Fear of sudden death at meal time

summary

A friend suffered from anxiety disorder. Every day, he was afraid of sudden death. Sometimes he was afraid of eating some food and then bad health. What should I do?

Fear of sudden death at meal time

First of all, anxiety disorder, also known as anxiety neurosis, is the most common type of neurosis, which is characterized by anxiety experience. It can be divided into two forms: chronic anxiety (generalized anxiety) and acute anxiety attack (panic disorder). The main manifestations are: anxiety without clear objective objects, restlessness, and autonomic nerve symptoms (palpitation, shaking hands, sweating, frequent urination, etc.).

Specific treatment: anxiety disorder is relatively good in the treatment of neurosis, with good prognosis. Psychotherapy and medication are usually used. 1. Drug therapy (1) benzodiazepines (also known as diazepam drugs) have the advantages of quick effect, mostly in 30-60 minutes; anti anxiety effect is certain; the price is cheaper. ② Disadvantages: the effect lasts for a short time and is not suitable for long-term and large-scale use. Commonly used drugs: lorazepam (LORA), alprazolam, 2-3 times a day. It is a kind of diazepam with short and medium effect, which has good anti anxiety effect, relatively weak sedative effect and less influence on daytime work. Use principle: intermittent medication principle, temporary oral in case of serious anxiety, not long-term large dose; small dose principle, small dose is effective, not large dose; regular dressing change principle, if the disease needs long-term use, 3-4 weeks to replace another kind of diazepam drugs, can effectively avoid dependence; dressing change, the original drug slowly reduced, the new drug slowly added. If the patient is older, the dosage is not large, and the curative effect is better, the dressing can be changed. As long as the dosage of diazepam drugs does not increase, in the normal range, the curative effect does not weaken, it can be considered that there is no dependence. (2) Antidepressants can lead to the disorder of neuroendocrine system and the imbalance of neurotransmitters because of the cause of anxiety. Antidepressants can make the imbalance of neurotransmitters tend to normal, so that the anxiety symptoms disappear and the mood returns to normal. ① Paroxetine, escitalopram, venlafaxine and deanxit are commonly used in the treatment of generalized anxiety. ② Paroxetine, escitalopram and clomipramine are commonly used in the treatment of panic attack. (3) The anti anxiety effect of these drugs is positive, fundamentally improve anxiety, no addiction, suitable for long-term use, anti anxiety effect is slow, 2-3 weeks later, often need to be combined with short-term diazepam drugs, the price is too expensive. 2. Psychotherapy psychotherapy refers to that clinicians establish a good doctor-patient relationship through verbal or nonverbal communication, apply professional knowledge of psychology and medicine, guide and help patients to change their behavior habits and cognitive coping styles. Drug therapy is the treatment of symptoms and psychotherapy is the treatment of root cause. There are also psychotherapy, biofeedback therapy and relaxation therapy for patients with anxiety disorder.

The earlier diagnosis and treatment, the better prognosis of anxiety disorder. After standardized treatment, the vast majority of patients will get clinical rehabilitation, restore the past happy mood. In particular, it should be emphasized that: after the symptoms are relieved, we still need to take antidepressants for 1-2 years; we need to consult a specialist when stopping or reducing the drugs, and never adjust the drug treatment plan without authorization.

matters needing attention

1. Keep a good mood 2. Learn to release their own pressure 3. Know how to adjust the pace of life 4. Timely medical treatment