First, the treatment of anxiety take a deep breath When you are facing emotional tension, you may wish to take a deep breath, which will help relieve stress and eliminate anxiety and tension. When you feel anxious, your pulse speeds up and your breathing speeds up. Deep breathing can force you to slow down your breathing rate and convince your body that your anxiety is over. The correct abdominal breathing is that when you inhale and exhale, your abdomen will descend with you.
Exercise your chin and limbs. When a person is under pressure, it is easy to bite the bullet. At this time, you might as well relax your chin. Swing from side to side for a while to relax muscles and relieve stress. You can also do chest expansion exercise, because many people will be nervous when they are anxious, which will lead to difficulty breathing. Poor breathing may aggravate the original anxiety. To restore comfortable breathing, turn your shoulders up and down and take a deep breath. Breathe in when lifting your shoulders. When you relax your shoulders, exhale. Repeat it several times.
Stay optimistic When you lack self-confidence, imagine your past brilliant achievements or your success. You will quickly resolve your anxiety and anxiety and restore your self-confidence. burn
Fantasize that this is a good way to relieve tension and anxiety. Imagine yourself lying on a sunny beach with a cool sea breeze blowing slowly. Try it, it may have unexpected effects.
Make sure that when anxiety strikes, you can repeatedly tell yourself, "No problem." "I can handle it." "I am better than others." This will gradually eliminate the instinctive reaction of shortness of breath and cold sweat on your hands, and make your intelligent reaction gradually emerge. As a result, you really calmed down
Learn to relax. Before facing the interference of daily affairs, temporarily relaxing for a few seconds can greatly improve the anxiety level. For example, when the phone rings, take a deep breath before answering it. Cultivating this habit of deliberately relaxing for a few seconds can play an effective sedative role. Let you control your anxiety, not be controlled by it. On weekends and holidays, you can also go for a drive or go to the seaside. Try to do some activities that are beneficial to your body and mind and put aside your troubles at work.
Divert your attention If the work in front of you makes you upset and nervous, you can temporarily divert your attention, turn your eyes out of the window, and let your eyes and other parts of your body relax in time, thus temporarily relieving the immediate pressure. You can even get up and walk to avoid the low-tide working atmosphere for a while.
It may be inappropriate to shout loudly in public places. But when you are in some places, such as your private office or your car, shouting is a good way to vent your emotions. Whether you are yelling or screaming, you can vent your anxiety in time.
Keeping enough sleep, taking more rest and getting enough sleep are good ways to relieve anxiety. This may not be easy to do, because nervousness often makes it difficult to sleep. But the less you sleep, the more nervous you will be and the more likely you will get sick, because the immune system has weakened at this time.
To correctly understand and guide anxiety patients, we need to know their own diseases in time, and we must not be afraid of seeking medical treatment. In fact, many drugs have sleeping ingredients, and it is not recommended to blindly treat anxiety with drugs. As long as there is correct psychological counseling, anxiety disorder is not terrible!
What are the clinical manifestations of anxiety disorder? 1. Chronic anxiety (generalized anxiety)
(1) Emotional Symptoms Without obvious inducement, patients often have excessive anxiety and nervousness that are inconsistent with the real situation. This kind of tension and fear often have no clear object and content. Patients feel that they have been in the inner experience of tension, fear, fear and anxiety.
(2) Vegetative nerve symptoms: dizziness, chest tightness, palpitation, shortness of breath, dry mouth, frequent urination, urgency, sweating, tremor and other physical symptoms.
(3) fidgeting during exercise, fidgeting, fidgeting, it is difficult to calm down.
2. Acute anxiety attack (panic attack, panic disorder)
(1) Feeling of dying or losing control In normal daily life, patients are almost the same as normal people. Once the attack (some have specific trigger conditions, such as closed space, etc.). ), patients will suddenly have extreme fear and experience a sense of dying or losing control.
(2) At the same time, symptoms of autonomic nervous system, such as chest tightness, palpitation, dyspnea, sweating, whole body trembling, etc.
(3) It usually lasts for several minutes to several hours, and the attack is sudden, and the consciousness is clear during the attack.
(4) Patients who are easily misdiagnosed often call "120" to see the emergency department of cardiology. Although the patient seems to have severe symptoms, most of the related examination results are normal, so the diagnosis is often unclear. After the attack, the patient is still extremely scared and worried about his illness. They often go to various departments of major hospitals for various examinations, but they can't make a diagnosis. Not only delayed treatment, but also caused a waste of medical resources.
