is caused by something. Anxiety can arise for no apparent reason and disturb a person for a long time.

One type of disorder that a person can develop is an anxiety disorder. This is a specific psycho-emotional state that has its own symptoms. From time to time, each individual may experience anxiety due to certain circumstances.

The appearance of anxiety is a rather serious signal, declaring that changes are taking place with the body. Therefore, we can conclude that anxiety and anxiety are a kind of factor in a person's adaptation to his environment, but only if the anxiety is not overly expressed and does not cause discomfort to the person.

Why Anxiety Disorders Occur


Despite all the achievements of science and technology, scientists and doctors have not yet been able to determine in detail who they are - the main "culprits" that cause such a pathology as anxiety. For some people, a state of anxiety and anxiety may appear for no apparent reason at all and irritating objects. The main causes of anxiety can be considered:

  • Stressful situations (anxiety occurs as a response of the body to a stimulus).
  • Serious somatic diseases (by themselves they are a cause of concern. The most common of them are bronchial asthma, diseases of the cardiovascular system, brain injuries, disorders of the endocrine system, etc.).
  • Taking certain medications and drugs (for example, abruptly stopping the constant use of sedative drugs can cause unreasonable feelings).
  • An increase in the concentration of carbon dioxide in the air (contributes to the aggravation of anxious anxiety and a more painful perception of a pathological condition).
  • Individual characteristics of temperament (some people are very susceptible to any changes in the environment and react to changes with fearfulness, isolation, anxiety, shyness or anxiety).

Scientists identify two main theories of the appearance of anxiety pathologies.

Psychoanalytic. This approach considers anxiety as a kind of signal that speaks of the formation of an unacceptable need, which the "suffering" tries to prevent at an unconscious level. In such a situation, the symptoms of anxiety are rather vague and represent a partial restraint of a forbidden need or its repression.

Biological. He says that any anxiety is the result of biological abnormalities in the body. At the same time, against the background of changes in the body, an active production of neurotransmitters occurs.

Anxiety and anxiety disorder (video)


An informative video about the causes, symptoms, types and effective methods of treatment and getting rid of an unpleasant phenomenon.

Anxiety symptoms

First of all, it is determined by the individual characteristics of a person and his psycho-emotional state. Someone begins to worry for no reason quite suddenly. For some, a small irritating factor is enough to create a feeling of anxiety (for example, watching a news release with another portion of not-too-pleasant news).

Some people are fighters who actively confront negative thoughts and obsessive fears. Others live in a state of round-the-clock tension, trying not to notice that an obvious pathology causes some discomfort.

In life, disturbing pathologies manifest themselves physical or emotional symptoms.

Emotions above all. They pretend to be immeasurable fear, unjustified anxiety, excessive irritability, inability to concentrate, as well as excessive emotional anxiety.



physical manifestations. They are no less common and, as a rule, always accompany emotional symptoms. These include: rapid pulse and frequent urge to empty the bladder, tremor of the extremities, profuse sweating, muscle spasms, shortness of breath,.

Additional Information. Often a person can confuse the physical manifestations of an alarming pathology and take them for diseases of organs or their systems.

Depression and anxiety: is there a relationship?

People suffering from chronic depression know firsthand what an anxiety disorder is. Doctors are convinced that depression and anxiety disorders are concepts that are closely related. Therefore, they almost always accompany each other. At the same time, there is a close psycho-emotional relationship between them: anxiety can exacerbate the depressive state, and depression, in turn, exacerbates the state of anxiety.

Generalized Anxiety Disorder

A special type of mental disorder that is manifested by general anxiety over a long period of time. At the same time, the feeling of anxiety and anxiety has nothing to do with any event, object or situation.

Generalized anxiety disorders are characterized by:

  • duration (stability for six months or more);
  • generalization (anxiety is manifested in the expectation of something bad in everyday life, bad forebodings);
  • non-fixation (the feeling of anxiety has no restrictions regarding the events and factors that cause it).



The main symptoms of a generalized disorder:
  • concerns(feelings that are almost impossible to control, disturbing a person for a long time);
  • motor voltage(manifested by muscle spasms, migraines, trembling in the arms and legs, inability to relax for a long time);
  • CNS hyperactivity(the main manifestations are excessive sweating, dizziness, rapid pulse, dry mouth, etc.);
  • gastrointestinal( , increased gas formation, );
  • respiratory(difficulty breathing, feeling of constriction in the chest, etc.);
  • urogenital(in representatives of the stronger sex, they may manifest as a lack of erection or a decrease in libido, in women - menstrual irregularities).

Generalized disorder and sleep

In most cases, people suffering from this type of disorder suffer from insomnia. Difficulties arise when falling asleep. Immediately after sleep, a slight feeling of anxiety may be felt. Night terrors are frequent companions of people suffering from generalized anxiety disorders.

Additional Information. Generalized disorders often lead to overwork and exhaustion of the body due to the long absence of a full restful night's sleep.

How to recognize a person with a generalized disorder

Individuals with this type of anxiety disorder are very different from healthy people. The face and body are always tense, the eyebrows are frowned, the skin is pale, and the person himself is anxious and restless. Many patients are detached from the outside world, withdrawn and depressed.

Generalized anxiety disorder: symptoms and treatment (video)

Anxiety disorders - a signal of danger or a harmless phenomenon? Generalized anxiety disorder: symptoms and main methods of treatment.

Anxiety-depressive disorder

The quality of a person's life largely depends on his psycho-emotional state. A real scourge of our time has become such a disease as anxiety-depressive disorder. The disease can qualitatively change the life of an individual for the worse.

Another name for disorders of this type, which is more commonly used and well known in society, is neurotic disorders (neuroses). They are a combination of different symptoms, as well as a lack of awareness of the presence of a psychogenic type of disease.

Additional Information. The risk of neurosis during the life of the average person is 20-25%. Only a third of people turn to specialists for qualified help.


Symptoms of this type of disorder are divided into two types of manifestations: clinical and vegetative.

Clinical symptoms. Here, first of all, we are talking about sudden mood swings, a constant feeling of obsessive anxiety, reduced concentration of attention, absent-mindedness, reduced ability to perceive and assimilate new information.

Vegetative symptoms. They can manifest themselves with increased sweating, rapid heartbeat, frequent urge to urinate, pain in the abdomen, trembling in the body or chills.

Most of the above symptoms are experienced by many people in a banal stressful situation. A diagnosis of anxiety-depressive disorder requires a combination of at least several symptoms that torment a person for months.

Who is at risk

More prone to anxiety and worry:
  • Women. Due to the greater emotionality, nervousness and the ability to accumulate and not relieve nervous tension for a long time. One of the factors provoking neurosis in women is drastic changes in hormonal levels - during pregnancy, before menstruation, during menopause, during lactation, etc.
  • Unemployed. More likely to develop anxiety-depressive disorders than busy individuals. For most people, the lack of a permanent job and financial independence is a depressing factor that quite often leads to the emergence of addictions - alcoholism, smoking, and even drug addiction.
  • People with a hereditary predisposition to the occurrence of anxiety disorders (children whose parents suffered or suffer from anxiety disorders are at greater risk of developing an unpleasant illness).
  • Elderly people(after a person loses a sense of his own social significance - he retires, children start their own family, one of his friends dies, etc., he often develops neurotic-type disorders).
  • People suffering from serious physical illnesses.

