Panic disorder is more common types of anxiety disorders. The patients had an emergency doctor at a time when the symptoms of panic due to fear of immediate death. Think this is a serious disease or WHO reported that the incidence of this disease, 31 in Thailand, 1.1 percent were found. Doctors can diagnose and treat this disease properly to the emergency room were very low, only 1 in 120 patients, only 32 of the consequences of this disease can cause or psychiatric disorders other followed by several 33, 34, such as major depression, suicide 35, alcohol and drug abuse, or afraid to go alone (agoraphobia), etc., which cause damage to the patient and family pile up. This will be discussed further.
The symptoms.
This disease was formerly known as the acute symptoms of acute anxiety. By the World Health Organization classification of diseases known as episodic paroxysmal anxiety disorder symptoms as severe as the others.
The average age of these patients is about 25 years and 3, but patients in both young and middle age.
American Psychiatric Association's diagnostic criteria of panic disorder in 1994 that looks at four key ways: 36.
1) a panic attack (ie, the following acute symptoms: angina shake the fear of suffocation, dizziness, cold hands and feet stick แnentgag. It does not feel like self-control. Like myself are going to die or be terribly) that has become a serious and fast. It reached a peak within 10 minutes, then the intensity gradually. Decreased to disappear in 60 minutes.
2) occur frequently, or if it's just a time to make the patient has a fear of recurrence.
3) the patient can not be predicted in advance that a panic attack again at any (unexpected) patients have no symptoms at that time to sleep and wake up.
4) All of these symptoms are not due to disease or drug substances and other physical causes. This could cause a panic.
As you can see the panic symptoms similar to symptoms of heart disease. Respiratory diseases. Digestive diseases. Or diseases of the nervous system has many examples. Because there is a link between the autonomic nervous system control center with the organ systems of the 37 patients, most of them went to the doctor in the clinic reported that patients with such symptoms of heart disease. The garden and even coronary artery Cardiography as a panic disorder is typically 50-60 per cent 38.
Some patients have symptoms. hyperventilation syndrome after the panic attack, so doctors should be asked to record symptoms of panic disorder in patients with hyperventilation all.
Progression 9.
panic disorder is divided into stages (stages), respectively (if not treated) as follows.
Phase 1: limited symptoms attacks when it is not so much. Not the criteria of panic disorder.
Phase 2: panic disorder symptoms and diagnostic criteria.
Phase 3: hypochondriasis. Believes he has some serious disease, but doctors do not detect, such as lung disease, heart attack or stroke that can not function normally. Many private doctors to confirm.
Phase 4: limited phobic avoidance began to fear and avoid the places or situations where patients feel they can cause a panic, such as agoraphobia is not what one could make the patient unable to work or daily life. them.
Phase 5: extensive phobic avoidance of feared and avoided a lot more.
Phase 6: secondary depression may be a mood or major depression, as well as a result of a panic disorder for a long time, but patients still do not know why I can not help themselves. The body healthy. Disappointed and ashamed of themselves and their families. Some turn to drugs or alcohol or try to commit suicide.
Saturday, December 10, 2011
Monday, December 5, 2011
History of panic disorder in a foreign country.
Katschnig4 review the history of neurotic anxiety and panic disorder. Westphal on the reports of the years 1871-1872. To present a third of patients who can not go wrong with themselves. Or, if you walk through the street, it will cause tremendous anxiety over the situation that Westphal's Agro beer float. (Agoraphobia).
In a similar period later in the year is 1871 Da Costa5 reported anxiety, stress, which occurs later in the Journal of the American Journal of Medical Sciences, by the soldiers, one of which had me shaking. Chest pain and dizziness. Occurring after the fight in the Civil War, Da Costa thought that this disorder is caused by psychological and neurological expressed by a sim Hunter did take a lot of work and the variability of heart abnormalities and more. He named this disease as "irritable heart syndrome", which was later called this condition is different from a soldier's heart, effort syndrome, Da Costa's syndrome, and neurocirculatory asthenia (NCA) 5 and so on.