3. Phobia (including social phobia, place phobia and specific phobia)
The core manifestation of phobia is panic attack, just like acute anxiety attack. The difference is that the anxiety attack of phobia is caused by some specific places or situations, and patients will not cause anxiety when they are not in these specific places or situations. For example, I am afraid of social occasions or interpersonal communication, or I am afraid of certain environments, such as airplanes, squares and crowded places. The occurrence of anxiety in phobia is often predictable, and patients often take avoidance behavior to avoid anxiety attacks.
Treatment of anxiety disorder 1. drug therapy
Doctors generally consider the patient's condition, physical condition, economic situation and other factors. It is generally recommended to take medicine 1 ~ 2 years. Please consult a doctor when stopping the drug and increasing the dose, and don't adjust the drug treatment plan by yourself. Pay attention to keep in touch with the doctor during medication, and solve any side effects or other problems in time.
(1) benzodiazepines (also known as antipsychotics) ① Advantages: rapid onset, usually within 30 ~ 60 minutes; The anti-anxiety effect is positive; The price is cheaper. (2) The adverse effect lasts for a short time and is not suitable for long-term large-scale use; There may be dependence. Commonly used drugs: lorazepam (Lola), 2 ~ 3 times a day. It is a short-term and moderate antipsychotic drug with good anti-anxiety effect and relatively weak sedative effect, which has little effect on daytime work. Usage principle: intermittent medication principle, temporary oral administration when anxiety is serious, not long-term large dose administration; The principle of small dose, small dose works without large dose; The principle of regular dressing change, if the condition requires long-term use, replace another antipsychotic drug in 3 ~ 4 weeks, which can effectively avoid dependence; When changing the medicine, the original medicine gradually decreases, and the newly added medicine gradually increases. If the patient is older, the dosage is not large and the curative effect is good, the dressing can also be changed. As long as the dose of antipsychotic drugs is not increased within the normal range and the curative effect is not weakened, it can be considered that there is no dependence.
(2) Antidepressants can cause neuroendocrine system disorder and neurotransmitter imbalance due to anxiety, while antidepressants can make the unbalanced neurotransmitters tend to be normal, thus making anxiety symptoms disappear and mood return to normal. ① The commonly used drugs for treating generalized anxiety are Paroxetine (Celeste), Escitalopram (Lepp), Venlafaxine (Bolexin, Enoch), Deanxit, etc. ② Paroxetine, escitalopram and clomipramine are commonly used drugs to treat panic attacks.
(3) These drugs are characterized by positive anti-anxiety effect, fundamentally improving anxiety, no addiction, suitable for long-term use, slow anti-anxiety effect, taking effect after 2-3 weeks, often requiring short-term combination of antipsychotic drugs, and expensive.
2. Psychotherapy
Psychotherapy refers to that clinicians establish a good doctor-patient relationship through verbal or nonverbal communication, and apply professional knowledge of psychology and medicine to guide and help patients change their behavior habits and cognitive coping styles. Drug therapy is a temporary solution, and psychotherapy is a permanent cure, both of which are indispensable.
There are also psychotherapy, biofeedback therapy, relaxation therapy and so on suitable for anxiety patients.
Fourth, nutritional therapy for anxiety disorder supplements nutrients? ① vitamin b group
Vitamin B group is very important for the operation of nervous system. Injection of vitamin B solution can improve brain function, relieve anxiety and protect immune system. Vitamin B group and pantothenic acid (vitamin B6) 100 mg daily.
② Calcium and magnesium
2000 and 1000 mg per day. Take clamping agent or calcium lactate. If you are allergic to milk, do not use calcium lactate.
③ L—-tyramine acid
1000 mg per day (500 mg during the day and before going to bed, used on an empty stomach). There are also 50 mg of vitamin B6 and 500 mg of vitamin c*** for absorption. It can relieve tension and help you sleep.
④ Vitamin C contains bioflavonoids.
3000- 10000 mg per day. Stress consumes adrenal hormones (anti-stress). Vitamin C is essential for adrenal function.
⑤ Comprehensive vitamins and minerals (including vitamin A and potassium)
25,000 international units and 99 milligrams per day. This is necessary in a tense situation. Potassium is needed for adrenal function. You can also take 5 pieces of kelp every day, which contains balanced vitamins and minerals.
⑥ Fiber (ABC intestinal drops or oat bran)
According to the product description, it can clear the intestine and improve the intestinal function.
⑦ Y-aminobutyric acid plus inositol
Follow the product instructions. This is an effective sedative.
8 L-tyramine, vitamin C and zinc gluconate.
Follow the product instructions. Anticold drugs and colds are often the first symptoms of nervousness and anxiety. Taking it can relieve tension.
Pet-name ruby lecithin
2 capsules with meals. Protect nerve fibers, cells and brain function.
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