Syndrome of the Panic
The Riot of the Panic habitually if initiates after the 20 years, is equally prevalent between
men and women, therefore, in its majority, the people who have the Panic are young or adult young in the etária band of the 20 to the 40 years and if they find in the fullness of the professional life. Normally they are extremely productive people, they costumam to assume great responsibilities and tasks, are perfeccionistas, very demanding I obtain same and they do not costumam to accept the errors well or unexpected.
The carriers of Panic costumam to have trend the extreme concern with problems of the daily ones, have a good level of creativity, extreme necessity to be in the control of the situation, have high expectations, rigid thought, are competent and trustworthy. Frequently these patients have trend to subestimar its physical necessities.
After the first crises of Panic, during much time the patients if refuse to accept to be about a psicoemocional upheaval. Normally they costumam to be people who do not see themselves sensible to the problems of the emotion, judge themselves perfectly controlled, say that already they had passed for more difficult moments of life without she swims happened to them, at last, are people who until then subestimavam those that they suffered psychic problems.
Psychology of the Panic
Psychologically it is evidenced, in the expressiva majority of the carrying patients of Panic, the existence of intra-psychic conflicts. Some times not even the patients have the clear notion to be living deeply such conflicts, which act, in these cases, more to the unconscious level.
Because, after all, the emotions in this patient determining had unchained the Syndrome of the Panic and not it frank and typical Depression?
Something emotionally similar can happen. Ahead of the tension, of stress, the anguish, the conflicts, or the exaggerated anxiety the people can react differently; some need stimulatons not to react that others, of that they react each one will react to its way.
Hypothetically, being impossible to the human being to live without emotions, we go to imagine that we live tipsy in varied degrees. Thus being, the clinical experience has in the shown one that it will suffer from Panic, as a form of Atypical Depression, all that one that tries to disfarçar its drunkeness with all its forces.
He is therefore that, initially, no patient with Panic if says emotivo, gotten depressed or same living some conflict. As we said, most of the time the carriers of Panic are people extrovert, determined, determined, capable to face adverse, very courageous situations and without antecedents of emotional upheavals.
Despite these characteristics, after the first episode of Panic, normally of enough gravity for attendance in Soon-Aid more, these people become rightened, tense and unsafe. To consider that the extremity badly to be for which they had passed has had purely emotional origin is the last thing that believes.
Attacks of the Panic
The crises if reveal for acute and intense anxiety, extreme
discomfort, vegetative
symptoms -; it sees listaabaixo associates and bad fear of something to happen suddenly, as for example of the imminent death, to pass badly, to faint, to lose the control, etc. The crises of anxiety in the Panic last minutes and costumam to be unexpected, that is, do not follow situations special, being able to surprise the patient in varied occasions. Not obstante, some patients exist who develop the episode of panic ahead of determined daily pay-known situations, as for example, directing automobiles, ahead of great multitude, inside of banks, etc. In this in case that we say that the Riot of the Panic is folloied of Agoraphobia.
A time that the Attacks of Panic occur in diverse pictures of Anxiety, the text and the set of criteria for an Attack of Panic is offered separately in this section.
The essential characteristic of an Attack of Panic is a distinct period of intense fear or discomfort folloied for at least 4 of 13 cited physical symptoms below.
The attack has a sudden beginning and increases quickly, reaching a peak in general in 10 minutes folloied by a feeling of danger or imminent catastrophe and a yearning for escaping. The 13 physical symptoms are the following ones:
1 - palpitations,
2 - sudorese,
3 - tremors or abalos,
4 - sensations of air lack or sufocamento,
5 - asphyxia sensation,
6 - pain or torácico discomfort,
7 - nausea or abdominal discomfort,
8 - giddiness or vertigo,
9 - sensation of not being it (e) same (),
10 - fear to lose the control or “to go crazy”,
11 - fear to die,
12 - formigamentos e
13 - calafrios or waves of heat.
The attacks that satisfy all the too much criteria but have less than 4 physical symptoms are called attacks with limited symptoms.
The individuals that generally search the medical cares for unexpected Attacks of Panic describe the fear as intense and tell that they found that they were you give to die, to lose the control, to have a cardiac attack or encefálico vascular accident or “to go crazy”. They also cite, generally, a urgent desire to run away from where she wants that the attack is occurring.
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sumarry by Carlos Iafelice Junior - Brasil, SP