Anxiety disorders clinic. Anxiety disorder. How people cope with pathological anxiety

The surrounding reality fills a person’s life not only with joys, but also with difficulties, which he is not always able to cope with. The consequences of problems affect both physical health, and on the mental. Neuroses, psychosomatic disorders and other conditions classified as deviations from the norm lie in wait for many healthy people. Consulting a psychologist will help you cope.

Consultation with a family psychologist at the Mosmed clinic

Clinical (medical) psychology is a field of psychological science that examines the relationship between diseases and mental phenomena. She uses psychotherapy to treat various pathologies. Exists a large number of directions and methods of psychotherapy, for example, Gestalt therapy, body-oriented therapy and other types. Possible effective work both with one patient and with several at the same time. It's no secret that crises can arise in every family from time to time. A consultation with a family psychologist will help you achieve mutual understanding and maintain relationships. At the Mosmed clinic, specialists with medical education capable of recognizing causes feeling unwell patients. Clinical psychology uses various psychotherapeutic techniques to solve both individual and family problems, to overcome personal crises that are accompanied by a deterioration in a person’s physical condition.

When is a consultation with a psychologist needed? Who is indicated for individual consultation with a psychologist?

Personal approach coupled with many years of experience and good education specialists ensure successful treatment results. Each patient's medical history is individual. It is important not to be ignored important little things and thoroughly understand the causes of the problem. Every specialist at the Mosmed clinic, including psychologists, has this attitude towards their work. Consultation (Moscow) must be received on time: the sooner treatment begins, the sooner recovery will occur. In the interests of out-of-town patients, as well as for the convenience of everyone undergoing treatment at the clinic, the possibility of consultations via Skype is provided. You can contact your doctor and get his recommendations without leaving your home. An individual consultation with a psychologist via Skype may be necessary during a busy work schedule or when you are away. Make an appointment with a psychologist! Consultation (Moscow, or rather its residents have already appreciated the benefits) will help you untangle the resulting tangle of problems and improve your quality of life. Be healthy!

Anxiety disorder crosses out plans for life and does not allow you to take a sober look at the real state of affairs. A person, like a squirrel in a wheel, is constantly fixated on little things - from a forgotten light in the corridor to worries about gifts for the birthday. New Year. Being under constant pressure from fears and worries, such people stop enjoying life, become depressed and often project unfounded fears onto loved ones.

Pathological anxiety lasts a long time and at some point becomes unbearable. It is impossible for a person with an anxiety disorder to relax even on a warm beach, not to mention an evening relaxation with his family. Work efficiency decreases, relationships with relatives become tense, friends stop answering calls. However, many of the problems that a mental disorder brings with it are easily compensated for quick treatment diseases.

Treatment for generalized anxiety disorder begins with diagnosis. The diagnosis is made by a psychiatrist or psychotherapist if pathological anxiety persists for 6 months. Treatment of anxiety disorder is a feasible task for a psychotherapist, who, in the presence of depression and related mental disorders will prescribe medication (maintenance) therapy.

Generalized anxiety disorder is usually accompanied by physical discomfort, headache, rapid heartbeat and excessive sweating. This condition can occur anywhere and make you worry about your health. In addition, insomnia and other sleep disorders that directly affect overall well-being and concentration are frequent accompaniments of anxiety disorders. Therefore, we advise you not to delay contacting a doctor at the first signs of an anxiety disorder.

Test: "Spielberger Anxiety Scale"

Read each of the sentences given carefully and choose an answer based on how you usually feel.

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Number of questions in the test: 20

Clinic doctor on treatment of anxiety disorder

Service		Price
Psychiatrist appointment	Sign up	3,500 rub.
Appointment with a psychotherapist	Sign up	3,500 rub.
Hypnotherapy	Sign up	6,000 rub.
Calling a doctor to your home	Sign up	3,500 rub.
Treatment in hospital	Sign up	RUB 5,900

Causes of generalized disorder

Young people are most susceptible to this disease. The risk group includes young people aged 20–30 years with an alarming type of character accentuation, who are subject to negative influence of various nature, stressful situations.

The formation and development of an anxious personality type occurs in early childhood, school and adolescence. Such people are unsure of themselves and lack initiative. They are afraid of making a mistake, they have heightened feeling fear and causeless anxiety. They are constantly haunted by various phobias.

