The anxiety is a vicious circle. Once the anxiety has been experienced "without any reason", there appears an attitude distressed before the perspective to feel anxiety. Thoughts of the type appear of "it would be horrible if I was beginning feeling distressed". To think this way provokes the anxiety to us. Immediately, we notice the anxiety and think something like "it is terrible, I am getting anxious". This leads to increasing the anxiety, which in turn makes us think such things as "I Am losing the control. And if I faint (or a panic attack takes me, or do I commit a madness, or it gives me a heart attack)? It would be terrible." The anxiety grows per moments and more and more angustiantes leads us to thoughts. The process develops with big rapidity and of the only thing that we are conscious it is of a progressive panic feeling. The principal characteristic of the anxiety is that, little by little, it is generalized and every time there are more things that produce anxiety.

SYMPTOMS

According to the Diagnostic Manual of the Mental disorders, an anxiety crisis (panic attack) is defined as the temporary and isolated appearance of fear or discomfort intense, accompanied by four (or more) of the following symptoms, which begin sudden and reach his maximum expression in the first 10 min:

• 1. Palpitations shaken of the heart or elevation of the cardiac frequency
• 2. Sudoración
• 3. Quakes or shakes
• 4. Drowning sensation or lacking in breath
• 5. Sensation of choking
• 6. Oppression or thoracic discomfort
• 7. Morning sickness or abdominal inconveniences
• 8. Instability, sickness or faint
• 9. desrealización (sensation of unreality) or depersonalization (to be separated from one himself)
• 10. Fear of losing the control or of going crazy
• 11. Fear of dying
• 12. Parestesias (sensation of numbness or pins and needles)
• 13. Shakes or suffocations

CHARACTERISTICS

As for the anxiety disorder, the manual points out that "The essential characteristic of the disorder of anxiety is the presence of crises of anxiety recidivantes and unexpected, followed by the appearance, during a period like minimum of 1 month, of persistent worries for the possibility of enduring new anxiety crises and for his possible implications or consequences, or of a change comportamental significantly related to these crises (Criterion A)". It is necessary to distinguish them from the effects that produce some substances like the caffeine or medical illnesses like the hipertiroidismo.

The anxiety is a psychological poison that can hurt very much, nevertheless, with the help of a professional it is possible to learn to control the symptoms of the mental and corporal restriction of the reaction of anxiety, and even to eliminate the sources that cause fear and harmful nervous tension in the life. Schools since cognitive behavioral good results offer it.

HOW TO REDUCE THE ANXIETY

As skill to reduce the anxiety sensation at home we have to control the respiration. During an anxiety crisis there happens a hyperrespiration, rapid and deep, which does not do any more that to aggravate the symptoms. Consciously we can modulate this: breathing slowly with the hand in the abdomen and verifying that this one swells up whenever we gasp, so that we make sure that the air comes to the low part of the lungs.

WHAT DOCTOR CAN TREAT ME?

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