Later in the year 1880 Beard (referred to in Article Katschnig3) has published a book called A Practical Treatise on Nervous Exhaustion (Neurasthenia), and the nervous fatigue. (Neurasthenia) as a disease of civilization of the American people. He assumed that the disease is increasing. It is the civilized way of life was changed. Especially those living in urban and industrialized countries.
In the year 1894 Freud7 separate anxiety neurosis from neurotic fatigue. And the anxiety neurosis as a pathological anxiety. (Pathological anxiety) was a common (generalized) or without knowing the cause, floating back and forth freely. (Free-floating) with chronic And may be associated with for anxiety attack anxiety attack or not it Freud who said he is concerned about your mental consciousness immediately. Without any idea that the first two of Freud's concept of anxiety neurosis were divided into 2 types of chronic (chronic anxiety) and acute (anxiety attack).
Later in the year 1959 West and Dally8 noted that a group of neurotic patients have fear (phobia), and anxiety is severe. To respond to treatment with monoamine oxidase inhibitors (MAOI) MAOI drugs because the drugs are classified as West and Dally, depression, these patients are referred to as "atypical depression".
In the same year Klein has studied the clinical effects of imipramine, a drug that has not been released. The drug was synthesized by changing the structure of the drug. phenothiazine. It is hoped that an effective drug to treat schizophrenia as well as phenothiazine. The study found no effect of treatment of psychiatric patients with schizophrenia. (Schizophrenia), but to make it. Depression in patients with schizophrenia, the better. And when the trials for patients with severe depression was found to be great.
At the time, Klein was educated at Hillside Hospital, with patients, he found that a group of patients with severe anxiety. No ear hear, or any other psychedelic. And are often treated with long-term psychotherapy as an outpatient. The intensity of psychotherapy (intensive psychotherapy) on a patient in it. It does not help to improve symptoms. It is often diagnosed as schizophrenia. This is because the symptoms are severe and have a social life very much. But when the drug chlorpromazine. Patients with these symptoms were worse than ever. Patients are resistant to impact. The side of medicine is not. And finally refused to take the medicine.
Klein has reviewed the history of these patients very well. Until one day while he was living as normal as walking along the street or dining. They are faced with a most startling one. Shake it like a tight uncomfortable symptoms of suffocation. I stood in the areas of unstable or wobbly. And feel that they were going to die. Patients who would have thought that these symptoms are symptoms of heart disease. Or about the vessel in the brain. This enables him to see a doctor. The medical examination did not find any abnormality. Doctors tend to appease patients that symptoms may occur due to something he ingested. Some doctors say is caused by a virus. And tell patients not to worry. After the patient's life as usual. Until several days or several weeks later. He experienced the same symptoms again. Occur instantaneously. This is a group of symptoms that occur all that. Symptoms of panic attacks (panic attack) or as a brief panic. When a new patient to the doctor. Doctors could not detect the fault as well. This time the patient will begin to not trust doctors. Many patients are asking doctors and other specimens for which, of course, that these results will not have the disorder as well. At this point, your doctor may give you the confidence. (Reassurance) to the patient again. It would not exist. Until the cause panic in the third. This time, the patient will believe that. I have a really unusual. But it may be because doctors are not interested in the resolution or not they are good enough.
The patient will have a panic occur again. And symptoms during each session. Patients, which was originally conceived as normal. This time, it turns out that during the panic symptoms each time. He will always have fear, anxiety, tension. Concern that expected in advance that will cause panic again. (Interepisodic anticipatory anxiety) and to avoid situations such as driving a car can not go it alone. The bus can not go alone. Refused to eat the restaurants are crowded. And to call upon any one family member to follow him everywhere. This condition is known as the Four A's in Arabia (agoraphobia) in the Klein referred patients with these symptoms as "phobic anxiety syndrome" by the criteria for diagnosis.