Panic attacks

Another of the special types of anxiety disorders are, which are characterized by the same symptoms as other types of anxiety disorders (anxiety, rapid pulse, sweating, etc.). The duration of panic attacks can vary from a few minutes to an hour. Most often, these seizures occur involuntarily. Sometimes - with a strong stressful state, alcohol abuse, mental stress. During panic attacks, a person can completely lose control of himself and even go crazy.


Diagnosis of anxiety disorders

Only a psychiatrist can make a diagnosis. To confirm the diagnosis, it is necessary that the primary symptoms of the disease persist for several weeks or months.

Diagnosis problems are rare. It is more problematic to determine the specific type of such a disorder, since most of them have similar symptoms.

Most often, during an appointment, a psychiatrist conducts special psychological tests. They allow you to clarify the diagnosis and study the essence of the problem in more detail.

If there is a suspicion that the patient has an anxiety disorder, the doctor evaluates the following points:

  • the presence or absence of a complex of characteristic symptoms;
  • duration of anxiety symptoms;
  • whether anxiety is a banal reaction to a stressful situation;
  • whether there is a relationship between symptoms and the presence of diseases of organs and their systems.

Important! In the process of diagnosing anxiety disorders, the need to determine the causes and provoking factors that led to the appearance or aggravation of complaints comes to the fore.

Basic Treatments

The main treatments for various types of anxiety disorders are:

Anti-anxiety drug treatment. It is prescribed in case of an aggravated course of the disease and may include taking:

  • antidepressants;
  • beta-blockers;
  • tranquilizers.



Important! Drug therapy has a positive effect only in combination with psychotherapy sessions.


Anti-anxiety psychotherapy. The main task is to rid a person of negative thought patterns, as well as thoughts that increase anxiety. To eliminate excessive anxiety, in most cases, 5 to 20 sessions of psychotherapy are enough.

Confrontation. One of the ways to treat high anxiety. The essence of the method is to create an alarming situation in which a person experiences fear in an environment that is not dangerous for him. The main task of the patient is to take control of the situation and cope with his emotions. Repeated repetition of such a situation, and the way out of it instills in a person self-confidence and lowers the level of anxiety.

Hypnosis. A quick and fairly effective way to get rid of an annoying anxiety disorder. During immersion in hypnosis, the doctor brings the patient face to face with his fears and helps to overcome them.

Physical rehabilitation. A special thirty-minute set of exercises, most of which are borrowed from yoga, helps relieve nervous tension, fatigue, excessive anxiety and improve overall well-being.

In most cases, anxiety disorders do not require medication. Symptoms of the disease recede by themselves after a conversation with a professional psychiatrist or psychologist, during which the specialist voices convincing arguments and helps to take a different look at one's own anxiety, anxiety, fears and the reasons that cause them.

Treating Anxiety Disorders in Children

In a situation with children, behavioral therapy in combination with drug treatment comes to the rescue. It is generally accepted that behavioral therapy is the most effective method of getting rid of anxiety.



During psychotherapy sessions, the doctor models situations that cause fear and negative reactions in the child, and helps to choose a set of measures that can prevent the appearance of negative manifestations. Drug therapy in most cases gives a short-term and not so effective effect.

Prevention measures

As soon as the first “alarm bells” appeared, you should not put off a visit to the doctor on the back burner and wait for everything to go away by itself. Anxiety disorders significantly impair the quality of life of an individual and tend to be chronic. You should visit a psychotherapist in a timely manner, which will help you get rid of anxiety as quickly as possible and forget about the problem.

To cope with daily stress, anxiety and prevent the development of an anxiety disorder, you should:

  • adjust the diet (if you can’t eat regularly and fully, then you should regularly take special vitamin complexes);
  • if possible, limit the use of coffee, strong tea, alcohol (these products can provoke sleep disturbances and lead to panic attacks);
  • do not neglect rest (half an hour of doing what you love, which gives pleasure, will help relieve stress, excessive fatigue and anxiety);
  • exclude from the list of cases those that do not give satisfaction and cause negative emotions;
  • do not forget about physical activity (playing sports or banal house cleaning will help to switch and make the body “forget” about the problem);
  • try not to get nervous over trifles (reconsider your attitude to anxiety and the factors that cause it).
Anxiety disorder is far from a harmless phenomenon, but a serious pathology of a psychoneurotic nature, which negatively affects the quality of human life. If there are any symptoms of the disease - do not hesitate to visit a doctor. Modern medicine offers effective strategies and treatment methods that give stable and lasting results and allow you to forget about the problem for a long time.

Next article.

Many people worry about the smallest things, even if nothing major has happened. Such feelings carry nothing but anxiety, they destroy the nervous system. People who worry a lot cannot live a fulfilling life. They are constantly tense and feel uncomfortable. Turning to psychology, you can understand the essence of these phenomena and get rid of them.

What is the difference between fear and anxiety

Fear and anxiety, both of these phenomena may seem the same at first glance. But in reality, they don't go hand in hand. If unreasonable anxiety destroys the nervous system, then fear, on the contrary, mobilizes the forces of the body.

Imagine that a dog attacked you on the street, the feeling of fear will make you act, take any action to protect yourself. But if you just worry that the dog might attack you, then this will make you feel bad. Excessive feeling of fear also does not lead to anything good.

Feelings of anxiety can vary in degree from mild to severe. This feeling of anxiety and fear for no reason may depend on the state of the body, on upbringing or hereditary factors. That is why there are people who suffer from phobias, migraines, suspiciousness, etc.


The main causes of anxiety

In this state, a person has an internal conflict that gradually grows and makes him feel bad. Certain factors contribute to this. Consider the causes of fear and anxiety:

  • psychological trauma in the past,
  • annoying actions,
  • suspiciousness of character, when a person is not sure of anything,
  • psychological trauma in childhood, when parents put too much pressure on the child, made excessive demands on him,
  • sedentary lifestyle, unhealthy diet,
  • the beginning of life in a new place, previously unfamiliar to a person,
  • negative events in the past
  • character traits when a pessimistic attitude towards life becomes a lifestyle,
  • disorders in the body that destroy the endocrine system and cause hormonal failure.


The destructive effect of anxiety and fear

A person only makes things worse for himself when he constantly lives in a state of anxiety and fear. Not only his psychology suffers, but also his health. When a person experiences a constant feeling of anxiety, his heart begins to beat faster, he does not have enough air, and his blood pressure jumps up.

From too strong emotions, a person gets very tired, his body wears out faster. There is trembling in the limbs, he cannot sleep for a long time, there is pain in the stomach for no apparent reason. Many systems of the body suffer in this condition, women experience hormonal disruptions, men have disrupted the genitourinary system. Therefore, it is necessary to know how to get rid of fear and anxiety.


Problem identification

There is no such person who would not be afraid of anything. It is important to realize how much this interferes with life. Each person has their own fears: someone is afraid to speak in public, others have problems communicating with the opposite sex, the following are simply embarrassed by their character, they do not want to show themselves too smart, stupid, etc. By acknowledging your problem, you can begin to fight it and overcome your fear.


Fighting fear and anxiety

There are many ways to get rid of anxiety and fear.

