Anxiety-phobic disorder: how to get rid of obsessive thoughts and fears? Modern disease phobic neurosis: symptoms and treatment Treatment of phobic neuroses.

Phobic neurosis - mental illness, characterized by obsessive fears, thoughts, memories. These obsessions are unpleasant for patients because they arise without their knowledge and are uncontrollable or difficult to control. Due to its negative connotation, an obsessive phobia is perceived by the patient as foreign, thus increasing his fear according to the “snowball” principle. Gradually obsessive fear takes up the patient’s entire life, and he loses the ability to think about anything other than the phobia.

The occurrence of phobic neurosis may be due to:

1. Hereditary factors. We are talking about certain character traits, such as timidity, shyness, suspiciousness. A person who has such a set of qualities experiences his own failures more strongly than others and is prone to excessive introspection and a heightened sense of guilt.
2. Situational factors. These phobic neuroses are divided into primary and secondary reflexes. The first arise as a response to an external stimulus. For example, a person with this condition becomes afraid of heights after nearly falling from a roof. In the case of a secondary phobic disorder, the person does not connect events directly and begins to experience fear of indirect events related to fear. Thus, the patient will be afraid of cockroaches, because he observed them during stressful situation(for example, when a fire started).
3. Physical factors. Chronic fatigue, bad dream, poor diet, and constant stress can lead to the development of the disease.

What symptoms indicate phobic neurosis?

1. Patients try to avoid phenomena, objects, conversations that directly or indirectly remind them of their fear.
2. Phobic neurosis can manifest itself in various forms. So, with agoraphobia, the patient will be afraid to be in crowded places, in open spaces. Other forms of the disease are also possible. The most common:
   • acrophobia - fear of heights;
   • claustrophobia - fear of closed spaces;
   • nosophobia - fear of contracting a fatal disease;
   • social phobia - fear of social contacts;
   • thanatophobia - fear of death.
3. With various forms of phobic neurosis, a person tries to compensate for the influence of obsessions. Then compulsions (rituals) appear, designed to alleviate negative thoughts. A person with this form of phobic neurosis can check many times whether he has closed front door before leaving, did you turn off the light? Almost always the ritual is accompanied by counting the number of actions performed. In severe cases, a person may spend hours washing their hands or closing/opening a cabinet door and eventually not even leaving the house. It is worth noting that compulsions can manifest themselves not only as actions, but also as compensatory thoughts aimed at combating obsessive fear.
4. Panic attacks are sudden attacks of severe anxiety. Accompanied by lack of air, rapid heartbeat, and fear of dying. The patient's seizures are not controlled.

Treatment of phobic neurosis

It is impossible to cure this disease on your own. The fact is that the fight against obsessions only increases anxiety, closing a vicious circle for the patient. Not thinking about it is an impossible task. The patient would be happy to get rid of the obsessive fear, but is not able to. Not because he doesn’t have an iron will and doesn’t know how to control himself. Phobic neurosis is a disease, and, like bronchitis, you cannot get rid of it by willpower.

What should I do?

We recommend contacting a good psychiatrist. We know that deciding to make an appointment is not easy - fear, fear of misunderstanding gets in the way. But you should understand that it is impossible to do without the help of a doctor, and you cannot solve the problem on your own.

Treatment of phobic neurosis is carried out comprehensively. Medications and cognitive behavioral therapy can relieve the patient of obsessive fears, thoughts, and memories. Also, the love and support of loved ones will be a good help on the path to recovery.

• Allow fear to exist freely. As soon as you stop opposing him, he will immediately weaken. Remember that most of our fears are irrational, meaning there is no real reason to worry.
• If you are tormented by obsessive ideas, vivid images of fear, fixate on this mental image. Regular analysis of your phobia will allow you to slightly reduce your level of anxiety.
• The disease greatly depletes the psyche. Relaxing baths will help you cope with this. essential oils: ylang-ylang or clary sage. Drinking mint tea and other soothing herbs can also help.
• Walk on fresh air and regular sports activities can distract the patient from unpleasant thoughts and fears.

To get help from a psychotherapist, just make an appointment by phone.

Usually, panic attacks occur spontaneously, but sometimes their appearance can be provoked by sudden changes in weather conditions, lack of sleep, physical stress, excessive sexual activity or alcohol abuse.