In a similar period later in the year is 1871 Da Costa5 reported anxiety, stress, which occurs later in the Journal of the American Journal of Medical Sciences, by the soldiers, one of which had me shaking. Chest pain and dizziness. Occurring after the fight in the Civil War, Da Costa thought that this disorder is caused by psychological and neurological expressed by a sim Hunter did take a lot of work and the variability of heart abnormalities and more. He named this disease as "irritable heart syndrome", which was later called this condition is different from a soldier's heart, effort syndrome, Da Costa's syndrome, and neurocirculatory asthenia (NCA) 5 and so on.
Later in the year 1880 Beard (referred to in Article Katschnig3) has published a book called A Practical Treatise on Nervous Exhaustion (Neurasthenia), and the nervous fatigue. (Neurasthenia) as a disease of civilization of the American people. He assumed that the disease is increasing. It is the civilized way of life was changed. Especially those living in urban and industrialized countries.
In the year 1894 Freud7 separate anxiety neurosis from neurotic fatigue. And the anxiety neurosis as a pathological anxiety. (Pathological anxiety) was a common (generalized) or without knowing the cause, floating back and forth freely. (Free-floating) with chronic And may be associated with for anxiety attack anxiety attack or not it Freud who said he is concerned about your mental consciousness immediately. Without any idea that the first two of Freud's concept of anxiety neurosis were divided into 2 types of chronic (chronic anxiety) and acute (anxiety attack).
Later in the year 1959 West and Dally8 noted that a group of neurotic patients have fear (phobia), and anxiety is severe. To respond to treatment with monoamine oxidase inhibitors (MAOI) MAOI drugs because the drugs are classified as West and Dally, depression, these patients are referred to as "atypical depression".
In the same year Klein has studied the clinical effects of imipramine, a drug that has not been released. The drug was synthesized by changing the structure of the drug. phenothiazine. It is hoped that an effective drug to treat schizophrenia as well as phenothiazine. The study found no effect of treatment of psychiatric patients with schizophrenia. (Schizophrenia), but to make it. Depression in patients with schizophrenia, the better. And when the trials for patients with severe depression was found to be great.
At the time, Klein was educated at Hillside Hospital, with patients, he found that a group of patients with severe anxiety. No ear hear, or any other psychedelic. And are often treated with long-term psychotherapy as an outpatient. The intensity of psychotherapy (intensive psychotherapy) on a patient in it. It does not help to improve symptoms. It is often diagnosed as schizophrenia. This is because the symptoms are severe and have a social life very much. But when the drug chlorpromazine. Patients with these symptoms were worse than ever. Patients are resistant to impact. The side of medicine is not. And finally refused to take the medicine.
Klein has reviewed the history of these patients very well. Until one day while he was living as normal as walking along the street or dining. They are faced with a most startling one. Shake it like a tight uncomfortable symptoms of suffocation. I stood in the areas of unstable or wobbly. And feel that they were going to die. Patients who would have thought that these symptoms are symptoms of heart disease. Or about the vessel in the brain. This enables him to see a doctor. The medical examination did not find any abnormality. Doctors tend to appease patients that symptoms may occur due to something he ingested. Some doctors say is caused by a virus. And tell patients not to worry. After the patient's life as usual. Until several days or several weeks later. He experienced the same symptoms again. Occur instantaneously. This is a group of symptoms that occur all that. Symptoms of panic attacks (panic attack) or as a brief panic. When a new patient to the doctor. Doctors could not detect the fault as well. This time the patient will begin to not trust doctors. Many patients are asking doctors and other specimens for which, of course, that these results will not have the disorder as well. At this point, your doctor may give you the confidence. (Reassurance) to the patient again. It would not exist. Until the cause panic in the third. This time, the patient will believe that. I have a really unusual. But it may be because doctors are not interested in the resolution or not they are good enough.
The patient will have a panic occur again. And symptoms during each session. Patients, which was originally conceived as normal. This time, it turns out that during the panic symptoms each time. He will always have fear, anxiety, tension. Concern that expected in advance that will cause panic again. (Interepisodic anticipatory anxiety) and to avoid situations such as driving a car can not go it alone. The bus can not go alone. Refused to eat the restaurants are crowded. And to call upon any one family member to follow him everywhere. This condition is known as the Four A's in Arabia (agoraphobia) in the Klein referred patients with these symptoms as "phobic anxiety syndrome" by the criteria for diagnosis.