If such people are exposed to factors that can traumatize the psyche, then there is a high possibility of developing an anxiety disorder. This can be either neurosis or GAD, which is one of the most severe manifestations.

The disease can be caused by:

Persistent stressful situation. This situation is usually associated with death loved one. People are not ready for death, so this fact causes deep stress, sometimes lasting for a very long time. Stress can be caused by troubles at work, demotion, staff reduction, or dismissal.
Prerequisites of hereditary nature. If there are (were) people in the family who are prone to nervous disorders, anxiety, prone to depression, then there is a high probability that this type nervous system can be inherited.
Emotional trauma. IN childhood the development of the disease occurs against the background of frequent punishment, injustice, despotism on the part of parents, and strict upbringing. For people who experienced the death of relatives in childhood, this situation can provoke anxiety and worries in adulthood. Lack of parental love and care in childhood can lead to the development of a disease such as basal anxiety. It is characterized by helplessness, loneliness, a feeling of uselessness and lack of demand, on the basis of which various inferiority complexes develop.
Diseases associated with nervous system disorders.

GAD can arise and develop in completely healthy person prone to nervous diseases, as well as in those people who are susceptible to the disease at the genetic level. Absolute prerequisites Medicine cannot name the ones that cause GAD. Absolutely, the main reasons cannot be only the presence stressful situation, as well as the presence of physical or emotional injuries.

Symptoms of generalized anxiety disorder

The sense of self-preservation, which is based on justified excitement, helps people to be more attentive and careful. This indicator increases the chances of survival in this complex world, full of dangers.

However, if such fears and anxiety arise constantly and without cause, then such a condition can be confidently classified as pathological. It interferes with normal existence in the social environment and in everyday life.

Symptoms of generalized anxiety disorder:

Long period (several weeks or months) manifestations of symptoms, expressed in feelings of fear, excitement, nervous tension and anxiety. Usually, after six months of constant observation of these symptoms, one can confidently state the disease.
No reason. Symptoms of anxiety occur without a specific reason in a normal environment and in a calm situation.
Strong character. A person gets worried in any life situation, the slightest deviation from the usual rhythm of life causes fear and panic.
Muscle tension and pain, expressed in hypertonicity of the limbs, trembling and tremor. Pain in the head can be characterized as a “muscle helmet”, which, like a vice, compresses the temples and the back of the head. Diagnosing muscle weakness is less common but can lead to complete loss mobility of hands and feet.
Emotional disorders. Feelings of anxiety, fear and panic are uncontrollable and have no justifiable reasons. The patient may feel restless after he has had a good rest and sleep.
Pathological processes autonomic system . Violations are expressed in increased sweating, dry mouth, angina attacks. Anxiety may be accompanied by dizziness, fainting and loss of consciousness. The patient may feel a feeling of tightness in the chest, lack of air, pain when breathing, visual and hearing disturbances;
Insomnia and sleep disturbance. At generalized disorder Patients have trouble falling asleep and are haunted by nightmares that force them to wake up in a cold sweat. Sleep is characterized by incoherent dreams, after which patients feel tired, irritable and anxious.

In generalized disorder there is deterioration general condition patient. Often with GAD, patients believe that the reasons for their fears and anxiety state lie in somatic illness. They complain of lethargy and general weakness, painful sensations in the abdomen, heaviness and compression in the chest and other negative sensations.

Diagnosis of GAD

In order to establish an accurate diagnosis of GAD, symptoms expressed as persistent unreasonable fear and anxiety should persist steadily for many weeks or months on end.

A diagnosis of GAD can be made when:

Uncontrollable fear and anxiety;
Muscle tension (tremor of limbs, trembling, fussiness);
Manifestations of autonomic disorders ( profuse sweating, rapid breathing and pulse, dizziness, fainting and others).

Note! Generalized anxiety disorder affects 3 to 5% of the country's population. Before making a diagnosis, doctors at our clinic conduct testing and other studies, based on which they exclude the possibility of developing other diseases, for example, neurasthenia, which has similar symptoms.

