Panic Disorder and Its Treatment

One day you feel like everything is going normal; For example, when you are having a pleasant time with your friends or family and you do not understand why, your heart starts to beat, you start sweating or shaking intensely, you feel chest, abdominal pain, shortness of breath, dizziness, you have difficulty standing, you even think that you are disconnected from reality and you feel like you are heartbroken. You may have a moment when you experience symptoms that make you feel like you are having a crisis. When you went to the hospital, you may have been given a sedative with the help of serum or injection, or you may have tried to get over it while you were alone at home. After this incident, you may have gone to the doctor and been told that there was nothing wrong with your physical health and that you may have had an attack. In the story so far, we are talking about apanic attack phase.

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You may have experienced this sequence of events that you experienced and could not make sense of, at a time when you could not make sense of it. This time, you may have gone to the doctor very confidently and said, "I definitely have a heart problem or something else," and you may have asked different doctors for help with tests. Then, as you continue to experience attacks, you may have felt tense and anxious in the period between attacks, and waited uneasily for the next attack to come. We call this situationanticipatory anxiety. Because you wait without knowing where or when it will happen, your fears of having a heart attack, being paralyzed, dying or "going crazy" may have increased. While experiencing these fears, you also feel deeply sad about the results you may achieve and wonder, "What will my loved ones do if I die?" or “What if something happens to me or I commit suicide?” You may have started to experience your sadness even more intensely with thoughts like these. After all this sadness, you may have started to change your daily activities and habits and started to look for other ways to feel better and get rid of these thoughts. For example; Wanting to have someone with you at home at all times, keeping yourself away from sharp tools, creating an emergency number for yourself, engaging in activities that actually make you happy but that you find tiring after these experiences. You may have started to avoid activities (such as exercising). After this entire process, we can talk about a panic disorder. Panic disorder can be seen with agoraphobia or can be experienced alone.

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On the other hand, you may have experienced these experiences only in one area. For example, you may have constantly avoided crowded places with the fear that the panic attack will come again and that no one will be able to help you and that it will be difficult for you to escape and escape. We call this situationagoraphobia. Although there are panic periods that usually accompany agoraphobia, agoraphobia can also occur alone.

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Treatment is as follows: Panic disorder is a general anxiety disorder. ) disorder. Since anxiety is an emotion, emotions are mostly studied through cognitive behavioral therapy. The aim of cognitive behavioral therapy is to enable the person to engage in positive emotions, thoughts and behaviors by working with triggering event, thought, emotion and behavior methods. The process proceeds as follows: After the person comes to our sessions and the situation is defined, detailed personality tests and clinical observation interviews are conducted. Afterwards, such triggering events, thoughts and emotions are first addressed and the behavior is reduced or extinguished. However, some situations may have arisen for a more traumatic reason. In this case, the EMDR (Eye Movement Desensitization and Reprocessing) technique, which we have seen to provide many solutions in the past, is used. Although this technique is similar to cognitive behavioral therapy, EMDR technique goes back to the past, negative thoughts are changed and appropriate emotions and behaviors emerge. However, if there are family points or some past schemas (past behavioral patterns) that trigger this, support is given with schema therapy. On the other hand, if these concerns cause many disorders such as sleep, appetite, and functional impairment, psychiatric referral can also be made. However, in today's psychology literature, a lot of progress has been made in anxiety disorders with psychotherapy. this was Please do not hesitate to get support when you encounter Greeks.

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