Saturday, November 26, 2011
anxiety attack symptoms
Fear or panic attacks that occur suddenly as a key aspect of allergic disease, psychiatric disease is new, with severe physical symptoms occur rapidly, within 3-10 minutes may occur at any time. more than half an hour with the fear that the symptoms are as follows.
Symptoms occurring in attacks (new version), this occurs without the time and place. It is difficult to predict. Some of the fears and try to avoid situations or activities that have been made new patch.
Nick allergic to calm down. Patients tend to fall into a condition that will cause fear, anxiety again. May not know how and when. Where we are awed and How much anxiety attack symptoms seems to be greater. The patient was placed in the circle of the symptoms bad.
I said as soon as the drums beat a sweat.
Chest pain, fatigue.
Difficulty in breathing, respiratory disturbances, nausea, or fullness in the stomach.
Dizziness and fainting feeling wobbly feeling like falling into a dream. Have been distorted.
Tea or her feet feel the overwhelming fear. With a sense intuitively that there are some awesome power.
Happen to own and control is not afraid to die.
Hot flushes or shivering self-control not just be crazy. Or something that is embarrassing away.
Nick Patterson disease.
Common in young adulthood. The ability to work decreased. And relationships with persons close More tension. Patients often think they have a serious heart disease or circulation to the doctor frequently. The physical examination and special tests are not unusual.
Cause
There are several factors that could cause such a combination.
1. The center of the brain and the mind with fear, sensitivity to stimuli than normal.
2. Hereditary disease may be found in the same family.
3. The attacks have occurred first. May be associated with stress in their lives. Heart disease. Some medicines or substances. Some of these may be no stimulus at all, and even though the stimulus has already been exhausted. However, patients still have attacks continue to occur.
Treatment
The method of effective treatment. Is to treat patients with psychological care. Patients who have improved as much as 7 or 9 curable in 10 cases the symptoms improved. Significantly after the initiation of therapy, then 6-8 weeks, symptoms improved after medical treatment is still continuing at least six months to prevent the recurrence of symptoms, the patient should follow the advice of a doctor. Do not stop taking it immediately. Because the symptoms of patients with recurrent symptoms of old.
Instructions that should be avoided.
What to do exercises as appropriate. According to ability.
1. The disease is not life threatening. The patients are afraid.
2. Should see a doctor for diagnosis and treatment.
3. Does not relieve the booze Or sleeping pills. The symptoms can be severe when they stop.
4. Reducing or not drink coffee, tea or drinks containing caffeine. All types of cola.
5. Exercise reasonable as possible.
6. When the symptoms abate, then you should go out to face the situation that I fear. Activities and try to avoid. Starting with a small but steady increments.
7. Practicing relaxation techniques. To reduce the level of tension.
Control of breathing exercises for relaxation.
1. Lie comfortably on the bed. The area is peaceful.
2. Coordinate both hands placed on the abdomen is tense. Chest and shoulder muscles to relax.
3. Inhale slowly and observe the breath and focus on the movement of breath through the nose into the full depth of the belly expands. The feeling of being lifted up both hands and shoulders to move more slowly.
4. When fully breathe in slowly counting 1,2,3.
5. Relax and observe your breath out slowly. And concentrate on the movement of the breath moving through the nostrils and flatten the stomach. Hands down.
6. When I breathe out slowly until the count 1,2,3.
7. Began to inhale and exhale vice versa. Intermittent basis for at least 10 times.
8. When we could sit at the back seat comfortably. Both hands placed together in the groin or abdomen. The same way you control of breathing in the face in all respects.
Symptoms occurring in attacks (new version), this occurs without the time and place. It is difficult to predict. Some of the fears and try to avoid situations or activities that have been made new patch.
