It can be difficult to overcome panic attacks, but there are treatments and therapies. Sometimes you have to try several or combine them, but the vast majority of people are able to reduce or eliminate acute anxiety attacks through these measures.
Therapies The effectiveness of psychotherapy for treating anxiety disorders is well established. It is even the preferred treatment in many cases, before having to resort to drugs. To treat anxiety attacks, therapy of choice is cognitive behavioral therapy, or CBT. However, it may be worthwhile to involve another type of psychotherapy (analytical therapy, systemic, etc.) to avoid the symptoms move to reappear in other forms. In practice, CBT typically take place over 10 to 25 sessions spaced a week, individually or in groups. Therapy sessions are designed to inform on the state of panic and gradually change the "false beliefs" misinterpretation and negative behaviors associated with it, to replace them with more knowledge rational and realistic. Several techniques can learn to stop panic attack, and to calm down when you feel the anxiety rising. Simple exercises should be done one week to the next in order to progress. Note that CBT is effective in reducing the symptoms but their goal is not to define the origin, the cause of the emergence of these panic attacks. In other methods, assertiveness can be effective in improving the control of emotions and develop new behaviors adapted to react to situations deemed scary. Analytic psychotherapy (psychoanalysis) can be useful when there are conflicting underlying elements associated with psycho-emotional development of the individual. Pharmaceuticals Among the pharmacological treatments, several classes of drugs have been proven to reduce the frequency of acute attacks of anxiety. Antidepressants are the treatment of choice, followed by anxiolytics (Xanax®) which however have a higher risk of addiction and side effects. These are therefore reserved for the treatment of the crisis, when it is prolonged and treatment is necessary. Two types of antidepressants are recommanded to treat panic disorder over the long term: selective inhibitors of serotonin reuptake (SSRI), whose principle is to increase the amount of serotonin in the synapse (junction between two neurons) by preventing reuptake of the latter. It is recommended especially paroxetine (Deroxat® / Paxil), escitalopram (Seroplex® / Lexapro) and citalopram (Seropram® / Celexa) tricyclic antidepressants such as clomipramine (Anafranil). In some cases, venlafaxine (Effexor) may also be prescribed. Antidepressant medication is first prescribed for 12 weeks, and an evaluation is made to determine further processing or modification.
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