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Panic Attacks: Effective Ways to Cope
Jill is a 21 y/o college student who used to do well until about a few months ago when she started to experience "weird" attacks almost daily. She described her experience as "horrible." When she has the attack, she feels that she's about to die or develop a stroke. One day while she was in a mall, she suddenly developed an "overwhelming" sensation all over her body. She was sweaty and tremulous and felt that her heart was pumping so fast. Within a few seconds, she also suffered from chest pain and shortness of breath. This episode lasted for about 10 minutes but she felt that this was her worst ten minutes of her life. Overwhelmed by her experience, she has stayed away from malls and has avoided being in a crowd of people. Because of the frequency of the attacks, Jill can't anymore function normally. She is afraid to leave the house and go to work. Jill's experience is typical of someone with Panic Disorder. A person with panic disorder develops anxiety attacks associated with the thought that he or she would die or develop a stroke or heart attack. Physical changes such as fast heart beat, shortness of breath, fainting episodes, sweating and tremulousness are some of the accompanying symptoms. A typical episode usually comes "out of the blue" and not precipitated by any triggers. It can therefore happen any time and anywhere. An attack can last for a few to several minutes. One episode can make a person feel scared of having another one. In fact, a lot of people feel distressed anticipating the occurrence of another attack. So most individuals prefer to stay at home and isolate themselves from friends, co-workers, and even relatives. Eventually they become incapacitated. If you are like Jill, is there any treatment that can help? Yes, there is. Individuals with this condition are successfully treated with an antidepressant such as the serotonin-reuptake inhibitors. Usually, the dose should be started low, for instance 10 mg/day of citalopram. After a few weeks, the dose should be gradually increased depending upon the person's clinical status. Cognitive behavior therapy is likewise very effective. This type of "talk psychotherapy" helps the individual to restructure his or her thinking. Negative cognition associated with the illness should be addressed in therapy because it creates more harm than good. Relaxation techniques such as breathing exercises should also help. During treatment, patience is very important because it takes a while before any intervention helps. However, don't despair. After a few weeks, the medication should start working and should give you a feeling of comfort. What's the role of benzodiazepines (e.g. lorazepam or clonazepam) in the treatment of panic disorder? This type of drug can provide acute relief but should be used only on a short-term basis because of its addiction potential. For long-term treatment, antidepressants and psychotherapy are still preferable. Copyright © 2005. Dr. Michael G. Rayel author (First Aid to Mental Illness?Finalist, Reader's Preference Choice Award 2002) psychiatrist, and inventor of Oikos Game: An Emotional Intelligence or EQ Game. For more information, please visit http://www.oikosgame.com and http://www.soardime.com
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Alternative Medicine How Big of a Problem is Attention Deficit Hyperactivity Disorder? Attention Deficit Hyperactivity Disorder - "ADD" or "ADHD" - affects between five to ten percent (5% - 10%) of all children in the United States, and three to six percent (3% - 6%) of adults. About 35% of all children referred to mental health clinics are referred for Attention Deficit Hyperactivity Disorder, making it one of the most prevalent of all childhood psychiatric disorders. The Cultural Narcissist - Lasch In An Age Of Diminishing Expectations "The new narcissist is haunted not by guilt but by anxiety. He seeks not to inflict his own certainties on others but to find a meaning in life. Liberated from the superstitions of the past, he doubts even the reality of his own existence. Superficially relaxed and tolerant, he finds little use for dogmas of racial and ethnic purity but at the same time forfeits the security of group loyalties and regards everyone as a rival for the favors conferred by a paternalistic state. His sexual attitudes are permissive rather than puritanical, even though his emancipation from ancient taboos brings him no sexual peace. Fiercely competitive in his demand for approval and acclaim, he distrusts competition because he associates it unconsciously with an unbridled urge to destroy. Hence he repudiates the competitive ideologies that flourished at an earlier stage of capitalist development and distrusts even their limited expression in sports and games. He extols cooperation and teamwork while harboring deeply antisocial impulses. He praises respect for rules and regulations in the secret belief that they do not apply to himself. Acquisitive in the sense that his cravings have no limits, he does not accumulate goods and provisions against the future, in the manner of the acquisitive individualist of nineteenth-century political economy, but demands immediate gratification and lives in a state of restless, perpetually unsatisfied desire." Serial Killers Countess Erszebet Bathory was a breathtakingly beautiful, unusually well-educated woman, married to a descendant of Vlad Dracula of Bram Stoker fame. In 1611, she was tried - though, being a noblewoman, not convicted - in Hungary for slaughtering 612 young girls. The true figure may have been 40-100, though the Countess recorded in her diary more than 610 girls and 50 bodies were found in her estate when it was raided. The Cyber Narcissist To the narcissist, the Internet is an alluring and irresistible combination of playground and hunting grounds, the gathering place of numerous potential Sources of Narcissistic Supply, a world where false identities are the norm and mind games the bon ton. And it is beyond the reach of the law, the pale of social norms, the strictures of civilized