At the first appointment, our specialists usually determine the extent of the disease. And only after this, the psychiatrist prescribes a course of psychotherapy and selects individually for each patient medicinal method traditional therapy.

In our clinic we provide the following therapy using medications:

As first aid, our specialists use medicines, such as phenazepam and similar benzodiazepine tranquilizers. We do it step by step. We usually prescribe a course of treatment with tranquilizers for two months or more short term. A longer period may lead to the development of drug dependence.
During periods of sleep disturbance, our doctors prescribe Ivadal and similar drugs that help normalize sleep at night.
If the patient experiences fear and anxiety, and at the same time he has bright severe symptoms depression, then in our clinic the patient is usually prescribed the use of Zoloft, Paxil and the like medications, as well as tranquilizers. Only with this combination will the treatment be most effective.

Treatment of Anxiety Disorder for anxiety, we treat with taralen, tizercin and other drugs belonging to the group of neuroleptics. For each specific case and each specific patient, we select individual techniques.

Once again, we draw your attention to the fact that we first establish an accurate diagnosis, thoroughly study, check and test the patient’s condition. And only after that we confirm the diagnosis.

To treat GAD in our clinic, we also give preference to psychotherapeutic methods: cognitive-behavioral, short-term psychodynamic, autogenic training, and biofeedback (BF) methods.

The advantages of biofeedback are the identification of the internal forces of the body. The patient learns to control himself, his behavior, to free himself from anxiety, worry and fear.

Psychotherapy methods are also selected for each patient individually, based on the diagnosis.

Phobia, generalized anxiety disorder. The symptoms and treatment of these disorders have similarities and differences. With phobias, fear at the sight of the object of fear (or the thought of it); During a panic attack, the anxiety is intense and short-lived. With GAD, anxiety is usually not associated with a specific subject, extends to almost everything and is constantly present.

A psychotherapist is involved in the treatment and rehabilitation of patients with generalized anxiety disorder.

Can Anxiety Disorder Be Cured Permanently? If we are talking about neurosis, then this is a functional, completely reversible condition. The doctor must make sure that the patient has neurosis and exclude organic and endogenous causes. The first include metabolic disorders, hormonal disorders, neurological disorders. Endogenous diseases are characterized by signs that can be identified by a psychotherapist and a clinical psychologist. .

Is it possible to cure anxiety neurosis without drugs, non-medicated? The drugs effectively relieve (remove) acute, strong manifestations - anxiety, low mood, sleep problems. But it is non-drug methods that help fight the cause of the disorder.

How to cure anxiety disorder? Treatment standards for GAD include:

Drug correction of symptoms.
Individual psychotherapy.
Biofeedback therapy.

Psychotherapeutic techniques for treating anxiety disorders

The doctor begins drug treatment simultaneously with psychotherapy anxiety disorders. He prescribes medications with the patient’s consent and always individually - depending on clinical picture(symptoms), age, gender, other human diseases.

Pharmacotherapy includes:

modern antidepressants- normalize mood, relieve apathy, irritability, anxiety, emotional stress; they are as effective as drugs of the previous generation, but are better tolerated and rarely cause side effects;
anxiolytics (anti-anxiety)- dock acute attacks anxiety;
sedatives (calming)- relax a person, normalize mild sleep problems.

When treating generalized anxiety disorder in adults, you cannot do without a course individual psychotherapy. GAD is a neurosis, and its cause is often a long-standing conflict, a psychological problem. If you do not solve it, the disease will return again and again.

One of the most common methods is cognitive behavioral therapy. The therapist helps the patient identify thoughts that cause anxiety and negative emotions, actions that a person performs “automatically”. The patient learns to change them to positive, constructive ones. This way a person gets rid of thoughts that provoke an anxiety disorder. How to treat this condition in a particular case is always decided by the doctor - he creates a plan individually.

The nervous system resists stress for a long time and finds resources to “withstand the blow.” If it malfunctions or becomes exhausted, be prepared - it will take a long time to restore it.

At the maintenance stage of treatment (there are practically no symptoms or they can only be identified by a doctor), the patient continues to work with psychological problems. A group form of work is possible - group members share emotional experiences and cope with them together, learn to solve communication problems, if any.

