Helping someone with panic disorders |
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Posted Date: 6/30/2009 |
Blog by: poost |
Viewed: 97
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Category: Mental Health Disorders » Anxiety - Panic Disorders |
Panic disorder also known as panic attacks or hyperventilation syndrome. First we have to recognize the signs of this disorder before we can self limiting. The person is usually in a state of terror, over breathing, complaining of chest pain and often feeling that he is dying. These can be confirmed by provoking these symptoms by voluntary over breathing which are then relieved by breathing from a paper bag. Organic causes must be eliminated on a positive psychiatric history should be established that is a history of recent stress, conflict or background of chronic difficulty. For such a persons, psychotherapy should be arranged in which counseling should be done and help such a person. These attacks may be a part of a specific syndrome ex: agoraphobia or may occur on their own. They frequently present as medical emergencies and are usually during counseling, the following factors should be explored along with the specific person.
First the nature of the current external threat, this may be obvious such as major illness in the person or a close relative. The threat on the other hand appears as trivial or normal as an adolescent leaving home or a family holiday. For anxiously attached individuals these can be major hurdles.
Then comes the relationship to attachment figures, past and present. A pattern of anxious attachment in childhood now repeated in relationship to spouse or children is found. Next comes the internal threat. These person often experience an inner conflict between their and for dependency and their feelings about those o whom they depend. The person is threatened not so much by external circumstances as by himself. He is frightened by his own inner impulses that are aggressive feelings or the wish for independence and autonomy.
Then comes the relaxation therapy in which massage and relaxation can be effective in relieving mild to moderate panic attacks. Such an approach uses an elaborate system of exercises design to bring about relaxation of individuals groups of skeletal muscles and to regulate breathing. A further development is panic management training which involves two stages. In the first stage, verbal cues and mental imaginary are used to arouse panic symptoms. In the second stage, the person is trained to reduce this panic by relaxation, destruction and reassuring self statements. Both these approaches are forms of behavior therapy. A variety of such treatments include desensitization, flooding and programmed practice are used in the management of panic disorder. Non-behavioral treatments include individual and group based psychotherapy. From the outset, it is important not to become embroiled in arguments concerning causation with these persons. It is foolish to tell these people that there is nothing wrong with them when clearly there is although there is no established physical pathology. Management consists of appropriate reassurance that no serious disease has been uncovered together with a sensitive exploration of possible social difficulties. These factors may play an aggravating or perpetuating role in the panic disorder. Repeated investigation should be discouraged and medication avoided. It is vital that all important family members should be encouraged to adapt to person’s problems. And last of all, the choice remain the drugs namely benzodiazepines. These are diazepam, oxazepam and are mere suitable as anti anxiety than as hypnotic drugs. However tolerance can occur repeated doses and can lead to an escalation of dosage. These are very effective in controlling and reducing symptoms such as palpitations, tremors.
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