Anxiety is a kind of irritability caused by excessive worry about what happens to yourself or others. It contains worry, worry, sadness, tension, panic, uneasiness and other components. It is related to critical situations and events that are difficult to predict and cope with. It is a common emotional state. Under normal circumstances, through adjustment and thinking, things change, and anxiety can be relieved by itself.
However, some people are in a state of anxiety for a long time without objective reasons, or the degree of worry is far more than the fact itself. For example, they are afraid of a major disaster for no reason, constantly worried that the uncontrollable situation of important events such as examinations is difficult to calm, and worried about suffering from incurable serious diseases, resulting in symptoms such as restlessness, panic and even physical discomfort. This abnormal anxiety is pathological anxiety.
Normal anxiety state
Normal anxiety is generally realistic anxiety, which shows an emotional response to the potential challenge or threat of reality, and this emotional response is adapted to the fact of realistic threat. It is a general response when a person is faced with an event or situation beyond his control.
The characteristic is that the intensity of anxiety is consistent with the degree of real threat, and disappears with the disappearance of real threat, so it has adaptive significance. It helps individuals mobilize their physical potential and resources to deal with the real threat, gradually achieve the sense of control and effective problem-solving measures required to deal with the challenge, until the real threat is controlled or eliminated.
Therefore, realistic anxiety is the basic emotional response of human beings to adapt and solve problems. It is an emotional and behavioral response mode formed by human evolution to adapt and deal with the environment.
1,Chronic anxiety (generalized anxiety)
(1) Without obvious inducement, emotional symptoms often appear excessive worry and nervous fear that are inconsistent with the actual situation. This kind of nervous fear often has no single and clear object and content. Patients feel that they have been in an inner experience of tension, fear, fear and anxiety.
(2) Autonomic nerve symptoms dizziness, chest tightness, palpitation, shortness of breath, dry mouth, frequent urination, urgent urination, sweating, tremor and other physical symptoms.
(3) Sports restlessness, restlessness, irritability, it is difficult to calm down.
1,Excessive anxiety and worry about a variety of things and have lasted for at least 6 months;
2,It is difficult to control concerns;
3,Anxiety and worry are related to the following six symptoms, at least three for adults and only one for children: restlessness, tension or irritability, easy fatigue, difficulty in paying attention, irritability, muscle tension and sleep disorder;
4,Anxiety, worry or related physical symptoms cause clinically significant pain or important functional damage;
5,Interference is not caused by substance use or physical disease;
6,Interference cannot be better explained by other mental disorders.
Acute anxiety (panic disorder)
Panic disorder is a recurring, unexpected panic attack.
During a panic attack, you will experience the following:
(1) Sense of near death or out of control in normal daily life, patients are almost the same as normal people. Once the attack occurs (some have specific trigger situations, such as closed space, crowded places, etc.), patients suddenly have extreme fear and experience a sense of near death or out of control.
(2) Autonomic nervous system symptoms occur at the same time, such as chest tightness, palpitation, dyspnea, sweating, shaking all over the body, etc.
(3) It usually lasts for several minutes to several hours. The attack begins suddenly and the consciousness is clear when the attack occurs.
(4) It is easy to be misdiagnosed. The attack is often regarded as a physical disease. Although the symptoms looked very serious at that time, most of the relevant examination results were normal, so the diagnosis was often unclear. After the attack, patients are still extremely afraid and worried about their own condition. They often toss around in various departments of major hospitals and do various examinations, but they can’t be diagnosed.
Diagnostic criteria (f41.0):
Repeated unexpected panic attacks. A panic attack is a sudden strong fear or strong discomfort, which reaches its peak in a few minutes. During the attack, the following four or more symptoms occur.
Note: this sudden panic can occur in a state of calm or anxiety.
1,Palpitation, palpitation or accelerated heart rate.
3,Tremble or tremble.
4,Shortness of breath or suffocation.
6,Chest pain or chest discomfort.
7,Nausea or abdominal discomfort.
8,Feel dizzy, unsteady, light headed or faint.
9,Feel cold or hot.
10,Abnormal sensation (numbness or acupuncture).
11,Reality disintegration (feeling unreal) or personality disintegration (feeling divorced from yourself).
12,Fear of losing control or “going crazy”.
13,Sense of near death.
Note: culture specific symptoms may be observed (e.g., tinnitus, sore neck, headache, uncontrollable scream or cry), which cannot be used as one of the four symptoms required for diagnosis.
After at least one attack, 1-2 of the following symptoms occur and last for 1 month (or more):
1,Continue to worry or worry about another panic attack or its consequences (e.g., loss of control, heart attack, “madness”).
2,Significant adverse changes in behavior related to panic attacks (e.g., designing certain behaviors to avoid panic attacks)
In addition, this disorder cannot be attributed to the physiological effects of a substance (e.g., abused drugs, drugs) or other physical diseases (e.g., hyperthyroidism, cardiopulmonary diseases).
This disorder cannot be better explained by other mental disorders. For pathological anxiety, the commonly used methods are drug therapy and psychotherapy. For anxiety patients with panic disorder, the primary purpose is to quickly improve and reduce their mental tension and various physical discomfort. There is no need to worry too much about normal anxiety. If there is pathological anxiety, please seek professional assistance in time.