conduct. Panic Attacks: Effective Ways to Cope Jill is a 21 y/o college student who used to do well until about a few months ago when she started to experience "weird" attacks almost daily. She described her experience as "horrible." When she has the attack, she feels that she's about to die or develop a stroke. Psychological Tips for Effective Studying STUDY STRATEGIES Ericksons Theory of Human Development I'm sure you've heard the term "Identity Crisis" before. It's thought of as a conflict of self and society and its introduction came from one of the most famous psychoanalyst of the 20th century. The Attention Spanner After a long and patient wait in queue, you reached the post office counter. Just then, the peasant sauntered over and plunked himself in front of you. Your reaction was natural. Paul Ekman, the world famous emotions scientist, dedicated his career to the study of emotional reactions. "We become aware a quarter, or half second after the emotion begins. I do not choose .... to become angry. I am suddenly angry. I can usually figure out later what someone did that caused the emotion." The transit of that compelling emotion was insidious. If only you could manage its impact! Dogs Use Psycho-Cybernetics To Accomplish Goals Dogs picture in their minds an event of an activity they wish to perform whether it hunting a rodent, greeting their human companions at the door or retrieving a stick. This helps them set goals similar to psycho-cybernetic human intent goal oriented human endeavors. We know dogs do this for two reasons. One, when they sleep their paws move as if they are running. Some might say that this is nervous system reactions, but fRMI scans show these are simultaneously happening with motor areas of the brain. Secondly the memory of motions for dogs is evident in the way they approach problem solving while moving toward an object such as a bone or Frisbee. If the Frisbee is thrown in a standard fashion the dog jumps and takes it the same every time and commits the action to muscle memory, which is an indication of that reflex of motion being done over and over again in its mind. Metaphors of the Mind (Part II) Storytelling has been with us since the days of campfire and besieging wild animals. It served a number of important functions: amelioration of fears, communication of vital information (regarding survival tactics and the characteristics of animals, for instance), the satisfaction of a sense of order (justice), the development of the ability to hypothesize, predict and introduce theories and so on. Mind Over Matter - Proven THE ACTS OF CREATION: Key Solution Focus Interviewing Skills There are several key Solution Focus interviewing skills that are indispensable in moving individuals from problem focus to solution focus. Creating A Winning Mindset Do you know anyone who always wins? Sure you know that person, everything just works out for them. They go into business and they are an instant success. They enter the dating scene and their phone rings off the hook. If they were in the Olympics, you just know they wouldn't settle for anything less than the gold. It seems as though they always win. Hypnotic Myths Even though hypnosis has been around officially since the 1700s (Franz Anton Mesmer), there are still questions as to its validity and benefits. For the most part, these questions stem from fear and ignorance. Regarding this subject, it is generally assumed that what you don't know can hurt you. People's viewpoints on hypnosis vary according to what their experiences have been and what they've heard. A Look at The Brain The endless, immeasurable brain. It does seem like more we discover about it, the more mystery we create. Perhaps the most intriguing of all is the child's brain. In certain ways, children are the most brilliant people in the world. They have the ability to absorb more information than we can conceive of as adults. Get Out of Jail Free: Stop Being Defensive When Marcus and Sally first met they immediately felt like kindred spirits. Marcus was generally warm and open. But as their relationship continued, Sally noticed that sometimes when he was upset he had trouble talking. When she asked Marcus what was bothering him, he would reply that nothing was wrong. Only when she coaxed him would he eventually tell her. As time went on, his resistance increased. The more she probed, the more reluctant he was . . . neither of them felt an ounce of kinship; they did not even like each other. (Taking the War Out of Our Words, pp. 8-9) Anti-Social Behaviors and Attention Deficit Hyperactivity Disorder Anti-social behaviors are common with ADHD individuals. About 60% of Attention Deficit Hyperactivity Disorder kids are also oppositional or defiant. Some are even getting in trouble with the law. Artificial Intelligence - What Have We Learned Through Natural Ignorance? During the late '80s and early '90s, I had the opportunity to work with expert systems in real-time production environments. I found artificial intelligence, or AI, to be thoroughly intriguing. I even went so far as to write an expert system package, under Microsoft Windows, called WindExS. However, as I continued my work, and expanded into other areas of knowledge management and, eventually, remote viewing, I began to find some unusual inconsistencies in the AI world and the desires to create "truly intelligent" and "thinking" machines. A Case for Multiple Intelligences Based Classroom Instruction Although many high school age students tend to think and learn in nontraditional ways, American schools still base their instruction primarily on the verbal-linguistic and logical-mathematical intelligences. As a result, many students who are not strong in these traditional intelligences develop poor attitudes toward school and their academic achievement suffers. Dredging the Truth To seek and find truth requires that we communicate within rather than without. When we communicate outside, with other people, truth is always watered down by differing perceptions, consensus, and compromise. People have different understandings.
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