  1. When you feel anxious, there is always tension. And if this tension is removed, then negative feelings will dissipate. To stop constantly worrying, you need to learn to relax. Physical activity helps in this matter, so try to exercise, or better, do physical activities in a team. Walking in the fresh air, jogging, breathing exercises will also help fight excessive anxiety.
  2. Share your feelings with loved ones you trust. They will help you dispel the feeling of fear. To other people, other people's fears seem insignificant, and they will be able to convince you of this. Communication with loved ones who love you will remove the burden of problems that have squeezed you. If you do not have such people, then entrust your feelings to the diary.
  3. Don't leave problems unresolved. Many people worry about something but do nothing to change it. Do not leave your problems as they are, start doing at least something to deal with them.
  4. Humor helps us get rid of many problems, defuse tense situations and make us relax. Therefore, communicate with those people who make you laugh a lot. You can also just watch a comedy program, read about something funny. Anything that makes you happy can be used.
  5. Do something that makes you happy. Take your mind off your negative thoughts and call your friends, invite them for a walk or just sit with you in a cafe. Sometimes it is enough just to play computer games, read a fascinating book, you can always find something that gives you pleasure.
  6. Imagine more often a positive outcome of events, and not vice versa. We often worry that some business may end badly, and we imagine it in bright colors. Try to do the opposite and imagine that everything ended well. This will help you reduce your anxiety disorder.
  7. Remove everything from your life that creates an anxiety disorder. Usually, watching the news or crime shows, which often talk about something negative, creates an even greater feeling of anxiety. So try not to watch them.


Psychological tricks to help get rid of feelings of fear

Set aside 20 minutes a day for yourself when you can completely surrender to anxiety and think about what worries you the most. You can give yourself free rein and even cry. But when the allotted time comes to an end, forbid yourself to even think about it and get down to your daily activities.

Find a quiet place in your apartment where nothing will disturb you. Sit comfortably, relax, breathe deeply. Imagine that in front of you is a burning piece of wood, from which smoke rises into the air. Imagine that this smoke is your anxiety. Watch how it rises into the sky and dissolves into it completely until the piece of wood burns out. Just observe it without trying to influence the movement of the smoke in any way.


Take up needlework. Monotonous work helps to distract from unnecessary thoughts and make life more serene.

Even if you can’t get rid of disturbing thoughts at first, over time you will learn how to do it. Most importantly, follow the advice, and you will gradually become less worried.

Getting rid of fear - advice from psychologists

Psychologists suggest using several tricks to get rid of fear.

  1. Art therapy helps to cope with feelings of fear. Try to draw your fear, express it on paper. Then burn the leaflet with the pattern.
  2. When you experience panic attacks, switch to something else so your feeling doesn't deepen and make you feel bad. Do something else that will absorb all your thoughts and your negative feelings will go away.
  3. Realize the nature of your fear, put it on the shelves. Try to write down everything you feel and worry about, and then light the paper.
  4. Breathing exercise "Inhaling strength and exhaling weakness" will help you get rid of fear. Imagine that as you inhale, courage enters your body, and as you exhale, your body gets rid of fear. You should sit up straight and be relaxed.
  5. Walk towards your fear. If you overcome it by all means, it will help you to worry less. For example, you are afraid to communicate with someone, go and communicate with him. Or, for example, you are terribly afraid of dogs, watch them, try to pet a harmless dog. This is the most effective way to get rid of fear.
  6. When panic and anxiety have completely taken over you, breathe deeply 10 times. During this time, your mind will have time to adapt to the surrounding reality and calm down.
  7. Sometimes it's good to talk to yourself. In this way, your experiences will become more understandable to you. You are aware of the depth of the situation in which you find yourself. Understanding your condition will help you calm down, your heart will no longer beat so often.
  8. Feeling angry will help you switch off your fear, so find someone who makes you feel that way.
  9. Find something really funny, it will neutralize panic attacks instantly. You will feel much better after this.


Stop being afraid of your fears

In fact, the feeling of fear helps us overcome life's obstacles and improve our lives. Many people have done great things out of fear. Great musicians were afraid that they would remain unrecognized and composed great music, athletes were afraid of defeat and reached incredible heights, scientists and doctors made discoveries, being afraid of something.

This feeling actually mobilizes the forces of our body, makes us act actively and do great things.


You can never overcome your fear by simply letting it go indiscriminately or not paying attention to it. But you can become happier. Try to live with joy, enjoying the current moment. Do not worry too much about past mistakes and constantly dream about the future. This will help you live comfortably and enjoy what you have.

Do what you love and you will feel that you matter to other people. This will help you deal with all the fears and anxieties in your life more easily.

In the modern world, it is rare to find a person who has never had a feeling of fear and anxiety, but not everyone knows how to cope with such a condition. Constant stress, anxiety, tension associated with work or personal life do not allow you to relax even for a minute. Worst of all, patients with this pathology have unpleasant physiological symptoms, including headaches, pressing sensations in the heart or temples, which may indicate serious diseases. The question of how to get rid of feelings of anxiety is of interest to everyone, so it is worth considering in more detail.

Panic attacks

Characteristics and causes of pathology

nnrn (function(w, d, n, s, t) (rn w[n] = w[n] || ;rn w[n].push(function() (rn Ya.Context.AdvManager.render(( rn blockId: "R-A-247919-16",rn renderTo: "yandex_rtb_R-A-247919-16",rn async: truern ));rn ));rn t = d.getElementsByTagName("script");rn s = d.createElement("script");rn s.type = "text/javascript";rn s.src = "//an.yandex.ru/system/context.js";rn s.async = true;rn t .parentNode.insertBefore(s, t);rn ))(this, this.document, "yandexContextAsyncCallbacks");rn

Conditions caused by the excitability of the nervous system and accompanied by characteristic signs are classified as anxiety disorders. For them, a constant feeling of anxiety and fear, excitement, fussiness and a number of other symptoms are typical. Such sensations arise against the background of disorders of the central nervous system or are a sign of certain diseases. A neuropathologist is able to establish the exact cause after a detailed examination of the patient and a series of diagnostic studies. In most cases, dealing with panic attacks on your own is difficult.

Important! Problems arise due to an unfavorable atmosphere in the family, prolonged depression, a predisposition to anxiety due to character, due to mental disorders and other reasons.

The reason for anxiety can be justified, for example, a person is worried before an important event or has recently suffered serious stress, or far-fetched, when there are no visible reasons for concern. Both in the first and in the second case, treatment is required, the type of which is determined by the doctor. When it comes to how to deal with feelings of anxiety, the first thing to do is to determine whether the condition is really a pathology, or whether it is temporary difficulties. The reasons are mental or physiological, the list of common ones includes:

  • psychological predisposition;
  • family plan problems;
  • problems coming from childhood;
  • emotional stress;
  • problems with the endocrine system;
  • severe illness;
  • excessive physical activity.

Anxiety symptoms

Manifestations and signs

Symptoms of anxiety and restlessness fall into two categories: mental and autonomic. First of all, it is worth noting the constant feeling of anxiety, which can be temporary or permanent, increases the pulse rate. At such moments, a person is worried, he has a number of characteristic conditions, for example, severe weakness, trembling of the limbs, or increased sweating. The duration of a standard attack does not exceed 20 minutes, after which it passes on its own, its severity depends on the neglect of the pathology.

A constant feeling of anxiety can develop due to autonomic disorders, the causes of which are problems with hormones or vegetovascular dystonia. Patients have hypochondria, obsessive-compulsive disorders, constant mood swings, insomnia, tearfulness, or aggressive behavior for no reason.

A sign of a panic attack is also somatic disorders, in which dizziness, pain in the head and heart, nausea or diarrhea, shortness of breath and a feeling of lack of air are observed. The list of signs is extensive, it includes:

  • fear of various situations;
  • fussiness, a sharp reaction to sounds or situations;
  • sweating of the palms, fever, rapid pulse;
  • fast fatigue, fatigue;
  • problems with memory and concentration;
  • sensation of a "lump" in the throat;
  • sleep problems, nightmares;
  • feeling of suffocation and other symptoms.

