Anxiety states

An anxiety state is a state between anxiety and anxiety. It is heavier than anxiety and lighter than anxiety. Anxiety has obvious anxiety, irritability, irritability, irritability, nervousness, restlessness, and sleep. Disorders and some symptoms of autonomic disorders, such as palpitation, palpitations, chest tightness, fatigue, and cold sweats, but these symptoms are generally short in time, may have certain incentives, and are good and bad, and can be relieved by self-regulation.

Clinical manifestations

It can be at any age, and it is more common before the age of 40. The onset can be rapid or slow, and there are often psychological or physical incentives before the illness.

1. Acute anxiety disorder, also known as a panic attack (panic attack). Sudden strong fear, accompanied by autonomic dysfunction is the main manifestation. The patient is suddenly frightened, as the experience of "a disaster is imminent" or "death is approaching" or "loss of self-control", and screams to escape, hide or call for help. It may be accompanied by dyspnea, palpitations, chest pain or discomfort, dizziness, vomiting, sweating, pale complexion, tremor, etc. Each attack lasts for several hours and can occur several times a month. There may be no obvious symptoms in the intermittent period.

2. Chronic anxiety disorder, also known as generalized anxiety or generalized anxiety disorder (Generalized Anxiety) is a kind of fear that one cannot control, does not have a clear object or content, and feels that there is some kind of threat that does not exist, and is nervous A painful experience of restlessness and fear. It is also accompanied by kinesthesia such as tremor, local discomfort such as chest compression, and symptoms of autonomic hyperfunction such as palpitation, rapid breathing, pale complexion, sweating, frequent urination, and urgency.

Panic attacks may occur based on chronic anxiety disorder.

Differential diagnosis

1. Heart disease: chest pain, palpitations, sweating, etc. that occur during a panic attack are easily misdiagnosed as acute myocardial infarction, which can be identified by physical examination, attack time, predisposing factors, and electrocardiogram examination. It is worth noting that mitral valve prolapse can be accompanied by panic attacks.

2. Hyperthyroidism: Anxiety symptoms associated with hyperthyroidism, after treatment, the anxiety symptoms improve with the recovery of thyroid function. Persistent anxiety should be considered a chronic anxiety disorder.

3. Hysteria: Emotional seizures of hysteria are easily confused with panic attacks. The former has a strong emotional color, cries and laughs impermanent, and the mood is changeable; the latter is mainly characterized by strong and uncontrollable anxiety and tension.

4. Depression: often accompanied by anxiety. Depression is mainly characterized by low mood, lack of interest, poor self-perception, low self-evaluation, reduced ability, and negative beliefs. Anxiety disorder is tension and fear caused by foreseeing future misfortune or threats that do not exist.

Treatment:

Psychotherapy means that clinicians establish a good doctor-patient relationship with patients through verbal or non-verbal conversations, and apply relevant psychology and medical knowledge to guide and help patients overcome and correct bad lifestyles, behavior habits, and emotional disorders. Cognitive bias and adaptation issues. Medication and psychotherapy are the two legs to help patients with anxiety disorders recover. Medication is a must-have and is essential; psychotherapy is the icing on the cake and will allow patients to further recover, and it is also very important.

Reference:

Chen Xiuling. Research on the relationship between English listening comprehension and anxiety and its implications for teaching. "WanFang", 2004

Yuan Xiaohong. Anxiety status survey and nursing countermeasures of patients with esophageal cancer before and after surgery. "Journal of Nursing Science", 2001

Zhong Yuehuan, Chen Anqi, Chen Manhui. The effect of music on the physiology and anxiety of mechanically ventilated patients. "Chinese Journal of Nursing", 2005

Zhou Xiaorong, Liu Meili, Zhao Ling, Gao Chunyan. The effect of progressive muscle relaxation training on the anxiety state of patients with acute myocardial infarction. "VIP", 2003

Wu Yaqing, Yin Huanxin, Zhou Zhaoxia, etc. The effect of psychological care on the rehabilitation of post-traumatic stress disorder and anxiety. "CNKI; WanFang", 2008

焦虑状态 焦慮狀態

焦虑状态是介于焦虑情绪和焦虑症之间的一种状态，比焦虑情绪重而较焦虑症轻，焦虑状态有明显的焦虑情绪，烦躁，易怒，易激惹，紧张，坐立不安，伴随睡眠障碍以及一些植物神经紊乱的症状，如心慌、心悸、胸闷、乏力、出冷汗，但这些症状一般时间较短，可有一定诱因，且是时好时坏，可以通过自我调节缓解。