4 minute read
Panik Bozukluk
This scientific study examines the patients who have anxiety because of somatic symptoms together with panic disorder. Patients with panic disorder have extreme fear of death and heart attack anxiety as well as loosing control and going mad. These called anxiety symptoms, and dizziness, blackouts, feeling of choking, shortness of breath, palpitation, chest distress and pain, nausea, sweating, abdominal pain, shaking, chills, numbness and tingling accompanied to panic attacks. Many experts do not mention this but as well as these symptoms sometimes hypertension occurs.
During panic attacks because of heart vessel contraction and heart acceleration blood pressure increases. This is called “labile tension”. Because of this increase, patients usually diagnose with hypertension and drug treatment to lower the tension is begins. Patients diagnosed with panic attack think that they have hypertension and start to focus on physical symptoms such as increasing blood pressure, that they will have cerebral haemorrhage and life quality of the patient gets worse. In this study, we aim to give information to patients who have panic disorder and increasing blood pressure during panic attacks which we think help to will increase the life quality of the patients.
Somatic symptoms during panic attacks cause the patients to focus on their body. Patients especially think that they will have cerebral haemorrhage because of increasing blood pressure caused by anxiety. Because of blood pressure, respiratory system, gastrointestinal complains which occurs from time to time, patients go to internal medicine or to emergency services.
After the examinations and tests no organic diagnoses occur. Therefore patients referred to psychiatry service and diagnose with panic attack disorder after psychiatric evaluation.
Antidepressant or anxiolytic drugs are written to patients who have referred psychiatry service if it is necessary. According to a scientific research on panic disorder and its treatments called “Patients diagnosed with Panic Disorder and its treatments and the usage rate of Psychotherapy ” cognitive and behavioural therapy methods are almost not used. The treatment method which does not cover psychotherapy the patient cannot acknowdge his sickenss and because of the physical symptoms.
The treatment method, which does not cover psychotherapy, patient cannot acknowledge their sickness and because of somatic symptoms panic attacks and anxiety increases. Patient’s life quality ruins because of this vicious circle since the patients have symptoms such as panic attack, expectation anxiety, and agoraphobia.
Patients diagnosed with panic disorder especially have fear of cerebral haemorrhage anxiety impacting their life negatively. Patients usually don’t mention their concerns and this situation causes no awareness to support them. It has been aimed to tell them that they are not hypertension patients and during panic attacks blood pressure increases due to panic disorder and this is a temporary situation.
What is Panic means?
In Turkey panic disorder is usually called panic attack. Although these two terms are different because of the course and additional symptoms society calls this panic attacks.
What is Panic means?
In Turkey panic disorder is usually called panic attack. In Turkey panic disorder is usually called panic attack. Although these two terms are different because of the course and additional symptoms society calls this panic attacks. Also many psychiatrist calls the same. Panic word comes from Greek Mythology term panikos=pan.
Paniskos is the only mortal God. (Kalyoncu, 2011 s, 92). Behcet Necatigil tells about this legend in his book called “Mythology with 100 Questions”.
In hilly Arkadia, Goat footed Pan is the God of shepherds and small cattle, son of Hermes. Pan used to be goat headed once Gods were thought to appear as animals rather than humans, then his goat head only left with horns and beard and became a human face. Azra Erhat describes Pan in this mythology dictionary, as “Pan likes his shepherd’s pipe, chased beautiful Nympha just like horny goats.
Ali TURAN BARNİÇ
St. Clements University Doctoral Seminar
During hot summer middays when people and animals were sleeping he used to make unexpected noises and used to panic everyone. After the Marathon night he scared Persians like this, therefore Athenians made a temple for Pan by the foothills of Acropolis. Since Pan means “whole” mystics honoured Pan as a do it all God. (Köknel, 2007; 2).
Panic Disorder
Today panic disorder is called panic attack. However these two terms are completely Panic disorder has panic attacks as well as anticipation disorder. With the anticipation anxiety patients has expectation and anxiety for panic attacks. Comparing to panic attacks panic disorder does not have anticipation anxiety. Panic disorder starts all of a sudden with sudden explosions. With panic attack patients have anticipation anxiety and agoraphobia (avoidance behaviour).
Panic disorder is common among patients consulting to primary health care institutions. World Health Organization’s international research ICD-10 shows that lifetime prevalence of panic attack is 3.4% among patients consulting to primary health care institutions (Wiley, 1995).
Patients with panic disorder usually refer to internal medicine or cardiology. 16% of the patients who refer to cardiology and 35% patients with hyperventilation concerns diagnosed with panic disorder (Dunitz, 1999).
Panic disorder occurs more often between the ages of 17-30. Occurrence after age 45 is unusual. After 45 usually a biological disorder causes unusual panic attacks. Psychiatrist usually evaluates this situation. Panic disorder happens more in women than men.
Different reasons emerges panic disorder. Panic attacks happening without any specific reason are called “unexpected” panic attacks. Panic attacks happening because of a particular situation are called “situational susceptibility”. Other panic attack types are happening after situational stimuli are called “situational” panic attacks. (Tükel, 2002; 1).