Features of diagnostics

A person suffering from excessive anxiety often wants to know how to overcome and how to remove unpleasant symptoms that can greatly complicate life. An accurate diagnosis can be made by a qualified specialist after a detailed conversation with the patient and a thorough examination. First, it is worth visiting a therapist who needs to explain the symptoms and talk about the possible causes of the condition. Then the doctor will issue a referral to a narrow specialist: a psychologist or a neuropathologist, and in the presence of specific diseases, to another doctor.

Important! To overcome the feeling of anxiety, you should be more careful in choosing a doctor and not turn to psychotherapists with dubious qualifications. Only a specialist with sufficient experience can help get rid of the problem.

When a person has a feeling of acute anxiety and fear for no apparent reason, he simply does not know what to do, how to cope with his condition and behave in a particular situation. Usually, the doctor can determine the severity of the pathology during the first conversation with the patient. At the diagnostic stage, it is important to understand the cause of the problem, determine the type and find out if the patient has mental disorders. In neurotic states, patients cannot relate their problems to the real state; in the presence of psychosis, they are not aware of the fact of the disease.

Patients with heart pathology may experience palpitations, a feeling of lack of air and other conditions that are the result of certain diseases. In this case, diagnosis and treatment are aimed at eliminating the underlying disease, which allows you to get rid of unpleasant signs of anxiety and fear in the future. Diagnosis in children and adults is almost the same and consists of a full range of procedures, as a result of which doctors are able to determine the cause of the condition and prescribe the appropriate treatment.


Alarm states

Principles of treatment

The essence of a successful recovery lies in the usefulness of therapeutic measures, which consist of psychological assistance, changing habits and lifestyles, taking special sedatives and other drugs, and a number of other important procedures. In case of serious pathologies, doctors prescribe antidepressants and tranquilizers, but it should be borne in mind that such drugs provide temporary relief and do not eliminate the cause of the problem, they have serious side effects and contraindications. Therefore, they are not prescribed for mild pathology.

Good results are obtained by cognitive behavioral therapy, relaxation techniques and much more. Often, specialists assign the patient constant conversations with a psychologist who teaches special techniques to help cope with stress and eliminate unpleasant symptoms in moments of anxiety. Such measures relieve tension and help get rid of panic attacks, which is noted by many people who have had anxiety disorders. When it comes to how to deal with anxiety, and what treatment to choose, it is best not to self-medicate.

Additional measures

Most of the signs of anxiety can be removed in the early stages to prevent aggravation of the condition. The main guarantee of well-being is traditionally a healthy lifestyle, which involves following the rules of a healthy diet, good sleep, and giving up negative habits, including smoking and drinking alcoholic beverages. Having a favorite hobby helps to abstract from negative situations and switch to a business that you like. But not everyone knows how to properly relax and relieve stress in the wrong way.


Unpleasant symptoms

Due to frequent stress, a person may have a heartache, other negative symptoms may appear, the correction of which requires special treatment. Special relaxation techniques help prevent many serious diseases, so people who are prone to stress should learn the basics of meditation, breathing exercises and other techniques.

Anxiety can always be prevented if you do not react to external stimuli and try to remain calm even in the most stressful situations, know how to cope with stress.

You can learn how to get rid of anxiety in the video below.

Panic attacks. Treatment.

Some patients complain of an altered perception of the world (the world seems to be losing color), panic attacks. Panic fear occurs spontaneously, often in a crowded place (shop, train, subway, bus, elevator), but patients tend to discuss not the attack itself, but its consequences, such as deterioration in general condition, without presenting specific complaints. On the other hand, with a direct question, the patient, as a rule, confirms that at that moment he felt a strong heartbeat, shortness of breath, sweating, weakness in the legs, abdominal cramps, chest pain, tremors, trembling.
Often, patients are distinguished by dizziness and lightheadedness, and in some cases they cannot describe their condition at all. Depersonalization and derealization (feelings of unreality of the world around or alienation from oneself) - typical symptoms of panic disorder - only increase the panic attack.
In addition to these somatic symptoms, patients may describe a state close to panic. Usually they have a feeling of impending danger, confusion and impotence up to a fainting state. Patients think they have a myocardial infarction or cerebral stroke and ask to be taken to the nearest emergency room.
Describing the onset of an attack, the patient reports a “blow” to the head or heart, a sensation of a push, a beating throughout the body, a rush of blood to the head, an increase in blood pressure, etc. In an objective study, shifts are recorded much less frequently. Daily monitoring of heart rate and blood pressure showed that their average daily performance does not differ from those in healthy people. Significant fluctuations are observed during periods of a "panic attack" or its anxious expectation: in 30% of patients, subjective sensations were accompanied by an increase in blood pressure and heart rate - in 60% of patients, in 20% there were no objective changes at all. Along with typical symptoms, there may be others - atypical, not included in the criteria for a panic attack: local pain (in the head, abdomen, spine), numbness, burning sensation, vomiting, "lump" in the throat, weakness in the arm or leg, gait disturbance , vision, hearing. In a number of patients, there is no anxiety at all - there is a "panic without panic". In the interictal period, the vast majority of patients experience autonomic dysfunction of varying severity - from the minimum, when patients feel practically healthy, to the maximum, when the border between the attack and the interictal period is blurred due to the strong severity of disorders between PA (panic attacks).
Clinical manifestations of autonomic dysfunction in the interictal period are characterized by polysystemicity, dynamism and other signs characteristic of autonomic dysfunction syndrome. Most often, the nature of vegetovascular dystonia is flexible: a little effort on your part and she will leave you alone. Well, if you did not pay attention to the alarm bells, the disease can rage like a river overflowing its banks. Such storms, for 5 minutes, at most a few hours, shaking the body, doctors call vegetative-vascular crises.