Nick allergic to calm down. Patients tend to fall into a condition that will cause fear, anxiety again. May not know how and when. Where we are awed and How much anxiety attack symptoms seems to be greater. The patient was placed in the circle of the symptoms bad.
I said as soon as the drums beat a sweat.
Chest pain, fatigue.
Difficulty in breathing, respiratory disturbances, nausea, or fullness in the stomach.
Dizziness and fainting feeling wobbly feeling like falling into a dream. Have been distorted.
Tea or her feet feel the overwhelming fear. With a sense intuitively that there are some awesome power.
Happen to own and control is not afraid to die.
Hot flushes or shivering self-control not just be crazy. Or something that is embarrassing away.
Nick Patterson disease.
Common in young adulthood. The ability to work decreased. And relationships with persons close More tension. Patients often think they have a serious heart disease or circulation to the doctor frequently. The physical examination and special tests are not unusual.
Cause
There are several factors that could cause such a combination.
1. The center of the brain and the mind with fear, sensitivity to stimuli than normal.
2. Hereditary disease may be found in the same family.
3. The attacks have occurred first. May be associated with stress in their lives. Heart disease. Some medicines or substances. Some of these may be no stimulus at all, and even though the stimulus has already been exhausted. However, patients still have attacks continue to occur.
Treatment
The method of effective treatment. Is to treat patients with psychological care. Patients who have improved as much as 7 or 9 curable in 10 cases the symptoms improved. Significantly after the initiation of therapy, then 6-8 weeks, symptoms improved after medical treatment is still continuing at least six months to prevent the recurrence of symptoms, the patient should follow the advice of a doctor. Do not stop taking it immediately. Because the symptoms of patients with recurrent symptoms of old.
Instructions that should be avoided.
What to do exercises as appropriate. According to ability.
1. The disease is not life threatening. The patients are afraid.
2. Should see a doctor for diagnosis and treatment.
3. Does not relieve the booze Or sleeping pills. The symptoms can be severe when they stop.
4. Reducing or not drink coffee, tea or drinks containing caffeine. All types of cola.
5. Exercise reasonable as possible.
6. When the symptoms abate, then you should go out to face the situation that I fear. Activities and try to avoid. Starting with a small but steady increments.
7. Practicing relaxation techniques. To reduce the level of tension.
Control of breathing exercises for relaxation.
1. Lie comfortably on the bed. The area is peaceful.
2. Coordinate both hands placed on the abdomen is tense. Chest and shoulder muscles to relax.
3. Inhale slowly and observe the breath and focus on the movement of breath through the nose into the full depth of the belly expands. The feeling of being lifted up both hands and shoulders to move more slowly.
4. When fully breathe in slowly counting 1,2,3.
5. Relax and observe your breath out slowly. And concentrate on the movement of the breath moving through the nostrils and flatten the stomach. Hands down.
6. When I breathe out slowly until the count 1,2,3.
7. Began to inhale and exhale vice versa. Intermittent basis for at least 10 times.
8. When we could sit at the back seat comfortably. Both hands placed together in the groin or abdomen. The same way you control of breathing in the face in all respects.
Saturday, November 19, 2011
Facing public speaking anxiety
Speaking to the previous situation where the community is often an embarrassment to people who talk regularly. Even those who have or have not been on stage in front of many people. As is often the major cause of anxiety or fear comes from a situation in which they differ.
Verbal expression. One way to communicate through language, words are important in the transfer of knowledge, ideas, feelings and needs. The one purpose is to know, understand, follow and make sense. Speaking of human behavior that occurs in the process of communication. In such a process. Speaking as a behavior performed by using words which are called nonverbal language (verbal. language) in combination with the language, not words. With gestures, facial expressions, but the tone is called nonverbal (nonverbal. language) in a variety of styles and methods. May be used to talk intimately or through the media to talk to a lot of people. Environment or situation to make sense either. All of them are associated with the response of the audience reaction to the accident. For this reason, it is a process that consists of 2-way communication. Speaker or a messenger. Interaction with the audience or audiences have the words or behavior of a communication channel, either. Speaking to the human activities and to live together in society. Talking is important both for everyday life. Establishing and maintaining interpersonal relationships. The occupation. And organizational management.
