Overcoming Agoraphobia and Extreme Anxiety Disorders

Overcoming Agoraphobia & Extreme Anxiety Disorders

After reading Overcoming Agoraphobia & Extreme Anxiety Disorders, youll be given a better understanding of all things related to the condition, so that you dont have to be afraid anymore. If youve been suffering for any amount of time, dont allow yourself to feel hopeless and alone. This problem is more common than you might think and the first step to overcoming any anxiety issue is by learning all you can about it. Find out what causes panic disorders and discover how you can create a different life for yourself starting today. Here are just a few things youll learn by reading this complete anxiety guide: What anxiety is and why it happensHow anxiety can lead to panic disordersWhat agoraphobia is and how to know if youre at riskHow to recognize symptoms of agoraphobia and how to manage itAn overview of the different types of anxiety disordersWhat you can do to improve this condition once and for allHow to fight the root of anxiety and panic disorders stressWhether or not adrenal fatigue is the cause of your problemsHelpful therapy options that have been proven to be effectiveAlternative remedies for stress, depression and panic disorders

Overcoming Agoraphobia & Extreme Anxiety Disorders Summary

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Author: Tom Lawler

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Interictal Anxiety Disorders

As stated above, anxiety disorders are a common co-morbidity in PWE. Panic disorder (PD) and generalized anxiety disorder (GAD) are the most frequent types of anxiety disorders identified in PWE 1 . The DSM-IV classification of anxiety disorders lists six other types agoraphobia without panic disorder, obsessive compulsive disorder (OCD), social phobia, specific phobia, post-traumatic stress disorder and acute stress disorder. These may also be identified in PWE, but with a much lower frequency. In addition, PWE may often exhibit symptoms of anxiety that fail to meet any DSM-IV diagnostic criteria for a categorical anxiety disorder.

Ictal And Periictal Symptoms

A careful history can help distinguish a PD occurring interictally from ictal panic. Ictal panic is typically brief (less than 30 s in duration), is stereotypical, occurs out of context to concurrent events, and is associated with other ictal phenomena such as periods of confusion of variable duration and subtle or overt automatisms. The intensity of the sensation of fear is mild to moderate and rarely reaches the intensity of a panic attack. On the other hand, interictal panic attacks consist of episodes of 5-20 minutes' duration, which at times may persist for several hours during which the feeling of fear or panic is very intense ('feeling of impending doom') and associated with a variety of autonomic symptoms, including tachycardia, diffuse diaphoresis and shortness of breath. Patients may become completely absorbed by the panic experience to the point where they may not be able to report what is going on around them however, there is no confusion or loss of consciousness as in...

Electrophysiology

Feelings of derealization and depersonalization occur relatively frequently in people with PD and are also accepted to occur from time to time in people with temporal lobe epilepsy. Although less common in those with epilepsy, when these symptoms do develop they tend to be experienced as more robust phenomena. Interestingly, there is some evidence that there are electrophysiological differences between those with PD whose symptoms include derealization or depersonalization and those who do not experience these phenomena. Locatelli et al. (1993) investigated computerized EEG activity derived from the temporal lobes (F7, T3, T5, F8, T4, T6) in 30 healthy subjects and 37 patients with PD (DSM-III-R American Psychiatric Association, 1987) (with or without agoraphobia), in a resting condition and also in an odour stimulation condition designed to activate temporal lobe structures. The patients with PD were divided into two groups 17 with depersonalization and or derealization during their...

Panic disorder

There is good evidence, based on clinical accounts, that PD is not a homogeneous disorder. In some people pure PD exists with panic attacks in the absence of any other psychopathology. However, sizeable proportions of those with PD are comor-bid for agoraphobia or depression or both. It has been reported that women with PD are more likely to report depression, anxiety or agoraphobic avoidance than men with this diagnosis (Chambless and Mason, 1986). Increased anxiety and depression in affected women was also noted by Oie et al. (1990). Whilst women may show greater agoraphobic avoidance, men may increase their alcohol intake to cope with their symptoms. Although these differences in the associated symptoms and behaviours between the manifestations of PD in men and women exist, the core features of panic attacks appear to be relatively similar across the sexes. Hence, although in therapeutic terms it is clearly important to consider the whole syndrome with which the patients present,...