Some diseases internal organs may cause the first panic attacks. These are gastritis, pancreatitis, osteochondrosis, heart disease, thyroid dysfunction.

Agoraphobia

Agoraphobia is not only a fear of open spaces, but also a fear of crowds, crowded places, and a fear of going outside.
There are a number of obsessive fears similar to agoraphobia. Among them are claustrophobia (fear of enclosed spaces), transport phobias (fear of traveling on a train, plane, bus).

As a rule, the first manifestations of anxiety-phobic disorders are panic attacks, followed by agoraphobia.

Hypochondriacal phobias

Hypochondriacal phobias are the fear of something serious illness. They are also called nosophobias.

People suffering from phobias do everything to avoid the situation that causes them fear. With transport phobias, people with anxiety-phobic disorder do not use elevators or transport; they walk everywhere. Those who are pathologically afraid of getting cancer constantly turn to doctors to conduct thorough examinations. But even good test results do not reassure patients for long. The first minor deviations in the functioning of internal organs are immediately perceived as the appearance of a serious, incurable disease.

Social phobias

Phobic anxiety disorder can be accompanied by a range of social phobias.

Social phobias involve a fear of being the center of attention and fear of being judged negatively by others, and people avoid social situations as much as possible.

The first signs of social phobias usually appear during adolescence or young adulthood. Quite often, the appearance of phobias is provoked by adverse psychological or social influences. At first, the fear of being the center of attention only affects individual situations(for example, answering at the board, appearing on stage) or contact with a certain group of people (local “elite” among students at school, representatives of the opposite sex). At the same time, communication with loved ones and family does not cause fear.

Over time, social phobia can manifest itself only in relative restrictions in the sphere of social activity (fear of communicating with superiors, fear of eating in public places). If a person finds himself in a similar situation, then shyness, embarrassment, a feeling of inner constraint, trembling, and sweating appear.

Some people may have generalized social phobia. Such people avoid public places in every possible way, fearing to appear funny or to discover signs of imaginary inferiority in people. Any presence in public places, public speaking causes them an unreasonable feeling of shame.

Obsessive-phobic disorders can also manifest themselves as specific phobias - obsessive fears associated only with a specific situation. Such phobias include fear of thunderstorms, heights, pets, and visiting the dentist.

Variants of the course of disorders

The first option is the rarest. It manifests itself exclusively in attacks of panic attacks. The phenomena of agoraphobia and nosophobia occur rarely and do not form close connections with panic attacks.

The second variant of obsessive-phobic neurotic disorders manifested by panic attacks and persistent agoraphobia. Distinctive feature panic attacks - they occur suddenly, in the midst of complete health, are accompanied by severe anxiety and are perceived by patients as life-threatening bodily catastrophe. Wherein autonomic symptoms poorly expressed.

In the second version of phobic anxiety disorder, agoraphobia very quickly joins panic attacks, and hypochondriacal symptoms. At the same time, the entire lifestyle of patients is subordinated to the elimination of the conditions for the occurrence of panic attacks. Patients can develop a whole range of protective measures to avoid the slightest possibility of getting sick or getting into a situation accompanied by the appearance of a phobia. Often patients change jobs or even quit, move to a more environmentally friendly area, lead a gentle lifestyle, and avoid “dangerous” contacts.

The third variant of obsessive-phobic neurosis is panic attacks that develop as a vegetative crisis. Panic attacks are preceded by mild anxiety and various pains throughout the body. In most cases, a panic attack is psychogenically provoked. Its main symptoms are rapid heartbeat, a feeling of lack of air, and suffocation. Even after the panic attack passes, a state of complete well-being does not occur. Patients begin to scrupulously observe all, even the smallest, deviations in the functioning of internal organs and consider them signs of a serious pathology.

Features of treatment

Treatment of obsessive-phobic disorders should be comprehensive, including drug treatment along with psychotherapy.

Drug therapy

The most commonly used antidepressant to treat panic attacks is anafranil (clomipramine). Antidepressants fluvoxamine, sertraline, fluoxetine, which are also used to treat depression, help cope with panic attacks and other manifestations of anxiety-phobic disorders. The drug of choice for the treatment of social phobia is moclobemide (Aurox).

In addition to antidepressants, tranquilizers (meprobamate, hydroxyzine) can also be used to treat phobic anxiety disorder. These drugs have minimal side effects, their long-term use does not entail the development of drug dependence.

