Anxiety Disorders 焦慮症(英文) | 衛教單張 - 中國醫藥大學附設 ...
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Anxiety Disorders 焦慮症(英文). 2021/12/28. How does anxiety arise? Anxiety is related to external stress and personal vulnerability.
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AnxietyDisorders焦慮症(英文)
2021/12/28
Howdoesanxietyarise?
Anxietyisrelatedtoexternalstressandpersonalvulnerability.Externalstresscanbetiringthatisbeyondtheindividual'sabilitytobear,whiletheindividual'svulnerabilityandthedifferenceintheperceptionofstressorsarelinkedtoheredityandlearningexperience.However,externalpressuredoesnotnecessarilycauseindividualanxiety.Ifaperson'sstressresistanceisverylow,evenasmallamountofstresswillcausetheindividualtohavegreatanxiety.
Briefintroductiontoanxietydisorder
Themainsymptomsoftheanxietydisorderareexcessiveanxiety,worry,fearandavoidance,whichcancausegreatpainanddamagesocialandoccupationalfunctions.Itcanbefurtherdividedintothefollowingillnesses:
Separationanxietydisorder:Anindividualexperiencesexcessivefearoranxietyregardingseparationfrompeopletowhomtheindividualhasastrongemotionalattachment.
Specificphobia:Amarkedfearoranxietyaboutexposuretospecificobjectsorsituations.
Socialanxietydisorder(socialphobia):Palpablefearoranxietyatbeingexposedtoasocialsituationthatcouldbescrutinizedbyothers.
Panicdisorder:Recurrentandunexpectedpanicattacks.Apanicattackisasuddensurgeofintensefearordiscomfortthatpeakswithinminutesandcanevencausefeelingsofimpendingdeath.
Agoraphobia:Markedfearoranxietyaboutcertainsituations.
Generalizedanxietydisorder:Excessiveanxietyandworryaboutmanyeventsoractivities.
Symptomsofanxietydisorders
Physiologicalreactions:bodyfever,palpitations,chesttightness,hyperventilation,gastrointestinaldiscomfort,dizziness,drymouth,muscletension,pain,fatigue,inabilitytoconcentrate,thinkingdisorder,etc.
Cognitiveresponses:Ican'tdoit,Ifeelstupid,peopleoftenpayattentiontome,IfeelI’mgoingtopassout,Ihaveaheartattack,Ican'tbreathe,Idon'twanttogoout,I'mgoingcrazy,etc.
Emotionalreactions:fear,excitement,panic,excessiveworry,insecurity,feelingsofworlddestruction,sadness,lossofcontrol,guilt,anger,depression,etc.
Theimpactofillnessonschool,familyandwork
Academicstudiesareakindofpressureforindividuals,whichwillcauseanxiety,andinturn,anxietywillhaveanegativeimpactonacademicperformance.Peoplewithanxietydisorderscanhavetroubleconcentrating,can'tsitstillandconcentrateontheirbooks,andtheirmemorycanbeaffected.Manypatientssufferfrominsomnia,resultingintirednessanddizzinessduringtheday,andthusthestudyingresultswillcertainlybereducedsignificantly.
Foranxietypatients,somefamilyproblems(e.g.financialproblems,children'seducation)arelikelytobringthemgreatpsychologicalpressure,emotionalanxiety,tension,excessiveanxiety,accompaniedbysomephysicalsymptoms.Attheearlystagesofthepatient'sillness,theirfamilymemberswillbeveryconcernedandpatientenoughtoaccompanythemaroundfortreatment.Afteracertainperiodoftime,failuretoidentifythecausativefactorsmayleadtotheimpatienceoffamilymembers,whomaystarttoalienateandignorethem.Atthispoint,thefamilyatmospherewillfallintoalowebb,andabalanceinthefamilywillbedisrupted,fromwhichnewpressurewillarise.
Workitselfisakindofpressure,theboss'srequirements,performanceneeds,self-expectationsareallthepressuresourcesatwork,allofwhichareenoughtocauseanxiety.Anxietypatients,inseverecases,areoftenunabletoconcentrateontheirworkbecausetheyfeelthattheirwholebodyisnotrightorpainful,rangingfromheadache,dizziness,weaknesstonumbnessofthelimbs.However,theyareoftennotallowedtoabandontheirworkatwill.Asaresult,notonlydoesworkstressaggravatesanxietysymptoms,buttheillnessitselfinturncreatesanewkindofstress.
Treatmentofanxietydisorders
Theprincipleoftreatmentisbasedonthepatient'smainproblems.Thephysician,aftermakingadetaileddiagnosis,decidestotreatthedisorderinawaythatisappropriateforthepatient.Themaintreatmentmethodsareasfollows:
Pharmacotherapy:
Basedonanxiolyticsandantidepressants,thepatientmustfollowtheirdoctor'sinstructionsandneveradjustthedosageorstoptakingitwithoutpermission.Withthedevelopmentofmedicaltechnology,thesideeffectsofthenewgenerationofdrugshavebeengraduallyreduced,despitesomeinsomepatients.Itisimportanttonotethatmostsideeffectsaretemporary.Donotdiscontinueorreducemedicationbecauseofthediscomfortcausedbytemporarysideeffects,asthismaynotachievethetherapeuticeffect.Ifthesideeffectscauseyouconsiderablepain,discusswithyourphysicianandmakeappropriateadjustments.
Psychotherapy:
Reducetheconfusioncausedbyanxietyandexpressthefearofcertainthings.
Grouptherapy:
Getsupportandadvicetoimprovepsychologicaldistressandrestorelifemotivation.
Behavioraltherapy:
Treatanxietythroughsimple,actionabletechniques.
Musclerelaxationtraining:
Improveanxietyandhyperventilation.
Helpyourself
Receiveappropriatediagnosisandtreatmentanddiscussplansforanxietydisorderswithmedicalstaff.
Maintainapositiveattitudeandlearnfromtheexperiencesofothers.
Takepartinactivitiesthatmakeyoufeelcomfortable,relaxyourpaceoflife,talktorelativesandfriends,andadjustyourmood.
Participateinrelevantsupportivegroupsandgarnerassistance.
Understandthetreatmentofanxietydisordersandotherwaysofrehabilitation.
Maintainaregularscheduleandtakepartinleisureactivities.
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