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.
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