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Treatment of Panic disorder治疗惊恐障碍

Many people experience a very occasional panic attack and do not seek medical help.  However often people with panic disorder will seek help from their GP who will refer them to specialist physiatrist or psychotherapist.很多人的经验,一个很偶然的恐慌攻击和不寻求医疗帮助,但人们往往惊恐障碍将寻求协助他们谁大奖赛将他们转介往专科physiatrist或psychotherapist 。

Cognitive behavioural therapy, drugs or a combination of both, will prevent panic attacks or reduce their frequency and severity in many people.认知行为疗法,药物或两者相结合,将阻止恐慌袭击或减轻他们的频率和严重程度在许多人。

Drugs have been shown to be effective in the treatment of panic disorder.毒品已被证明可有效地治疗惊恐障碍。 The tricyclic antidepressants (TCAs) were the first medications shown to have a beneficial effect against panic disorder.该三环抗抑郁药( tcas )第一药物显示有一个有利的影响对惊恐障碍。 Selective serotonin reuptake inhibitors (SSRIs) are now the most commonly prescribed drugs.选择性血清素再吸收抑制剂( ssris )是目前最常见的处方的药物。 Significant improvement is usually seen within 6 to 8 weeks.显着的改善,通常看到的6至8周。 TCAs and SSRIs are equally effective, and choice is determined by side effects. tcas和ssris同样有效,并选择是确定的副作用。 SSRIs should not generally be prescribed to the under 18s, although fluoxetine can be prescribed if specialist advice is obtained. ssris ,一般不应订明向18下,虽然氟西汀可明,如果专家的意见,得到了。 TCAs are avoided if the patient is thought to be at risk of suicide. tcas是可以避免的,如果病人是被认为在自杀的危险。 Following initial presentation, 30 -75% patients relapse when medication is stopped and some patients may require repeated episodes of drug treatment or require long-term maintenance treatment.以下初步介绍, 30 -75 %的病人复发时,药物治疗是停止和一些病人可能需要反复发作的药物治疗或需要长期维持治疗。

Benzodiazepines produce almost instant symptom relief, but they are addictive, which limits their usefulness.苯二氮类药物生产几乎即时纾缓症状,但他们上瘾的,这就限制了其效用。 Diazepam  (a Benzodiazepine) is usually the drug of choice, given in single doses for very short or short courses (up to four weeks).地西泮( 1苯二氮类) ,通常是药物的选择,由于在单剂量很短或短期课程(四个星期) 。

Cognitive behaviour therapy (CBT) combines two types of psychotherapy — cognitive therapy and behaviour therapy.认知行为疗法(的CBT )相结合的两种类型的心理治疗â € “认知疗法和行为疗法。 It is based on the theory that most emotional and behavioural responses are learned and the goal is to unlearn unwanted responses and learn new ways of reacting to the situation.这是理论的基础上,大部分的情绪及行为反应的经验教训和所的目标是要忘掉不想要的反应和学习的新途径作出反应的情况。 CBT aims to change an individual's thinking patterns that lead to feelings of intense anxiety and feelings of panic.万国宝通银行大厦的目的是要改变个人的思维模式导致的感情,激烈的焦虑和感情的恐慌。

Behaviour therapy aims to gradually reduce the fear of the individual by gradual exposure to the cause of anxiety.行为疗法的目的是逐步减少的恐惧,个人的逐步暴露事业的焦虑。 Combination psychological and drug therapy may be more effective both in the short and long-term than either treatment alone, although more data on this is required.结合心理和药物治疗可能会更有效,无论是在短期和长期比治疗单,虽然越来越多的数据,这是必需的。

Research has shown that panic disorder exists together with other disorders, most commonly agoraphobia, depression and drug and alcohol abuse.研究表明,惊恐障碍的存在,再加上其他疾病,最常见的广场恐惧症,抑郁症和滥用毒品和酗酒。 Appropriate diagnosis and treatment of co- existing disorders is important to successful treatment of panic disorder.适当的诊断和治疗的合作现有的障碍是很重要的成功的治疗惊恐障碍。