anxiety neurosis
Example 1 male, 45 years old, married, working in a foreign company, seeking help because of anxiety.
The helper has been in charge of the office of a foreign company in a city for more than ten years. The boss is an American, lives in America and sometimes comes to this city. The business content is to organize the supply of goods in this city and transport them to the United States in containers. In the past few years, business was good, wages were high, and there was a house and a car. My wife is a middle school teacher, and my husband and wife have a good relationship. My daughter is studying in high school and studying well. 1 year passed, business was a bit difficult, and the boss seemed dissatisfied, but the market changes were complicated. Although I work hard, I am not satisfied. I gradually feel that business will not improve again and I am worried. Sometimes I worry that the cargo ship will sink halfway and that the American boss will suddenly die of some disease. Sometimes I think, although couples love each other now. In the future, when I retire, my wife will still be beautiful and young, and I may divorce and remarry. I also think that my daughter will face many difficulties such as job selection and marriage negotiation after she is admitted to college. How should I deal with it? I have headache, insomnia, palpitation, chest tightness and irritability. Wake up in the middle of the night, often sweating, fidgeting, smoking increased significantly. If you can't sleep, you have to get up and walk around the room, which will affect your family's sleep. The neighbors downstairs have opinions, but nothing is better for you. Eating diazepam has a certain effect, but I'm afraid it will be addictive and dependent if you eat it for a long time.
Summarize the problems of the helpers as follows:
1. Emotional experience with anxiety, the basic content of which is fear of the future, has no factual basis. The content of worry is very extensive, and it is a typical "floating" or "freestyle" anxiety. You are afraid of what you think.
2. There are symptoms of autonomic nervous system dysfunction, manifested as palpitation, chest tightness and sweating;
3. Exercise anxiety (walking around, fidgeting). These symptoms have lasted for more than half a year, so they are consistent with the diagnosis of anxiety disorder.
Acute panic attack
Example 2 A male, 33 years old, married, graduated from university, served as the office director of a city planning department.
A year and a half ago, when I was riding a long-distance bus, I was violently bumped and fell to the ground, dizzy and nauseous in my abdomen. I seem to be frightened, but I am conscious. Go to the emergency center and get better after intravenous drip. There will be several similar attacks in the future. No obvious inducement, about once a month 1-2 times, all of them were relieved by intravenous drip of drugs. No abnormalities were found in each examination, and frequent attacks occurred in the past month, about once every 5-6 days. After every attack, I break out in a big sweat. I usually feel cold and weak in my hands and feet, and I am worried about another attack. I work hard, but sometimes I can't meet the requirements of the leaders, and I am under great pressure. Whenever I submit a plan to the leader, I am worried that it will be rejected by the leader. This year, I seem to be worried about many things, because I smoke a lot, often cough and spit, and I have to check whether there is blood in my sputum every time, worrying about my illness and how to do my work. Afraid of falling by plane, derailment by train, accidents by car, earthquakes in buildings and traffic accidents even when walking. In short, I'm on tenterhooks all day.
Because of busy work and many social activities, I haven't exercised for 5 ~ 6 years, often skip breakfast, and my wife is busy with work. I rarely communicate, and I have sex 2 ~ 3 times a week, and I feel ok. The case was based on generalized anxiety and had an acute panic attack.
Example 3 jane doe, a 25-year-old female nurse, suffered from hyperthyroidism for 2 years, and her symptoms were controlled after taking the medicine.
Half a month ago, my husband was informed that he had been admitted to a master's degree and was going to study abroad. I woke up suddenly in the middle of the night a week ago, with palpitations, increased heart rate, difficulty breathing, suffocation, panic, trembling and sweating. Go to the hospital for emergency treatment to rule out thyroid crisis, and get home after intravenous drip of diazepam 1 hour. You can go to work normally the next day. Last night, another similar attack happened. After going to the hospital for emergency treatment, it was still not found to be related to organic lesions. Relieve with diazepam (intramuscular injection) again. Doctors think it may be related to psychological factors. I suggest you go and have a look.
During the consultation, I learned that the woman was attached to her new husband's going out to study, but she was afraid of delaying his future. Considering that she has hyperthyroidism, she is worried that no one will take care of her illness. Recently, there are contradictions in my heart and I am in a bad mood, which affects my appetite and sleep. Check EPQ: E 12, P9, N 12, L8; Sas: 76 points; Sds: 58 points. Combined with clinical manifestations and psychological tests, the case was diagnosed as a mixed state of anxiety and depression, but anxiety was the main one. The diagnosis of acute panic attack in this case is based on the short time of panic attack, the dominant symptoms of autonomic nervous disorder and the good effect of diazepam. 20 17 Registration time and entrance of psychological counselors in the first half of the year