They are more likely to occur in females during menstruation, especially if
critical days coincided with unfavorable weather or a major showdown, as well as for women who entered the menopause. They need to protect their peace of mind with a vengeance. The close connection of vegetative crises with emotional upheavals has been known since the time of Chekhov: his colleagues in such cases said that the patient had a panic attack, and in order to combat panic attacks, it is necessary to prescribe the strictest rest.
Sympathetic-adrenal crises are most susceptible to people of the sympathetic type. Usually, in the late afternoon or at night, headaches intensify, stabbing, crowding, pressing and driven heart beats (pulse - up to 140 beats / min, knocking in the temples, blood pressure rises to 150 / 90-180 / 110 mm Hg. Art., not enough air - every breath is difficult, shivering, arms and legs go numb, the body becomes covered with "goose bumps", the temperature rises to 38-39 ° C, all the time you want to urinate in the toilet). And although there is not the slightest threat to life in this case, there is such a fear of death that it is easy to lose your head, rushing around the apartment in indescribable excitement.
Stop! Pull yourself together! By dealing with panic, you are already helping yourself. Open the window, unbutton your shirt, loosen your collar, untie your waistband, sit in a comfortable chair or lie down in bed with a few high pillows tucked under your back to help you breathe.
Apply to forehead, temples, neck and wrists napkins or a towel moistened with cold water. Slowly drink a glass of cold boiled water, focusing on your feelings. To calm the heartbeat, close your eyes and press 10 with the pads of the middle and index fingers of both hands on the eyeballs 3 times within a minute. Massage the point in the center of the chin with circular movements of the index finger of both hands (9 times clockwise and the same amount against it). Squeeze, knead and slightly stretch the middle finger for 2-3 minutes on each hand. Take 30 (with a strong heartbeat - 40-45) drops of valocordin or corvalol in a small amount of water, or 20 lily-of-the-valerian or lily-of-the-valley-motherwort drops, a no-shpy tablet and then wait 10-15 minutes. Didn't it get better?
Vagoinsular crises often cause anxiety to people of the parasympathetic type. Troubles usually happen in the morning and afternoon - in the evening you can not be afraid for your well-being. Weakness, a feeling of heat and heaviness in the head appear, it begins to spin, blood rushes to the face, there is a feeling of suffocation, nausea, and sometimes abdominal pain and diarrhea, “throws” into sweat, the heart stops, the pulse becomes rare (up to 45 bpm). / min), blood pressure drops to 80/50-90/60 mmHg. Art., in a word, it seems that the soul is parting with the body, and such a panic seizes, even to the ends of the world run, but that's just no strength.
To calm down, drink 1-3 tablets of bellataminal or bellaspon (cannot be used during pregnancy) or 20 drops of novopassitis or valerian tincture, open the window and go to bed without a pillow, putting your feet on a blanket folded several times: at low pressure, the brain experiences oxygen starvation , and the horizontal position will ensure blood flow to the head. Brew strong sweet tea or prepare a cup of black coffee with sugar. Has there been any relief? Call a doctor!
In the treatment of panic attacks, one must master the art of balancing in order to skillfully maintain balance on the scales of the autonomic nervous system. And she “loves” stability and order in everything.
. Schedule the day by the hour: getting up, exercising, breakfast, working hours, lunch, rest, favorite series, household chores, dinner, evening walk - try not to deviate from this schedule if possible.
. Move more and spend at least 2 hours a day in the fresh air. Don't have time for this? Start small – use less public transport and walk more often. Encourage yourself to go jogging or go to the pool 2 times a week, and on weekends - a bath: swimming and hardening water procedures will maintain a "balance" in the autonomic nervous system.
. Do a finger massage. Squeezing in turn, kneading and slightly stretching them for several minutes 2-3 times a day, it is possible to normalize body functions disturbed by neurocirculatory dystonia. Pay special attention to the thumb, its massage stimulates the brain, and the middle one - the impact on it normalizes blood pressure.
. Take care of your nerves! If they are to be tested for strength, mix equally valerian (or motherwort), mint and horsetail, 1 tbsp. l. pour a glass of boiling water, heat for 15 minutes under a lid in a water bath, cool for about 45 minutes, strain. Take 2 tbsp. l. 4-6 times a day.
. Peace. Please note: elenium, sibazon, phenazepam, rudotel, meprobamate cause lethargy and drowsiness. As long as you accept them, you are not an important worker. Take grandaxin, mebicar, trioxazine. They keep their heads clear.
. If you are a sympathetic type, it is strictly forbidden to indulge in gluttony at night: a late dinner can provoke a sympathetic adrenal crisis.
Go to bed every night with the intention of getting a good night's sleep: a long sweet sleep helps to avoid trouble during magnetic storms and other triggers. Indulge yourself in the pleasure of relaxing in the evening for 10-15 minutes in a warm, pleasantly relaxing bath, adding a little salt to it, and in the summer try to relax by the sea. It is useful for representatives of the parasympathetic type to take a cool bath or shower with tight streams every morning and spend a vacation in the mountains.
Panic attacks are treatable. To do this, you need to contact a psychotherapist or psychiatrist.

ANXIES AND FEARS. TREATMENT OF PHOBIAS AND FEARS

Anxious depression can be manifested by an empty feeling of tension, anxiety or fear (for one's health, the fate of loved ones), fears of appearing untenable in society - social phobia.
Symptoms of an anxiety disorder do not occur in any particular order; at first examination, patients present somatic complaints, since only physical ailment prompts them to seek medical help. Patients prone to anxiety reactions to one degree or another exaggerate not only their life's failures and failures, but also the existing symptoms of the disease.
The increased vigilance or "hyper vigilance" of these patients is explained by the fact that, unlike others, they see the world as if through a magnifying glass, paying attention to the slightest changes in their internal state and external environment.
Patients with anxiety disorders often complain of depressed mood, but when asked how this condition affects their daily life, they answer that they have become more irritable, restless, or even overly active.

Anxiety: general and specific symptoms
General symptoms
. Anxiety - feeling restless, nervous, agitated for no apparent reason, worrying about feeling anxious;
. Irritation towards oneself, others, habitual life situations (for example, increased sensitivity to noise);
. Excitation - restlessness, tremors, biting of nails, lips, involuntary movements of the hands, rubbing of fingers
. Pain - often a headache with psychological stress, in the back of the head or diffuse pain in the back (due to unconscious muscle tension)
. "Fight and flight" reaction - a sharp increase in sympathetic tone, accompanied by profuse sweating, palpitations, chest pain, a feeling of dry mouth, discomfort in the abdomen
. Dizziness - a feeling of lightheadedness, before fainting
. Difficulty thinking - inability to get rid of disturbing thoughts, decreased concentration, fear of losing self-control and going crazy
. Insomnia - primarily a violation of falling asleep, in some cases - the duration of sleep (in this case, patients usually complain of constant fatigue)
Specific Symptoms

Panic fears (attacks):
. Arise spontaneously, with no apparent connection with external stimuli (“like a bolt from the blue”) (< 10 мин)
. Feeling of intense fear, panic, horror
. Palpitations, cardiac arrhythmias ("fading" of the heart, "beats in the chest")
. Feeling of suffocation, often rapid breathing
. Sweating, hot flashes
. Nausea (including with vomiting, "throbbing with fear")
. Tremor, internal trembling
. Dizziness, lightheadedness ("as if something happened to the head")
. Loss of a sense of reality (derealization) (“a veil or curtain has fallen between me and the outside world”). Patients have difficulty describing this condition (“... I can’t find words ...”)
. Paresthesia of the hands, with rapid breathing - of the face
. Constant premonition of misfortune (fear of going crazy, dying, etc.)

Phobias (persistent unreasonable situational anxiety, accompanied by an avoidance reaction):
. Agoraphobia (fear of crowded places - shops, subways, elevators, buses):
- fear is always associated with a panic attack that occurs in such places;
- patients avoid leaving the house alone, even if it interferes with their professional activities and normal life
. Social phobia (fear of communication that occurs in the presence of strangers):
- patients are afraid to seem ridiculous, awkward or humiliated;
- in such situations, patients experience severe anxiety (sometimes panic attacks) and try to avoid them in every possible way (for example, some cannot eat in the presence of strangers), despite the saved criticism of their condition;
- often patients try to overcome difficulties in communication and professional activities with the help of alcohol, tranquilizers, drugs
. Simple phobias (situational anxiety that occurs in a frightening situation or in response to the presentation of a known frightening stimulus: fear of snakes, spiders, injections, heights, flying on airplanes, blood, vomiting, etc.):
- avoidance reaction, violation of normal social / family adaptation of varying severity.
A patient with anxiety-depressive disorders, as a rule, turning to a doctor, presents a lot of vegetative complaints.
The main manifestation of anxiety-depressive disorders is the syndrome of vegetative dystonia. In most cases, vegetative disorders are secondary and occur against the background of mental disorders.
The disease is most demonstrative in those suffering from agoraphobia (fear of crowded places). At home, surrounded by relatives or in a medical institution, the patient may not experience any complaints or they are extremely mild. When moving away from Home, in transport (especially in the subway), polysystemic somatic disorders suddenly arise for no apparent reason - dizziness, suffocation, pain in the heart, tachycardia, nausea, reaching significant intensity and accompanied by fear of death - a panic attack.

