Panic disorder / anxiety disorder

Panic disorder is a condition in which a person suddenly has a seizure (panic attack) such as palpitation, dizziness, sweating, choking sensation, nausea, and tremors in the limbs, which causes problems in life.

This panic attack is so strong that I think I'm going to die and I feel I can't control it myself. As a result, you become anxious about what to do if you have another seizure, and avoid places and situations where seizures are likely to occur. Especially in a closed space such as in a train or elevator, you may feel that you cannot escape and you may not be able to go out.

For panic disorder, psychotherapy is given to gradually get used to what you are not good at, in addition to treatment with medicine. It is important not to overdo it and to work at your own pace. Let's watch the surroundings slowly.

What is "panic disorder/anxiety disorder"?

If you are suffering from unexplained death-like pain

that is difficult for others to understand

Suddenly my chest became painful and my heartbeat was just "beating the bell". The cold sweat makes my back full.

"Maybe I'll die ..." I was taken to the hospital by ambulance while being attacked by such anxiety, but no matter where I looked, my body was normal, and in the meantime, the painful symptoms disappeared. Even though I'm anxious about repeating such seizures over and over again, no one understands. Those who came to this page may have experienced such thoughts.

A panic attack is a reaction prepared to survive the danger of death

When faced with a sudden life threat, such as a fire or an earthquake, many people have the same physical reaction as a panic attack. My heart beats faster, I feel bloody, I can't think about things calmly, and I feel like I want to scream out loud. You may also vomit something in your stomach. You may not be able to stay still and may start running blindly. All of these reactions are beneficial for escape from enemies and disasters and are physical survival programs.

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However, some people may react like panic attacks when nothing happens. Even though there is no danger of life, you feel anxiety and fear as if it were life-threatening, and you will experience the same symptoms as a panic attack on your body.

If no abnormality is found no matter how much you inspect

When these symptoms occur when nothing has happened, everyone thinks of a disease such as the heart, stomach, or lungs. In fact, panic attacks are very similar to symptoms such as myocardial infarction. Therefore, at first, you will have to go to the cardiology, respiratory and gastroenterology departments. Many are taken to the hospital by ambulance because they face seemingly deadly symptoms. Of course, many people who complain of these symptoms are really people with abnormalities in the heart, stomach, lungs, etc. However, there are many people who do not find any medical abnormalities no matter how much they are examined. Such a person may have a panic disorder.

Never die from a panic attack

Even if it is said that there is nothing wrong with it, if you have many life-threatening seizures, you will be worried that you may die from this seizure. But you don't die from a bout of panic disorder.

I'm not a wolf-boy

Panic disorder basically involves repeated panic attacks. Family members, friends, and people at work who were initially worried will gradually start to make faces such as "again" or "make a fuss because of their mind" when they find out that there is nothing wrong with them. It's like a wolf boy's story. It's really painful, painful, and anxious, but it's painful that no one understands it.

1 in 100?

Panic disorder is by no means a rare illness. It is said that 6 to 9 out of 1000 people have panic disorder in their lifetime.

It is also said that it is more likely to occur in females than in males.

Signs/symptoms of panic disorder/anxiety disorder

Do you have panic attacks, anticipatory anxiety, or agoraphobia?

The panic disorder begins with a panic attack. Initially, there are only panic attacks, but as the attacks are repeated, symptoms such as anticipatory anxiety and agoraphobia begin to appear when there are no seizures. It may also be accompanied by depressive symptoms.

Panic Attack

Do you have repeated unexpected panic attacks? Repeated "unexpected panic attacks" are a characteristic symptom of panic disorder. An "unexpected seizure" is a seizure that occurs regardless of the situation. Therefore, seizures may occur while sleeping.

Panic attacks can be seen without panic disorder. For example, a person with claustrophobia may have a panic attack when confined in a small space. However, this is a reaction that occurs when faced with a particular situation, not the "unexpected seizure" seen in panic disorder.

Anticipatory anxiety

Do you always feel anxiety that you may have another seizure? As you repeat panic attacks, you become afraid of the next seizure even when you have no seizures. Anxiety such as "Isn't it going to happen again?" "Isn't it a more severe seizure next time?" "I'm going to die this time." This is "anticipatory anxiety," a common symptom of panic disorder.

Another symptom of panic disorder is that behavioral changes such as quitting work occur due to anxiety about when a seizure will occur.

Agoraphobia

Is there a place where you feel like you're going to have a seizure? When you have a seizure, you may not be able to escape from it, or you may not be able to get help. You will have a place that you are not good at, and you will avoid that place or situation. This is called "agoraphobia". The place I'm not good at is not always the square. There are various places where people feel scared, such as going out alone, getting on a train, or going to a hair-dressing shop. In addition to agoraphobia, there are also fears of going out and fear of space.

Agoraphobia makes you unable to work or do your daily life and tends to withdraw, which affects your relationships with your friends. Since I can't go out alone, I feel more sorry for myself, who depends on others. There are some panic disorders that are not accompanied by agoraphobia, but in most cases, agoraphobia is seen.

Treatment of the panic disorder

For the treatment of a panic disorder

  - Treatment with medicine

  - Psychotherapeutic approach

there is.

Treatment with medicine

Purpose of treatment

The primary goal of drug treatment is to "prevent panic attacks," followed by "reducing anticipatory anxiety and agoraphobia as much as possible."

Commonly used medicine

Generally, the first drug used is a type of antidepressant, including SSRIs (selective serotonin reuptake inhibitors, e.g Sertraline (Zoloft)). Stabilizers (anti-anxiety drugs) are also often used. Buy Klonopin online for anxiety attacks

Quantity and number of times

The effects of these drugs vary from person to person, so it is necessary to increase or decrease or change the drug while checking the effects. To check the effect correctly, take the medicine in the amount and frequency specified by your doctor. While SSRIs have few side effects and do not cause dependence, it should be noted that if they are stopped suddenly, symptoms similar to panic attacks (dizziness, sweating, nausea, etc.) will occur as withdrawal symptoms. Stabilizers can be expected to have immediate effects, but they may become addictive if used for a long time.

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Panic disorder is a disorder in which drug therapy is effective. It is not a good idea to "cure only with feelings without relying on medicine".

Talk to your doctor if you have any concerns or doubts

If you have any concerns or doubts about taking your medication or treating it in general, don't hesitate to talk to your doctor to resolve it.

Psychotherapeutic approach

In panic disorder, it is important to use psychotherapy in addition to drug treatment. In particular, exposure therapy and cognitive-behavioral therapy have been shown to be as effective in treating panic disorder as drug treatment.

When the medicine starts to work and the seizures do not occur, it is part of the treatment to gradually challenge going out, which was not good.

However, it is forbidden to overdo it, so please consult with your doctor or certified public psychologist and work on it with the intention of slowly moving forward step by step.

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