Commitment and willingness. Is an important starting point that will help people to talk in front of the community which aims to develop and experience of the opportunity to contribute. Apart from the already committed. Other features that the speaker should have a positive attitude towards the talks. Knowledge and experience on to say. Communication skills and know. Assess the situation to prepare properly.
This talk is part of speech as well. Draft of the script. There should be some help to ensure that content can be presented clearly to the point, not confusing at all. This will help the audience understand the content of all the speakers in their mind. Words that have helped create the impression to the audience as well.
Manners of speaking in public is a factor which affects the formation and destruction of an impression of the audience. The speaker is well-mannered. In addition to its image as an impression in the eyes of another. This will also help build credibility. The speaker gave the audience feel. It also maintains a good image of the agency. If the person speaking on behalf of the agency as well. Means as well as in the words spoken in the language chosen to greet the meeting. Personality and dress. Physical presence, with the rain. Friendly with the audience. Dress appropriate to their age. Language is not quite as unreasonably And maintain the audience's time.
Sound is a medium that allows the audience to hear the contents of the pool. Get to know the story. Perceptions of the speaker. It will sound as a medium to transmit information to the audience then. Sound is also important to say is that it helps convey the emotions of the speaker. Intent of the speaker. An interesting and impressive to say it sounds good does not imply a specific pool, but it sounds sweet, clear, not hoarse diffuse ring shake However, it has been recognized and appreciated that sounds good, it must have the ability to use voice effectively, too.
Self-reliance It is a great feeling to help drive the expression in a positive way to say, especially in the community. Speaking with confidence Believe in what they say. Can offer ideas and content that provides a smooth, clear, vibrant voice is not affiliated or Agamแagm irregular vibrations in the throat. In fact. Before speaking in front of a thrilled audience a lot. The audience is not familiar. The atmosphere is informal. It feels good to help people who are enthusiastic about the gestures and tone of voice. But if you are feeling scared and nervous symptoms are not controlled, it would spoil the image. Lack credibility and can not communicate clearly.
For a successful speech. Requires a combination of the language skills to good use. Communication to understand the art and taste of the preparation and evaluation of management strategies for an impressive presentation. Relatively speaking, the best known features of the art of speaking, voice, movement, personality and expression in relation to the content. And appropriate to the audience. Concentrate on a subject to be talking and communicating with their audience. Without worrying about other things.
Saturday, November 5, 2011
Phobia in the Public
The word "agoraphobia" is an English word is derived from the Greek word agora (αγορά) and phobos (φόβος) was included. Phobia in the community.
Disease is a condition where a person fears that the community has been anxious in the unfamiliar environment, or feel they have little control. Stimuli for anxiety include open spaces or crowds of travelers. (Though short), anxiety is often the fear of disgrace to the community. The symptoms of the disease, but the community is alarmed at the symptoms of mania in front of other patients.
Those with a phobia of the community will have a panic in a situation where they feel uncomfortable. Feel insecure or remote control is not something that can help them. In patients with symptoms to stay home but not go out for years. Who have a lot of love to have visitors in the area they control, and prefer to work in a safe feeling. If the fear of open spaces away from their safety zone. May cause a panic.
Disease is a condition where a person fears that the community has been anxious in the unfamiliar environment, or feel they have little control. Stimuli for anxiety include open spaces or crowds of travelers. (Though short), anxiety is often the fear of disgrace to the community. The symptoms of the disease, but the community is alarmed at the symptoms of mania in front of other patients.
Those with a phobia of the community will have a panic in a situation where they feel uncomfortable. Feel insecure or remote control is not something that can help them. In patients with symptoms to stay home but not go out for years. Who have a lot of love to have visitors in the area they control, and prefer to work in a safe feeling. If the fear of open spaces away from their safety zone. May cause a panic.
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