Panik Bozukluk ve Hipertansiyon İlişkisi

Panic Disorder and Hypertension

Usually panic disorder patients have hypertension. Blood pressure increase because of vasoconstriction and increasing heart beats. Increasing and decreasing blood pressure could be a sign for panic disorder. Because of this, patience diagnoses with hypertension and treatment starts. (Engin, 2014).

White Coat Hypertension: White coat hypertension increases when someone is in a hospital; the reason is of this situation not identified. Its been assumed that the patients feel anxiety and stress once he is in the hospital. (Arıkan, 2014) Especially patients with panic disorders the blood pressure increase at the hospitals, these symptom’s correlation between anxiety and stress.

When to diagnose with Hypertension:

Hypertension blood pressure diagnosed after a couple of tests, once the average is 140/90 mmHg and higher. Heart is a pump that sends blood to arteries. Blood pressure needs to be counting three times a day in different days and average of these needs to be taken. Average blood pressure is 120/ 80. If it’s more than 140/90 it is called hypertension. Hypertension patience has a risk of cardiac and vein sicknesses. You can see the hypertension graphic next: Panic disorder and “Treatment of Panic disorder treatment accompanying with hypertension: Patients with panic disorder together with hypertension can be treated together. Especially during panic attacks blood pressure can increase because of stress and anxiety. During treatment of panic disorder treatment accompanying with hypertension beta-blockers can be used. It is very important that, treatment of hypertension panic disorder treatment accompanying with hypertension needs to be completed with differential diagnoses since hypertension symptoms might look like panic attack symptoms. Treatment of panic disorder accompanying with hypertension needs to be evaluated by a specialist and diagnosing if it’s a panic attack or not needs to be identified. Counting the blood pressure at home or at the hospital will help the specialist. Usually blood pressure is normal at home. Blood Pressure (mmHg) Normal 120/80 mmHg or less Hypertension Canditate 120-139 /80-89 mmHg Phase I 140-159 /90-99 mmHg Phase II 160-170 /100-109 mmHg Phase III 180/100 mmHg or higher

Hypertension severity graphic

You can reach the source list used by the writer at http://www.psikolojim.com.tr

Conclusion

We live in the era of anxiety. Panic disorder is the most important physiopathology of our century. Today, this disease can be cured easily. Patients have a bad quality of life whose have panic disorders. Most of the patients have work, school, family and social function problems. With panic attacks patience think they have a heart attack and stroke as well as hypertension anxiety. Once the patience diagnosed with hypertension patience’s cognitive distortions gets severe.

Average blood pressure is 120/80. Once it is above there is a risk of hypertension. Blood pressure above 140/90 is a possible indicator of hypertension. Blood pressure needs to be counting three times a day in different days and average needs to be taken and needs to be evaluated by specialists. Heart sends the blood to the veins. After the pump heart loosens up. Once the heart tightens while sending the blood it is called systoles, and once the heart loosens up its diastole. (Engin, 2014).

There is relation between anxiety and high blood pressure. A research conducted in France (1389) shows that patience with anxiety has higher blood pressure (Ögel, 2014). In this study the relation between hypertension and anxiety is not clear but once the hypertension accompanies to panic attacks the blood pressure stay high for a long time. Once the patient is calmer blood pressure decreases. During panic attacks anxiety medicine makes the patient calmer and blood pressure decreases to normal levels. Blood pressure increase and decrease during panic disorder called labile tension in daily life.

In summary, panic disorder is very important nowadays because of psychical and psychological symptoms panic disorder amongst psychopathologies. With the anticipation anxiety patients have the anxiety of new panic attack. Patients misunderstand the physical symptoms because of cognitive distortions during panic attacks. These cognitive distortions evaluate fast heartbeats as having a heart attack or dying. These cognitive distortions focuses thought such as severe sickness (heart diseases or hypertension) and feeling the body (counting pulse, blood pressure) and causes negative behaviour. In panic attacks first step is drug treatment. Cognitive behavioural psychotherapy is the other treatment method that achieves successful results. Especially with cognitive behavioural psychotherapy patience understands if is blood tension sickness or which conditions needs to happen needs to be explained. These physical symptoms happening because of panic disorder needs to be explained to the patient whilst continuing the treatment. With drug treatment and psychotherapy both reaching to biological balance and psychological recovery patience faces with anxiety and fears and treatment happens.

The reason of this study is during panic disorders panic attacks and during anxiety blood pressure increases and this is a result of the sickness, and the patience is does not have hypertension sickness. Of course panic disorder and hypertension differential diagnosis needs to be done. For example 20% of hypertension patience has symptoms similar to panic attacks. This description needs to be evaluated with by specialists.