A panic disorder patient who describes his panic attack as "Yesterday, I had intense chest pain, palpitations and shortness of breath, it lasted 30 minutes, I was very scared, I thought I was having a heart attack" or "my family and children will be hungry and exposed, we will need dry bread to eat." The common feature of elderly depression patients who cry is that they unconsciously think of the worst possibilities, depending on their illness. In these examples, patients have a reason to assume the worst of the possibilities: their existing disease. During the therapy process, awareness is developed and the patient is confronted with this negative way of thinking.
Is it possible for individuals without a history of the disease to think of the worst possibility and live according to this possibility? “I probably won't be able to do this job”, “it is impossible for me to pass this exam”, “this child will not become a man”, “I may experience a disaster at any moment and I am very helpless”, considering the information in the package insert and a rarely seen side effect, “this medicine touched me, it harmed me” Thoughts such as ”… are unique to individuals who see the most negative possibility and act as if it were the only reality. In reality, "the person is competent enough to do this job", "he has enough knowledge to pass the exam", "his child will be a decent man", "it is enough to be educated and take precautions in case of a disaster that may occur" and "every medicine may have side effects, according to the prospectus" "I should act according to the information given by my doctor, not the patient."
When the doctor examines the patient, he makes a preliminary diagnosis and considers the worst possible disease in the differential diagnosis. First of all, infectious diseases are considered for the child with fever, but if he sees anything negative in his tests, he asks, "Could it be a case of cancer?" He/she may request further tests with his/her opinion. If the physician performs the latest examinations and treatments by considering the worst possibility, it will create an additional financial and moral burden for both the patient and the state. Just as it is wrong to tell a patient with chest pain at first sight, "Yours is psychological, you are having a panic attack," it is also inappropriate to perform angiography directly on the patient without performing preliminary evaluation tests such as ECG.
Marifet , to take precautions by thinking of the worst possibility, but before considering the positive possibilities It is acting by thinking about things.
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