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MENTAL HEALTH: PANIC ATTACK AND ANXIETY
Many Americans suffer in silence because they do not realize that help exists. And panic attack is just one type of anxiety. Scientists have learned that anxiety comes in many forms:
– Agoraphobia – a fear of open spaces. With this illness, patients often refuse to leave home. Many doctors believe that in panic attacks and agoraphobia, something has gone wrong chemically with the brain. The drugs Xanax and Tofranil reduce the anxiety of agoraphobia.
– Specific phobia – a fear of something in particular, such as elevators, furry animals, the number 13, heights, flying, train travel, or small rooms. A friend of mine, who was in every other way normal, feared snakes. No amount of reasoning could shake that fear. Dr. Aaron T. Beck, professor of psychiatry at the University of Pennsylvania in Philadelphia, guides phobics to apply reason and logic to the situation so they can see that they are overreacting.
Once Dr. Becker nails home the idea of over-responding, he teaches them how to relax while he exposes them to the scary object with drug-free therapy. It works.
– Social phobia – a phobia in which victims avoid what they perceive as embarrassing situations, such as public speaking, social dancing, and dining in restaurants. The drug Nardil helps 70 percent of patients. Dr. Beck says his drug-free therapy helps nearly 100 percent of his anxiety patients, about 80 percent of panic attack patients. His claim is controversial.
– Obsessive – compulsive disorder – a behavioral combination of an obsession and a compulsion. An obsession is a thought you can’t get out of your mind. A compulsion is a behavior you know is strange but can’t stop. Obsession can lead to compulsive behavior. For example, if you are fearful of germs and you constantly think about avoiding bacteria, you may go through elaborate self-cleansing behavior. In experiments in the United States, obsessive-compulsive anxiety was removed in half the patients taking clomipramine or fluvoxamine.
– Posttraumatic stress disorder – once called “battle fatigue.” This disorder is seen in people traumatized by awful accidents, abuse, or violence. Both psychotherapy and drug treatment help. Some patients cannot rid themselves of playing the horrific scene over and over again. Such behavior interferes with work and other social relations.
– Generalized or free-floating anxiety -a condition in which victims feel symptoms of anxiety most of the time with no known cause. Valium and other drugs with benzodiazepine (including Librium) mute the symptoms. BuSpar, a new medicine, seems to work as well as Valium minus its side effect of drowsiness and its potential for addiction. Tranxene also appears to relieve anxiety.
*9/266/5*

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