Panic Disorder and Agoraphobia

Panic disorder, known as "panic attack" disorder or disease in our society, is a short-term fear attack that occurs suddenly and unexpectedly and causes physical and cognitive symptoms. Although these seizures are seen in many other psychological disorders, they occur unexpectedly in panic disorder. Thus, people live with the fear of experiencing panic attacks again later in their lives or worry about the consequences of their attacks (e.g. heart attack, going crazy and losing control). Panic attacks may not always appear as a psychological problem alone, other physical or psychological problems accompany the attacks. or attacks may occur along with another mental or physical problem. During a panic attack, people may experience rapid heartbeat, sweating, shaking, feeling of breathlessness, feeling of suffocation, chest pain or discomfort in the chest, nausea or upset stomach, dizziness, feeling cold or hot, tingling, numbness, numbness, derealization (loss of reality). feeling), depersonalization (perception of separation from one's body), fear of going crazy or losing control, and fear of death may be observed. The first attacks usually occur outside the home, and since the symptoms that occur in the environments where these attacks occur disrupt the functionality of the person, these environments are perceived as dangerous. Thus, day by day, the person avoids entering places, environments or situations where attacks occur, or organizes his whole life around this situation. People sometimes have the same fears and anxieties in an agoraphobic situation. Agoraphobia literally means fear of space. For example; When using public transportation (cars, buses, trains, planes), being in open spaces (parking lots, bridges, markets), being in closed places (shops, cinemas, etc.), waiting in a crowd or in a queue, or going out of the house alone, all these cause fear in people. or it may cause anxiety, and after a while, the person begins to actively avoid these agoraphobic situations, and sometimes cognitive avoidance may be observed in people (e.g., counting, thinking of other things, suggestion, imagining being in another place or situation, etc.). As a result of all these avoidances, it continues exponentially with intense fear and anxiety. Fear and anxiety are not bad kill. The purpose of these emotions is to prepare the person's mind and body to deal with danger.

A certain level of anxiety allows us to survive, but when it begins to seriously threaten our functionality in life and disrupts this functionality, various problems begin to emerge. It should not be forgotten that; Anxiety and fear are reactions that a person can control. For this reason, interpreting physiological reactions perceived as threatening in a non-threatening way, not running away when physical symptoms or negative thoughts appear, or avoiding situations where these may occur is the most effective way to overcome fear and anxiety.

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