Treating Panic Disorder Symptoms

There are strong clinical links between anxiety and depression. Our experts refer to their common manifestations: inexplicable physical weakness and discomfort, falling asleep late at night, lack of a sense of pleasure from something, constant appeal to unpleasant thoughts and images, persistent pain or other unpleasant sensations in the head, body; difficulty concentrating, hypochondriacal ideas.

It is possible to distinguish different variants of pathological anxiety: situational pathological anxiety (immediate fear of a certain phenomenon, object), disturbing obsessions, phobias; free-floating anxiety (generalization of anxiety, turnover and increase in the number of objects that cause anxiety); pointless anxiety (unaccountable, "vital", depressive).

How does panic disorder manifest itself? A person experiences excitement, inner restlessness, tension, anxious exaltation. He has signs of vegetative imbalance, sudden vegetative-vascular disorders. Anxiety is manifested in facial expressions, gestures, the pace of speech, up to general anxious excitement. Inconsistency of actions, narrowing of the range of interests, fluctuations in appetite, decreased libido.

With panic disorder, there are violations of attention, memory, uneven pace of thinking, a tendency to hypochondria, concern about one's health. There is confusion, and even disorientation in time and space.

Our clinic has accumulated extensive experience in the treatment of panic disorder. It is easily treatable in the hands of an experienced psychotherapist. Acupuncture, various types of psychotherapy are effective here: individual, pathogenetic, emotive-rational and others in combination with the appointment of sedatives, antidepressants, tranquilizers and drugs of other groups.

An individual treatment program is selected for each patient. Come to us and you will be surprised by the changes that will happen to you.

Panic Disorder Therapy

The goals of panic disorder therapy are:

Relief of the patient's anxiety and improvement of his quality of life.

Mobilization of the patient's adaptive mechanisms to deal with stress.

Prevention of the transition of adjustment disorder into a chronic anxiety state.

Basic principles of therapypanic disorder.

Individuality is not a therapy for a disease, but for a patient.

Validity - the use of treatments that are most appropriate in a particular situation.

Complexity - a combination of various methods of therapy.

Basic therapiespanic disorder

With the use of adequate methods, panic disorders are cured well. For their treatment, special techniques are used:

1. Socio-environmental methods (patient education):

Pedagogical, didactic methods;

family therapy;

self-help groups;

Literature for patients;

Mass media.

2. Methods of psychotherapy:

Breathing and relaxation training;

Biofeedback;

Cognitive psychotherapy;

behavioral psychotherapy;

Other types of psychotherapy.

3. Pharmacotherapy:

benzodiazepine anxiolytics;

non-benzodiazepine anxiolytics;

tricyclic antidepressants;

Selective monoamine oxidase inhibitors;

Serotonin reuptake inhibitors;

Antipsychotics;

Blockers of histamine H 1 receptors;

. β-blockers.

When prescribing anxiolytic drugs, it is necessary to distinguish between a “normal” anxiety state and a clinically significant one, which depends on the severity of the emotional reaction, the level of adaptation, and also on the degree of correspondence between the significance of the stress stimulus and the response.

In the clinic of psychotherapy at the Department of Narcology and Psychotherapy for more than 20 years, a special combination of methods of psychotherapy, acupuncture, herbal medicine, and pharmacotherapy has been successfully used in the treatment of panic disorders.

Panic disorder symptoms

A panic attack is characterized by the following symptoms:

This is a temporary but recurring episode of intense fear or discomfort.

this episode usually has an abrupt onset;

there is a maximum of symptoms within a few minutes and a duration of several minutes;

In the clinical picture there are symptoms of 4 different groups.

Vegetative symptoms: increased or increased heart rate, sweating, tremors and tremors, dry mouth.

Symptoms from the chest and abdomen: difficulty breathing, feeling of suffocation, pain and discomfort in the chest, nausea or abdominal distress (for example, burning in the stomach).

Mental symptoms: a feeling of dizziness, unsteadiness, fainting, a feeling that objects look unreal or that one's own "I" has moved away, is "not here", fear of losing control of oneself, insanity or impending death.

General symptoms: hot flashes or a feeling of chills, numbness in different parts of the body, or a tingling sensation.

With the use of adequate treatment programs, panic disorders are cured. For their therapy, the following methods are used:

1. Socio-environmental methods: pedagogical, didactic, family therapy, treatment in self-help groups, informing patients (providing with special literature).

2. Methods of psychotherapy: breathing and relaxation training, biofeedback, cognitive psychotherapy, behavioral psychotherapy, other types of psychotherapy.

3. Pharmacotherapy: drugs from the group of tranquilizers with an anxiolytic effect, non-benzodiazepine anxiolytics, tricyclic antidepressants, selective monoamine oxidase inhibitors, serotonin reuptake inhibitors, neuroleptics, histamine H1 receptor blockers, β-blockers.

The most effective combination of different types of psychotherapy with pharmacotherapy within the framework of outpatient treatment programs of different duration.

Prepared the article. The clinic at the Department of Narcology and Psychotherapy treats panic disorder.

Feelings of fear and anxiety treatment

Feelings of fear and anxiety are inherent in generalized anxiety disorder.

Its main features are:

A. Excessive anxiety and worry (expectation of the bad) in connection with various events or activities (such as work or study), observed for more than 6 months.

B. The patient has difficulty coping with anxiety.

C. Anxiety or restlessness is accompanied by the following symptoms (with at least 1 symptom persisting for more than 6 months)

1. Restlessness, fussiness or impatience

2. Quick fatigue

3. Disorder of concentration or memory

4. Irritability

5. Muscle tension

6. Sleep disorders (difficulty falling asleep, disturbed sleep duration or sleep that does not bring a feeling of freshness)

Anxiety, restlessness, or somatic symptoms cause clinically significant distress or impairment in social, work, or other areas of life.

The treatment of fear and anxiety is complex and lengthy.

Prepared the article. The clinic at the Department of Narcology and Psychotherapy provides treatment for anxiety and fear.

Anxiety disorder treatment

Anxiety is a pathological condition characterized by a sense of danger and accompanied by somatic symptoms (the latter are associated with hyperactivity of the autonomic nervous system). Anxiety should be differentiated from fear, which occurs in response to a specific threat.

Anxiety is one of the most common psychopathological phenomena in medical practice. It should be noted the breadth of the range of manifestations of anxiety - from mild neurotic disorders (borderline level of disorders) to pronounced psychotic states of endogenous origin. Anxiety belongs to the realm of human experience. The subject uncertainty of the phenomenon of anxiety is subjectively expressed in the feeling of its torment, difficult tolerance. But if a person finds an object of anxiety, then he develops fear, which, unlike anxiety, appears in response to a specific cause.

Symptoms of anxiety disorders can be divided into somatic and mental (psychological). Somatic symptoms include:

Trembling, twitching, body shaking

Back pain, headache

muscle tension

Shortness of breath, hyperventilation

Fatigue

Fright response

Hyperactivity of the autonomic nervous system

Hyperemia, pallor

Tachycardia, palpitations

sweating

Cold hands

Dry mouth (xerostomia)

Frequent urination

Paresthesia (feeling of numbness, tingling)

Difficulty swallowing

Mental symptoms include:

Feeling Danger

Decreased ability to concentrate

hypervigilance

insomnia

Decreased libido

"Lump in the throat"

Gastrointestinal disorders (“sick with fear”).

