Panic Disorder

• When you think of panic attacks, what comes to mind is the fear of death. In reality, it's not the fear of death that panics, it's the fear of being killed.

• It's not that I'm going to have a heart attack and die; There is a person who will cause me to have a heart attack and die, someone is making me have a heart attack. But one does not know this consciously, it is known unconsciously.

• Or my mother or father, who will kill me; Should he come and cut me off or should I have a heart attack and die? Let me die myself, don't let it cut me off.

• There are always such events in the stories of these panic attack patients. If someone gets sick. For example, when I ask how long it has been, he says 6 months. What happened 6 months ago? My mother was diagnosed with cancer. Let it be. What does a panic attack have to do with your mother's cancer? Generally, there is a high level of emotional transfer with other people; mother-daughter father-son.

• There are two basic emotions in our brains: aggression and sexuality. For example, we talk in trainings, it is important to be yourself, it is important to express your own feelings. Our brains pay very little attention to them. There are 2 main issues that our brain deals with: 1. Survival, 2. Reproduction. The rest is details for the brain. If he has completed these two emotions, he takes care of the others.

Survival requires food, drink, shelter, and if someone attacks, you will kill him or run away; and you will make love and sleep. Our brain is most concerned with these.

• The cause of a panic attack is the excessive secretion of the hormone adrenaline. If this person is going to kill me, I can do two things; I will either kill him or run away. The third option is that freezing is rarer.

• Adrenaine is needed both to attack and to escape. Amygdala is overheated, fear-panic becomes and adrenaline is released all of a sudden. The task of adrenaline is to make your muscles contract, to overwork the heart and pump blood to the body, to increase my energy, to get less blood to my stomach and intestines, to get more blood to my heart, brain and muscles. The body adjusts it. In order to do these, the heart must beat fast, the heart rate is normally between 60 and 100 beats. Even if these people are sitting, their hearts are beating very fast. When adrenaline rises, blood pressure rises; Our blood pressure is normally around 12/8, but at most 14, it goes up to 18 in these people. . Of course, the person does not know that the blood pressure is rising at that moment, he feels some of its symptoms, for example, headache, dizziness, weakness. Because adrenaline is secreted, you have to spend this energy. Adrenaline is released and you're running is fine, but if you're sitting it creates symptoms.

• If I'm going to attack someone, I need energy, and I need to burn and break down food for energy. Oxygen is also needed to burn and break down food. When adrenaline is released in these people, although the oxygen level in the blood is normal, an air hunger begins and breathing is frequent. You see that fear and panic, there is rapid breathing and he feels palpitations. He feels short of breath even though he is breathing fast. The increase in oxygen in the blood has another effect: hypocalcemia. There is a drop in the level of calcium in the blood. In reality, the total calcium does not decrease, the free calcium level decreases. The importance of this is that if the calcium is low, the front lungs become numb and contractions begin in the hands.

• The reason I'm telling you all this is that if you have a panic attack during the session, don't panic, that's how it is. Sit down and drink your tea while the other person is having a panic attack, because if you panic, he will panic even more. The client needs to see your comfort. You will inform the attacker and explain this information. The anatomy of the body and hand numbness when breathing rapidly are explained in detail.

• Excessive adrenaline level causes hyperactivity and they say I'm losing my mind, I'm going crazy. Even just explaining them calmly will make them understand.

• Blood pressure can rise or fall. If the fear is moderate, the blood pressure will rise, but if the person is weak and the fear is too great, the blood pressure may decrease. Because if you run, you will be caught, if you attack, you may die, what are you doing?

• During a panic attack, there is a very high fever in the amygdala. Fear is the most common emotion that causes amygdala fire. Every emotion fires the amygdala, the most intense one is fear. The client came to the session and explained 3 different situations: Something like this happened and I was happy, something like that happened, I got angry, something like that and I was scared. We give priority to fear, because it is an intense emotion, start with the one that fires the brain most intensely.

• When there is a feeling of fear, the amygdala fires, and if the amygdala fires too much, it blocks the cortex. What we call the frontal cortex is the part behind our forehead that thinks and analyzes. If there is too much emotion, that place is closed. One cannot analyze. The effect of this is that if you give this information to someone who is having a panic attack, it doesn't work because they can't hear you. For this reason, you will not try to get someone out of a panic attack; The more you try to remove it, the more it sticks. It's out if we define what he's doing. Saying that you are afraid of something right now and you are panicking is more useful. If you say relax, it won't work.

• A person who has a panic attack may have an attack and digest it, and their attacks may decrease, go away on their own, or vice versa; it becomes a road, it absorbs moisture from the air and can attack everything.

• The first reason for the panic attack is the fear of being killed, and the second reason is the modeling of the caregiver who is panicked. His mother had surgery and died. If she didn't break up with her mother, she thinks she will die when she has the surgery. The reason for this is the fear of oedipal death and the panic of the caregiver that the preoedipal does not dissociate; Her mother is also panicked. Then we will investigate both.

• 1. Who is the caretaker who empowers, oppresses, and kills this person? 2. Who of this person's caregivers is hyperactive? There's the one who killed him, and there's the one he modeled. If you have both, you need to study them separately. Who are the important figures in your childhood? There are 4-5 people. Anyone who is excited, fidgety, perfectionist, panicky should work with them. Differentiation rather than genetics should be studied.

• Sometimes the children want to continue the mother's destiny, or the mother demands it. Let's say my childhood was bad; poverty, I could not find bread. My child became a principal somewhere, but unconsciously, the mother wants her child to be poor and suffer the same fate. After a while, the child does not use his full potential and goes down. If he can earn 15,000 TL, he will accept 1000 TL.

• You ask the client who was excited and panicked in their childhood, and find out how he put this panic on him. For example, the child is sitting calmly, the mother says, my daughter, move quickly. run over here. It always gives him a feeling, enthusiasm. You will notice this and make him realize it; part of your mother has to do with it. Then we give exercises about it. “the feeling of panic is my mother's feeling, the feeling of calm is my feeling. My mother is someone else, I am someone else" is our most important sentence.

• For example, you're on the road, you see a dog, it's normal to feel panic there, it's a real thing. but if there is no real risk it is not normal for you to feel panic, you will be comfortable. We make the client realize this. In another example, the client goes to get water, but in such a fidgety and excited way. Or garbage falls on the ground and picks it up immediately. “you can act slower”She needs to move more calmly and comfortably.

She should start behaving differently from the caregiver she is modeling. In the client's brain, there are ego parts-parts of self that will try to separate from the caregiver he modeled and teach him. One part says do it hastily, another part says do it slowly. We teach that this emotion is not his own, but his mother's, and that his own emotion is different. Thus, our brain also learns to distinguish emotions. Wishing you continued healing.. Best regards

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