For anxiety disorder, treatment without antidepressants includes another modern methodology - biofeedback therapy (BFB therapy). Specialist with help computer program and sensors teaches a person to control the basic physiological parameters of the body - breathing rate, heartbeat, muscle tone, blood pressure level.

Autonomic reactions (heart beat faster, sweating, difficulty breathing) always accompany and intensify anxiety. Therefore, learning to control them is a necessary step towards defeating the disorder. A person can then consciously apply relaxation skills in difficult situations and not be afraid of losing control of himself.

If a person suffers from an anxiety disorder, long rest, vitamin therapy, and self-prescription are unlikely to help. Without qualified medical care symptoms may get worse. It is better to consult a psychotherapist so that after complex diagnostics and treatment return to full life, work, communication with loved ones.

Fear and anxiety are not only sources of human suffering, but also an important adaptation factor. The role of anxiety is that it indicates emergency and threatening changes in the surrounding world, keeps a person prepared in case a potential threat arises. Moderate anxiety is a normal human emotion that all of us have probably experienced. But if anxiety becomes constant severe stress and prevents a person from leading a normal lifestyle, we can talk about mental illness.

Anxiety disorders is a group of diseases of the nervous system that manifest themselves in the form of a persistent feeling of anxiety that occurs for unimportant reasons or in the absence of such reasons. Painful condition anxiety is an exaggerated reaction that does not correspond to the degree of threat, even if it is present. In other words, a person may feel severe anxiety that prevents him from living normally, without any reason.

Types of Anxiety Disorders

The most common types of anxiety disorders include:

Generalized anxiety disorder, in which a person exaggerates the significance of current events and worries too much about his family, health, work, financial well-being and so on. This condition has nothing to do with specific life events.
At phobias anxiety occurs in response to a stimulus and causes an avoidance response. For example, simple phobias include fear of the dark, thunderstorms, heights, etc., social phobia is associated with the avoidance of situations that could make a person an object close attention others, and agoraphobia is the fear of being away from home, on public transport and in crowded places.
Obsessive-compulsive disorder occurs with the participation of an obsessive and forced component. A person is tormented by annoying and repetitive ideas that cause repeated stereotypical actions. For example, frequent ritual actions of this kind - repeated hand washing, constant double-checking, fears that something important is missed.
Reactive form of anxiety disorders associated with an excessive, inappropriate or painful reaction to any life event. The reason for the development of such a disorder may be problems in family life, at work, when communicating with others.
Combination of anxiety and depression. The manifestations of anxiety disorder and depression are very similar and often overlap. Depression can make anxiety worse and vice versa.

All anxiety disorders may be accompanied by panic attacks– attacks (lasting from several minutes to several hours) of horror and severe, almost uncontrollable anxiety.

Causes of anxiety disorders

Scientists have not yet established the exact cause of anxiety disorder. According to one version, the development of this disease is associated with disturbances in the activity of certain parts of the brain. Serious psychological trauma and stress in the past, frequent overwork and unhealthy lifestyle, illness internal organs, including cardiovascular and endocrine ones, can also lead to the development of increased anxiety.

Considering the high speed of today's life and daily psychological stress modern man, we can say that almost all of us have reasons for the development of anxiety disorders.

Symptoms of Anxiety Disorders

In addition to the persistent feeling of anxiety, which is the main symptom of this condition, anxiety disorder can also manifest itself:

timidity, fussiness;
fear of imaginary situations;
impatience;
impaired concentration, decreased mental abilities, memory impairment;
feeling DC voltage, inability to relax;
increased fatigue;
irritability, tearfulness, frequent changes mood;
feeling of a “lump in the throat”, difficulty swallowing;
hot flashes, sweating, wet palms;
a feeling of lack of oxygen, a sudden need to take a deep breath or, conversely, an inability to take a deep breath;
frequent heartbeat, dizziness, darkening of the eyes;
nausea, pain in the epigastric region or around the navel, chest pain, diarrhea;
feeling muscle tension, pain in the muscles of the neck, back, lower back;
sleep disorders, insomnia, nightmares.

If you have any of these symptoms, you should consult a doctor.

