Private psychiatric practice
with Cabinet for psychotherapy
Dr. Sandic
Tel.: ++ 387 33 645 112
Neurotic, stress-related and somatoform disorders
Panic disorder (episodic paroxysmal anxiety)
Essential feature of the panic disorder is sudden, abrupt burst out of severe, panic fear without external adequate and thus visible cause. Due to the fact that those, for the patient extremely unpleasant and horrifying onsets of severe anxiety (manifested through panic) are not restricted to any specific setting, they are almost completely unpredictable for the patient. Apart from those qualities it is important to note that after the first panic attack in vast majority recidivism will follow up. Namely, panic attacks poses a tendency to reappear again and again. Each time they last shortly, up to 10 minutes.
Together with the panic fear those individuals sense rather dramatic manifestations, particularly the ones provoked on a side of the vegetative nervous apparatus which is excited and thus hyperactive. This is how, together with panic fear, appear sudden "heart beats", pain or pressure in the thoracic area, sensing the lack of air, even the choking sensations. Other commonly appearing signs are dizziness, sweating, redness of the skin, sensation of dumbness and/or similar other sensations in certain body parts.
On some occasions clinical picture contents elements of derealization (subjective sensation as if the surrounding changed in some odd way) or depersonalization (subjective sensation of changes in one’s own personality). When not in a panic attack state patients report that they fear they might die, lose control and/or go mad.
Common to the panic disorder is that a person caught up in this state quite often expresses a wide range of typical behavioral patterns. It is almost a regular practice that they, while in a panic attack state, ask to be taken to the emergency hospital departments. Almost omnipresent is the data that having numerous medical examinations done, they had a detailed check upon the cardio - vascular system, abdominal organs, on several occasions had the full basic lab tests done, as well as other somatic examinations. They have done all this in hope to discover the cause of the above described disorder.
Essential feature of the panic disorder is sudden, abrupt burst out of severe, panic fear without external adequate and thus visible cause. Due to the fact that those, for the patient extremely unpleasant and horrifying onsets of severe anxiety (manifested through panic) are not restricted to any specific setting, they are almost completely unpredictable for the patient. Apart from those qualities it is important to note that after the first panic attack in vast majority recidivism will follow up. Namely, panic attacks poses a tendency to reappear again and again. Each time they last shortly, up to 10 minutes.
Together with the panic fear those individuals sense rather dramatic manifestations, particularly the ones provoked on a side of the vegetative nervous apparatus which is excited and thus hyperactive. This is how, together with panic fear, appear sudden "heart beats", pain or pressure in the thoracic area, sensing the lack of air, even the choking sensations. Other commonly appearing signs are dizziness, sweating, redness of the skin, sensation of dumbness and/or similar other sensations in certain body parts.
On some occasions clinical picture contents elements of derealization (subjective sensation as if the surrounding changed in some odd way) or depersonalization (subjective sensation of changes in one’s own personality). When not in a panic attack state patients report that they fear they might die, lose control and/or go mad.
Common to the panic disorder is that a person caught up in this state quite often expresses a wide range of typical behavioral patterns. It is almost a regular practice that they, while in a panic attack state, ask to be taken to the emergency hospital departments. Almost omnipresent is the data that having numerous medical examinations done, they had a detailed check upon the cardio - vascular system, abdominal organs, on several occasions had the full basic lab tests done, as well as other somatic examinations. They have done all this in hope to discover the cause of the above described disorder.