Has anyone ever had a severe anxiety disorder? Talk about feelings?

Anxiety neurosis is a neurosis characterized by anxiety. Characterized by anxiety, fear, autonomic nervous symptoms, muscle tension and exercise anxiety, there is no factual basis, and there is no clear objective object and specific concept. This disease is divided into panic disorder and generalized anxiety.

Symptoms and signs

First, the classification of symptoms

Anxiety mostly occurs in young people, and the inducing factors are mainly related to people's personality and environment. The former is more common in introverted, shy and neurotic people, while the latter is often closely related to fierce competition, overwork, long-term mental work and interpersonal tension. Some patients have atypical incentives. Clinicians often divide anxiety into acute anxiety and chronic anxiety.

(1) Acute anxiety: It is mainly manifested as panic-like attacks, which often occur during nighttime sleep and have a sense of dying. The patient's heart is beating violently, chest tightness, throat blockage and difficulty breathing. Excessive breathing caused by panic causes respiratory alkalosis (blood is alkaline due to excessive exhalation of carbon dioxide), and also induces numbness of limbs, numbness around the mouth, pallor and abdominal distension, which further aggravates the patient's condition. Such patients are often emotional and nervous when they see a doctor, which often gives doctors the illusion of cardiovascular disease attack. Generally, acute anxiety attacks last for several minutes or hours, and the symptoms can be alleviated or disappeared after the attack or after appropriate treatment.

(2) Chronic anxiety: Acute anxiety often occurs in the background of chronic anxiety, but more patients mainly show symptoms of chronic anxiety. The typical symptoms of chronic anxiety are five symptoms, namely palpitation, fatigue, nervousness, shortness of breath and chest pain, in addition to nervousness, cold sweat, syncope, belching, nausea, abdominal distension, constipation, impotence and frequent urination. And sometimes it is difficult to connect with neurasthenia or other specialties. In order to avoid misdiagnosis, sometimes some necessary auxiliary examinations are helpful to exclude organic diseases, such as electrocardiogram, chest radiograph, gastrointestinal radiography, gastroscopy and so on. , can help doctors find out the disease. However, although the subjective symptoms of anxiety disorder are serious, the objective symptoms are very light or negative.

Second, the characteristics of symptoms

(1) generalized anxiety disorder:

It is manifested as frequent or persistent nervousness without definite object and fixed content, or excessive worry or trouble about some problems in real life, which is not commensurate with reality; It is often accompanied by hyperactivity of autonomic nervous system, exercise tension and excessive vigilance.

(2) panic attack:

Therefore, a strong state of panic occurs repeatedly, accompanied by frequent sense of death or loss of control, and severe autonomic nerve symptoms may occur.

(3) There are at least three panic attacks in a month, each of which lasts less than 2 hours, which obviously affects daily activities.

Second, the physical examination found that

Fear attacks are not caused by physical diseases, nor are they accompanied by schizophrenia, emotional disorders or other neurotic diseases.

Third, diagnosis:

Generalized anxiety disorder: excessive anxiety lasts for more than half a year, accompanied by at least four physical symptoms such as exercise anxiety, autonomic neuropathy and excessive vigilance; And anxiety is not caused by organic diseases.

Panic attack: panic attack at least 3 times in a month, each attack does not exceed 2 hours, which obviously affects daily activities; This attack is not caused by physical illness, nor is it accompanied by schizophrenia, emotional disorder or other neurological diseases.

The diseases that need to be identified include hyperthyroidism, overdose of stimulants, withdrawal reaction of sedatives or benzodiazepines, etc.