Treatment for anxiety disorders is usually done on an outpatient basis and for a long time. At least 4-5 months. Effective combination of different methods of psychotherapy, acupuncture and psychopharmacotherapy. Typically, patients are prescribed different combinations of drugs that have antidepressant, anti-anxiety and sedative effects.

Prepared the article. The clinic at the Department of Narcology and Psychotherapy provides treatment for anxiety disorders.

panic disorder treatment

Panic disorder is characterized by spontaneous panic attacks and may be associated with agoraphobia i.e. fear of being in an open space, alone outside the house or in a crowd. Agoraphobia is usually accompanied by panic, although it can occur as an independent disorder. Anticipatory anxiety is characterized by a sense of danger associated with the expectation of a panic attack, as well as the possibility of falling into a powerless and humiliating position when it occurs. Patients with Agoraphobia may be so attached to the house that they never leave it or do it accompanied by someone.

In modern classifications of disorders, panic disorder is defined in the group "other anxiety disorders".

In addition to panic disorder, in the group of anxiety disorders of the psyche, there are:

generalized anxiety disorder. It is characterized by chronic generalized anxiety that persists for at least 1 month. Includes increased anxiety in childhood.

specific phobia. An irrational fear of some object, such as horses, or a specific situation, such as heights, and the need to avoid them.

social phobia. An irrational fear of social situations, such as fear of public speaking.

Obsessive Compulsive Disorder. Recurring obsessions, urges, thoughts (obsessions), or behaviors that are foreign to the individual and cause anxiety when resisted.

Post-traumatic stress disorder and acute stress reaction. Anxiety caused by unusual and significant life stress. The event is clearly manifested in a dream or thoughts in the waking state. Symptoms of re-experiencing, avoidance, or extreme arousal persist for more than 1 month. Patients who have had symptoms for less than 1 month may be diagnosed with an acute stress reaction.

Mixed anxiety and depressive disorder- to indicate conditions when the patient's mental status is approximately equally present symptoms of anxiety and depression and it is not possible to talk about a significant predominance of one or the other.

During a panic attack, there is intense fear or a feeling of general discomfort, during which the following symptoms can be traced:

1. Tachycardia

2. Sweating

3. Trembling or shaking of the body

4. Feeling short of breath

6. Pain or discomfort in the chest

7. Nausea or stomach discomfort

8. Dizziness, unsteadiness or weakness

9. Derealization (feeling of unreality) or depersonalization (feeling of alienation of one's own body)

10. Fear of losing control or going crazy

11. Fear of dying

12. Paresthesia

13. Fever or chills

Panic disorder is treated primarily on an outpatient basis. Effective methods of psychotherapy, acupuncture therapy and a combination of psychopharmacotherapy individually selected for each individual patient.

Prepared the article. The clinic at the Department of Narcology and Psychotherapy treats panic disorder.

State of anxiety treatment

The main symptom of an anxiety disorder is a feeling of fear and anxiety often experienced by a person. This condition usually meets three criteria.

The first is a long-term illness, when complaints exist for more than half a year and if the disease itself proceeds either monotonously or progresses, without prosperous periods and “bright intervals”.

The second is the all-encompassing nature of the feeling of fear and anxiety. A person experiences discomfort almost all the time. Its components: baseless misgivings, attached or not attached to a specific object, inability to relax, constant tension, expectation of trouble, unmotivated excitement, sometimes panic fear.

Third - the state of anxiety arises and exists by itself, regardless of how prosperous or unsuccessful a person's life is.

Anxiety symptoms are divided into 3 groups.

The first is a variety of sensations of internal tension and a feeling of fear (sometimes panic fear), which the patient himself cannot explain.

The second is motor restlessness, the need to move, muscle tension, trembling, general discomfort.

The third is vegetative reactions that occur due to overexcitation of the nervous system: sweating, palpitations, shortness of breath, nausea, dry mouth, cold hands and feet.

Against the background of a state of anxiety and a feeling of fear, as a rule, there are insomnia at night and drowsiness during the day. There may be increased irritability, reduced performance absent-mindedness, low concentration, fatigue, memory loss.

The peptic ulcer may worsen. There may be symptoms such as difficulty swallowing, increased urination, decreased erection in men, and decreased sexual desire in women. In a state of anxiety, people are more likely to have nightmares.

Treatment of feelings of fear and anxiety, as a rule, is complex. Apply: individual psychotherapy, training in relaxation techniques in combination with drug therapy. In the treatment of anxiety, tranquilizers, beta-blockers, antidepressants with a sedative effect, etc. are usually used. for good and lasting results.

Prepared the article. The clinic at the Department of Narcology and Psychotherapy treats anxiety.

Panic disorder treatment

Panic refers to a type of anxiety disorder that manifests itself in violent attacks called panic attacks.

Treatment for panic disorder is successful in most cases. Thanks to the possibilities of pharmacology and psychotherapy, more than 90% of patients become completely healthy after a few months.

If a person tries to fight panic attacks on his own for a long time, and even resorts to the help of alcoholic beverages or Corvalol, he may develop alcohol dependence or alcohol-drug dependence in addition to the underlying disease.

A successful approach to the treatment of panic disorders, including panic fears, is a combination of different methods of psychotherapy with the appointment of herbal sedatives, beta-blockers, benzodiazepines, antidepressants with a sedative effect, mild antipsychotics.

To achieve a sustainable effect, these drugs should be used for several months. Cancellation of drugs is carried out gradually, under the supervision of a doctor.

The treatment of panic disorder is always effective if a doctor who has experience in treating this disease takes over, and the patient is ready for a long course of treatment.

Prepared the article. The clinic at the Department of Narcology and Psychotherapy provides treatment for panic disorders.

Fighting Panic Attacks

In the complex treatment of anxiety disorders, including panic attacks, tranquilizers are always used. These can be: alprozolam, clorazepate, diazepam, phenazepam, clonazepam. For the relief of panic attacks, parenteral administration of clonazepam is preferable. Tricyclic antidepressants are also commonly used - imipramine, clomipramine, doxepin, amitriptyline. They are especially effective when administered intravenously.

Isantidepressanotes of other groups are often effective mianerin, trazodone, paroxetine.

Usually, in the fight against panic fears, carbamazepine is effective in combination with individual nootropics, such as pantogam, phenibut.

In combination with antidepressants, it is advisable to use beta-blockers - razicor, propanolol, etc.

In the fight against panic attacks, different methods of psychotherapy are always effective. Preference is given to cognitive-behavioral and short-term psychodynamic.

The duration of treatment is from 6 to 12 months. Shorter courses do not lead to a reliable result.

During the treatment of panic attacks, the intensity of fear and its vegetative-somatic manifestations decreases, the frequency of panic attacks decreases, the anxiety of waiting for panic attacks disappears, and the intensity of comorbid disorders, in particular depression, decreases.

The article was prepared by professor Nikiforov Igor Anatolyevich. The clinic at the Department of Narcology and Psychotherapy deals with the treatment of panic attacks.

Treatment of fear

Fears or phobias are often found in obsessive-compulsive disorder nervosa. The clinical picture of this type of neurosis is characterized by the presence of phobias (obsessive fears) and - much less often - other obsessive phenomena (actions, memories, drives). All obsessions are characterized by constancy, repetition, the inability to get rid of these violations by an effort of will, a feeling of their alienation, awareness of their incorrectness, pain.

