Tuesday, June 23, 2020

Anxiety disorder, how much do you know

The psychological experience of "anxiety" is not new to everyone. For example, during an important exam, when facing the crowd, when a poor self-talker wants to speak impromptu, you will feel heart pounding, blushing, even shaking of your limbs, only feeling anxious and tense, and you can’t understand what to do after a while. After going through the scenes, and repeating the calmness like water, there is no different feeling than usual. This is a normal anxious emotional response.

So, what is called anxiety disorder?

The anxiety experienced by anxiety disorder is different from the general anxiety in terms of quality and quantity. General anxiety and emotional response often have obvious things, and emotions tend to balance. There is no clear objective object for the anxiety and tension of patients with anxiety disorders, or the things they worry about do not currently exist. The patient showed fear, fear, and anxiety, not all day long, and some even paced back and forth, unable to rub hands and pause. In addition to these mental anxiety symptoms, the patient is also accompanied by obvious physical symptoms, that is, significant autonomic symptoms and muscle tension, such as dry mouth, sweating, tachycardia, shortness of breath, upper abdominal discomfort, dizziness, light-headedness, Body tightness, muscle soreness, etc. Anxiety symptoms of patients with anxiety disorders often persist for more than 3 months. This is fundamentally different from the general anxiety response in terms of quantity.

The onset form of anxiety itself is divided into acute anxiety disorder and chronic anxiety disorder, namely the panic attack and generalized anxiety disorder currently commonly known.

Panic attacks are mainly manifested as no obvious incentives, a sudden strong fear, accompanied by significant autonomic and muscular symptoms. Over a period of time, the symptoms worsen and the patient has the painful experience of losing control or dying. An attack usually resolves within a few minutes or half an hour. The seizure can be terminated automatically, but the patient is often uneasy and worried about having another seizure. The consciousness is clear at the time of the attack, and the course of the attack can be recalled afterwards. Patients with acute anxiety disorder often have more than three panic attacks within a month, or the anxiety of recurrence after the first typical attack lasts for 1 month. Otherwise, it cannot be diagnosed as panic disorder immediately. These patients are easily misdiagnosed as coronary heart disease, and some have even been admitted to the cardiovascular ward many times, and the treatment has not been effective.

The causes of anxiety neurosis are comprehensive, so in principle treatment should also be comprehensive. The treatment of anxiety disorders mainly includes drug therapy and psychotherapy, both of which have a mutually promoting effect. Stabilizing drugs can only be used for a short period of time, and some long-term medications should choose some antidepressant drugs with anxiolytic effects. Psychotherapy includes supportive psychotherapy, cognitive behavioral therapy, and motivational psychotherapy.

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