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Panic Attacks and Panic Disorder: Symptoms & signs

July 19, 2010  by: TooHow  Points: 15   Category: Health    Views: 2270

Panic Attacks and Panic Disorder: Symptoms & signs. Research shows that approximately 4% of the Dutch, sooner or later faced with a panic disorder. This often develops at the end of adolescence to about the 35th year of life measures. More women than men develop an anxiety disorder. Main feature of a panic disorder is to have recurrent, unexpected panic attacks. This frightening experience, often leads to fear street.


Panic attack and panic disorder: symptoms, signs & characteristics.
Panic Attacks and Panic Disorder Classification Rule

* General: the main features of anxiety
* What is a panic attack?
* The diagnostic characteristics of a panic attack (
* The diagnostic features of panic disorder
* The cause of panic disorder
* The treatment of panic disorder

General: the main features of anxiety
We give below only a summary of the main features of general anxiety (1).

Physical / physical characteristics of anxiety

* A feeling of restlessness, nervousness, nervous, and nervous;
* Shaking or trembling of the hands or limbs;
* Sweaty hands, sweaty palms;
* Feeling a tight band around the forehead;
* Sweating, sweating;
* Stuffy or discomfort in chest or stomach;
* Light-headedness, fainting burden;
* Difficulty with speech, stammer;
* Dry mouth or throat, sticky mouth;
* Difficulty breathing;
* Shortness of breath or shallow breathing;
* Biiberige or trembling voice;
* Pounding or very fast heartbeat;
* Cold fingers or limbs;
* Weakness or numbness;
* Dizziness;
* Difficulty swallowing;
* A 'lump in the throat;
* Stiff or stiff neck or back;
* Feeling of choking, or gasping for breath;
* Cold, clammy hands;
* Tingling in hands or feet or numbness
* Nausea and stomach complaints;
* Suddenly very hot or cold;
* Frequent urination, more small pools;
* Sense heat;
* Diarrhea, loose stools;
* Annoyed or irritated.

Cognitive features of anxiety

* Somewhere (continued) worry about, worry;
* Nagging and nagging (latent) sense of anxiety or fear for the future;
* Constantly working with physical stimuli (preoccupation with physical sensations);
* Very aware of bodily sensations;
* Feel threatened by people or situations that would normally not threaten;
* Fear of losing control, like the control stick;
* Fear of losing control over the body, especially the bladder or intestines (sphincter), so that no inadvertent loss of urine and faeces;
* Fear that it is not coping with their own problems;
* Believe the world is about to collapse and that things tend to go out of hand;
* Erlkaar follows events in the perception quickly so they think they cannot be solved or handled;
* Worry about every detail, however small;
* Every time the same disturbing thoughts;
* Afraid to faint in some places, which can grasp gedahcte post that these places should be avoided;
* Confused and incoherent thoughts;
* Unable to recurrent thoughts (concerns) to set themselves off;
* Think that a severe illness or disease or will die, even though the doctor says that nothing is wrong;
* Fear of abandonment and to be alone (back) continuing;
* Difficulty concentrating on one specific task or activity, difficulty sustaining attention to focus on something.

Behavioral Characteristics of anxiety

* Avoiding behavior / behavioral avoidance;
* Clinging to the partner or other person's dependent behavior;
* Agitation, irritated.

What is a panic attack?
The word 'panic' is sometimes easily in the mouth. During a real panic attack - sometimes anxiety attack - is the fear so great that it almost unbearable. A panic attack is a very frightening experience. Some people feel mad or die, they want escape, are heavy sweating, and gasping for breath and feel suffocating. Panic or anxiety attacks are a hallmark of what is called a panic disorder. Panic attacks occur in several anxiety disorders, such as social phobia, posttraumatic stress disorder (PTSD), etc.

The diagnostic characteristics of a panic attack (DSM-IV)
A panic attack is characterized by a period of intense fear or anxiety, at least four of the following 13 somatic or cognitive symptoms and within 10 minutes peak:

1. Palpitations, pounding heart, or abnormally fast heartbeat;
2. Sweating / sweating;
3. Trembling or shaking;
4. Shortness of breath or a sense of suffocation;
5. Gasp;
6. Pain or discomfort in the chest;
7. Nausea or other signs of abnormal complaints;
8. Feeling of dizziness, staggering, light-headedness, fainting;
9. Derealization (feelings of unreality) and depersonalization (detachment from oneself);
10. The feeling of losing control or going crazy;
11. The fear of dying;
12. Numbness or feeling tone lent;
13. Chills or hot feeling. (2)

The attack, which reached a peak after about 10-15 minutes, often lasts no longer than several minutes.

The diagnostic features of panic disorder (DSM-IV)
For the diagnosis of panic disorder, a person suffering from recurrent, unexpected panic attacks and at least one of the attacks must be followed by one of the following events:

1. At least one month continuously worried and anxious for the next panic attack;
2. Anxiety regarding the possible implications or consequences of panic attacks (eg the fear of a heart attack or by turning);
3. A significant change in behavior - related to the attack (for example, refuse to do your shopping in the store for fear of an attack to get) (3).

If people start avoiding certain situations or to restrict their activities, this can lead to agoraphobia, or fear street. Agoraphobia is the excessive fear in public spaces where people are hard to escape and where help is unavailable.

The cause of panic disorder
Nowadays it is assumed that panic disorder based on a combination of cognitive factored (anxiety sensitivity) and biological factors (predisposition to panic disorder), false attributions (false perceptions of lichamelijkie sensations) and physiological responses. In people predisposed to panic, often begins with a misunderstanding of the underlying causes, such internal sensations such as palpitations as a sign of an impending heart attack. This thought leads to more physical symptoms, which again reinforces the fearful thoughts. So the person ends up in a downward spiral which could develop into a real panic attack.

The treatment of panic disorder
Typically, a panic disorder treated with anxiety and panic inhibitory medication and cognitive behavioral therapy. In therapy, people learn their anxiety and panic attacks get easier to handle and they relaxed classified exercises that will allow deopgelopen physically reduce tension. Also, people using breathing training techniques in order to get handed the normal CO2 levels in the blood to recover. They also learn that there is a relationship between exhaling too much CO2 and cardiovascular sensations and perceptions. Furthermore, a sound, rational thinking taught so many bodily sensations on a non-catastrophic, soothing manner explained. In this way include panic attacks eventually to the past.


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