The clinical picture of neurosis may include rituals - protective actions (for example, in order to protect oneself from danger, the patient must touch the table several times or arrange things on the table in a special way).

Obsessive compulsive disorder with proper treatment can end in a few months with a complete recovery, but can sometimes acquire a protracted course with a gradual aggravation of symptoms.

In the dynamics of neurosis, three stages are conditionally distinguished: at the first, fear arises only in a situation that the patient is afraid of, at the second, at the thought of the possibility of being in it, at the third, the conditioned stimulus is a word that is somehow associated with a phobia (with cardiophobia - "heart", with claustrophobia - "cabin", etc.). With a protracted course of obsessive-compulsive disorder, as well as with other protracted neuroses, in addition to the aggravation of the main symptoms, the development of depressive disorders and hysterical forms of response is possible.

Treatment of patients with neurosis (treatment of fear) should be directed primarily to the elimination of psychogenic effects that contribute to the emergence of neurosis. If it is impossible to remove the psychotraumatic situation, it is recommended to change the position of the patient and his attitude towards this situation by means of various psychotherapeutic methods. An important place in the complex treatment of neuroses is occupied by restorative therapy, physiotherapy, vitamin therapy. In recent decades, nootropic drugs (nootropil, aminalon, etc.) have been widely used for the treatment of fear and concomitant asthenic conditions. Many neurotic symptoms are well stopped by the use of various tranquilizers (phenazepam, librium, valium, tazepam) or small doses of some antipsychotics (sonopax, neuleptil ). Great importance in the treatment of patients is given to various options for psychotherapy in its pure form or in combination with drug therapy, diet therapy, music therapy, and bibliotherapy. Most often, suggestive psychotherapy is used (for hysterical neurosis), rational psychotherapy (for obsessive-compulsive disorder), autogenic training (for all types of neurosis).

The article was prepared by professor Nikiforov Igor Anatolyevich. The clinic at the Department of Narcology and Psychotherapy deals with the treatment of fear.

How to get rid of fear

Do you need anxiety treatment? How to get rid of fear? How to overcome fear? Wrestling is an unnatural state of a person that takes too much strength. We are afraid of the unknown, so we strive to find an explanation for everything. Fear needs to be understood and accepted. Understanding the nature of fear will give awareness, and conscious fear can already be controlled.

Fears, phobias… what else is there?

Normal fear is a manifestation of the instinct of self-preservation, such fear warns us of possible danger, informs us of our inner limits. It's too early to talk about the treatment of fear. A certain person was afraid to jump with a parachute and resolutely struggled with the fear of heights, believing that being a coward is not a man's thing. Making his fifth jump, he died.

All fears that are not related to the instinct of self-preservation are far-fetched and often pathological. Pathological fear is a different kind of phobia. Such fears often arise from the cultivation of negative images and memories. You have to learn to get rid of them.

Fears Rating

Sometimes we get very scared. We fear doctors, the wrath of our boss, the disapproval of friends, the loss of a loved one. Fear has learned to hide and disguise itself so cleverly in our minds that we live side by side with it, not noticing how often it makes decisions for us.

When we understand that fear kills our cherished dreams and high aspirations, the moment of truth comes, and the question arises: "How to overcome fear?"

In order to get rid of fears, you need to find them and determine the cause of their occurrence. Napoleon Hill, in his book Think and Grow Rich, offers a simple way to identify and eliminate fears.

Modern people are increasingly living life in tension, they are focused on the negative, they are overcome by a sense of anxiety and anxiety. A lot of unresolved tasks, fatigue, stress - all these factors have become an integral part of life. If internal tension appears occasionally, then it does not pose a health hazard. Otherwise, a constant feeling of anxiety can significantly affect your overall well-being, deprive you of the joy of life and lead to sad consequences. Why do feelings that take us out of balance suddenly appear from somewhere? When does this condition require medical attention? How to deal with mental discomfort?

What is anxiety?

Anxiety is an emotion that has a negative connotation. This is a tedious and exhausting expectation of unpleasant events, danger, fear of the unknown. A person can feel intense excitement almost physically, experiencing discomfort in the solar plexus area. Some are tormented by the feeling of a lump in the throat, others describe it as if their chest is squeezed. Anxiety and restlessness can also manifest as shortness of breath, rapid breathing and accompanied by sweating, nausea and hand tremors. Anxiety is different from fear, although it has some similarities with it. Fear is a reaction to a specific incident, a threat, and anxiety is a fear of an unknown, not yet occurred event. But why should we be afraid of what has not happened and may never happen? Why does anxiety still overtake us, and with it anxiety?

Causes of Anxiety and Worry

Excitement, internal tension and anxiety arise for a number of reasons. "Popular about health" will list them:

1. Approaching a significant event, for example, exams, job interviews. A person worries about the outcome, worries that he will not be able to prove himself properly.

2. Guilt. Often a heavy burden on the soul is the memory of the past - a crime, a bad deed. Guilt gnaws at a person, causing inner anxiety.

3. Negative feelings towards another person can disturb the mental balance. If you experience strong hatred, anger, resentment towards someone, then you will constantly feel heaviness in your chest, excitement and anxiety.

4. Violations in the endocrine and nervous system. In most cases, people experience anxiety due to diseases, for example, one of the symptoms of vegetative-vascular dystonia is panic attacks. In neuroses, patients complain of a constant and irresistible feeling of inner unrest.

5. Mental disorders are a common cause of anxiety.

6. Daily problems. People tend to think ahead of their plans, deeds. Often we worry about our children, parents or friends. This is a normal situation, the main thing is to be able to control our feelings and not allow them to completely take over us.

Why you need to get rid of anxiety?

Constant excitement, tension and anxiety greatly impair the quality of human life. Experiencing psychological discomfort, we are not able to enjoy the present moment, but are focused on pain and fear. In such a state it is difficult to set goals and achieve them, it is impossible to take care of relatives, give them joy, it is impossible to achieve success. In addition, excessive anxiety can lead to the development of the disease - depression, mental disorders and neurosis. How to get rid of internal discomfort?

What to do if you are overcome by anxiety?

If you feel tension, excitement and anxiety, know that there is always a reason for it. To help yourself, you need to find them out. Analyze your thoughts, perhaps you are haunted by resentment or anger, perhaps you have a lot of unfinished business. Try to complete them as much as possible. If you feel guilt or resentment, forgive yourself or the other person. This will help you find peace.

Sometimes the cause of anxiety is nervous disorders or disorders of the endocrine or nervous system, which you may not be aware of. If there are no visible reasons for concern, but there is a heavy burden on the soul, consult a doctor and undergo an examination. If the condition is running and you are periodically subjected to panic attacks, the help of a specialist is extremely important.

Sports will help relieve tension, which often develops into anxiety. Get active and focus on the present. Your life is the most valuable, you can not spend all the precious time given to us on fear and excitement, worrying about what may not happen. Negative thoughts that haunt you affect subsequent events. If all undertakings are accompanied by fear and excitement, then they will not be successful. You are able to cope with anxiety yourself if you communicate more, walk, take time to take care of yourself, find an interesting hobby. If you can't find peace, visit a psychologist. Perhaps somewhere in your subconscious mind, something is preventing you from getting rid of difficult memories or fears.

Anxiety and anxiety is something that cannot be ignored and left to chance. These feelings arise if a person is stressed, has little rest, harbors resentment or negativity towards other people, and also if not everything is in order with health. Try to figure out your reason for this condition and help yourself before the problem develops into something more serious.

Similar posts