Treatment of Anxiety Disorders

In some cases, anxiety disorder long time remains undetected and mimics other diseases. For example, the feeling of a “lump in the throat” allows one to suspect a disease thyroid gland, lack of oxygen - asthma, etc. Patients can be treated for a long time and unsuccessfully by doctors of various specializations, not suspecting that first of all they need the help of a psychotherapist.

Treatment for anxiety disorders includes psychotherapy and medicines to reduce anxiety levels. Cognitive behavioral therapy is effective in identifying and challenging negative thought patterns that fuel anxiety—in other words, changing the way people think and behave that are causing their anxiety.

Treating anxiety may also require diet, lifestyle changes, and relaxation therapy, a type of therapy that involves teaching the patient to relax the muscles in the body.

Come to ON CLINIC - they work for us best doctors! We will help you find a way out of any difficult life situation!

Cost of services

Name of service	price, rub.
Primary consultation with a psychotherapist, 30 minutes (1 hour)	2300 (4300)
Appointment with a psychotherapist, head of the department (30 min)	4800
Appointment with a candidate psychotherapist medical sciences primary, advisory (30 minutes)	3200
Repeated appointment with a psychotherapist (for correction drug therapy)	2800
Repeated appointment, therapeutic (1 hour)	5800
Repeated, therapeutic appointment with a psychotherapist (1.5 hours)	7800
Individual session (1 hour)	15 000
Group (family) psychotherapy, primary consultation(1 hour)	6300
Group (family) session (1.5 hours)	20 000

There are several types of anxiety disorders.

Generalized anxiety disorder

The patient suffers from constant unjustified or exaggerated fears and worries about his family, health, work or material well-being. This disorder occurs independently of a specific life event and is thus not reactive.

Phobias

In this case, anxiety is associated with certain situations (situational anxiety that occurs in response to the presentation of a stimulus) and is accompanied by an avoidance reaction.

There are three types of phobias:

Simple phobias
Social phobia
Agoraphobia

TO simple phobias This includes fear of snakes, spiders, darkness, thunderstorms, heights, etc. Because of simple phobias, patients, as a rule, do not consult a doctor; treatment is usually not required.

Patient with social anxiety constantly fears situations that could make him the object of close attention from others. He tries to avoid any actions that could put him in a humiliating or funny position. A person gets this feeling in crowded places. The difficulties that people with social anxiety experience have a significant impact on their personal and professional lives.

At agoraphobia patients avoid being away from home, in crowded places, in unfamiliar rooms; It is especially difficult for them to endure underground transport - the metro. Patients with agoraphobia fear the occurrence of panic attack, are afraid of fainting or simply losing composure in the indicated places. They come to the doctor accompanied by relatives, their social activity is sharply limited due to the inability to be outside the home.

Obsessive-compulsive disorder

This type of disorder includes an obsessive and compulsive component. The obsessive component is characterized by a predominance of intrusive, repetitive ideas that the patient is unable to suppress. Among such ideas, the most typical is the fear of pollution, accompanied by constant doubt. The forced component is repeated stereotypic actions performed by the patient in response to an obsession. Such actions have the nature of a ritual aimed at neutralizing an obsession. The most common ritual actions are repeated hand washing, various kinds of double-checks, exaggerated accuracy, and the desire to count.

Reactive forms of anxiety disorders

This form of anxiety disorders is “tied” to a specific stressful situation in family life, social or professional activity. In other words, it is an excessive, inappropriate or painful reaction to some life event. In some cases, reactive anxiety disorder may be a consequence of concerns about health or be associated with serious illnesses. Reactive anxiety disorder has been described as a response to acute stress - post-traumatic stress disorder. This type in Lately occurs quite often and is formed due to exceptional, life-threatening circumstances: earthquakes, plane crashes, taking a patient or his relatives hostage.

Anxiety and depression

The differential diagnosis between depression and anxiety is quite difficult in some cases due to the fact that mental symptoms Anxiety and depression have many similarities and overlap. With the long-term existence of an anxiety disorder, the patient develops depression, which is often accompanied by symptoms such as chronic pain syndrome, weight loss, sleep disturbances, etc., which can worsen the condition of patients with anxiety disorders. Thus, a vicious circle develops: the prolonged existence of anxiety causes the development of depression, and depression increases the symptoms of anxiety. A combination of anxiety and depression is observed in 70% of patients.