At acute forms For anxiety-phobic disorders, the benzodiazepine tranquilizers alprazolam and clonazepam are most effective. Diazepam and Elenium can also be used intramuscularly or in the form of droppers. However, these drugs can only be used for a short time to avoid addiction to them.

For phobias accompanied complex system protective rituals(obsessive counting, obsessive decomposition of words), when obsessions are combined with delusional inclusions, antipsychotics can be prescribed - triftazine, haloperidol and others.

Psychotherapy

Psychotherapeutic influence is aimed at eliminating anxiety and correcting inappropriate forms of behavior (avoidance when anxiety-phobic disorders), teaching patients the basics of relaxation. Can be used both in groups and individual methods psychotherapy.

If phobias predominate during the course of the disorder, patients need psycho-emotional support therapy, which can improve psychological well-being such people. Behavioral therapy and hypnosis help eliminate phobias. During the sessions, patients are taught to resist the feared object, to use different kinds relaxation.

Also, rational psychotherapy can be used to treat obsessive fears, while the true essence of the disease is explained to patients, and an adequate understanding of the manifestations of the disease is formed by the patient (so that the slightest changes in the internal organs are not perceived as signs of a serious disease).

In the classification of neuroses, obsessive-phobic disorders are considered separately, i.e. impulsive disorders. The problem combines obsessions and phobias, which arise in the form of a panic attack followed by a transition to moderate feelings.

Forms of manifestations

Obsessive-phobic neurosis can manifest itself in several forms.

• Figurative.
• Distracted.

For shaped form characteristic feature are obsessive pictures of past events, accompanied by vivid memories, doubts, and apprehension. Abstract refers to constant attempts remembering facts, names, surnames, faces, accounts, as well as replaying imperfect actions in your head.

An obsessive state is manifested by compulsion in the motor-physical aspect, phobia in the emotional aspect and obsession in the intellectual aspect. All these components are closely connected and alternately trigger each other.

A striking example: patients with severe forms of neurosis develop ritual actions that allow them to find peace for a while.

Experiences usually appear during mental activity and provoke a return to the same thought and repeated actions in order to double-check the work. Endless repetition leads to fatigue. Doubts cause a persistent need to perform the same actions, at a time when reality is of less interest.

Features of phobias

Phobias develop in childhood. Main reasons: miseducation, a negative psychogenic environment that negatively affects the development of the psyche. Under the influence of certain factors, the child forms protective attitudes in the brain in an attempt to adapt to the stimulus.

Fear is an evolutionary feeling. Without him, humanity could not survive. Under stress the highest nervous system forms a special model of behavior to adapt the body to life in certain conditions.

When experiencing fear, a person tries to hide from danger or takes a blow, acting as an aggressor. With an inadequate assessment of the situation, severe fear arises, accompanied by obsessive thoughts, actions, and panic attacks.

The formation of a behavior model depends largely on parenting and influence public values, prejudices, religious attitudes. A child frightened by “babayki” will be afraid of the dark, assuming that the creature comes out at night to kill him. Everything that is beyond the reach of human understanding causes fear. The child, due to his inexperience, does not know how to react to stimuli. The most common phobia is the fear of death.

A person who is not afraid of anything does not exist.

People who calmly react to factors that cause horror and panic in others know how to live with fear and use this feeling for their own purposes. Their nervous system and body have high adaptive abilities.

Patients suffering from phobic disorders differ high level emotionality and suggestibility. For example, when some religious traditions prohibit the consumption of certain types of meat.

A person is initially proven that something like this kills him, and the deity he worships will not forgive him, banishing him to the farthest corner of hell (a play on the unknown, since a person cannot know for sure whether he will live after death).

Features of obsessions

An obsession is a series of obsessive thoughts, associations that arise involuntarily at a certain time interval. A person loses the ability to concentrate on his main work because he is unable to get rid of them by willpower.

Obsessions are classified as symptoms of intrapsychic activity, i.e., disorders of the central part of the psyche. They are classified as a subgroup of thought disorders. Of the 9 productive circles of damage, obsession belongs to the 3rd, i.e., it can be easily stopped with timely treatment.

Regarding pathogenesis, 2 groups of obsessions are distinguished.

1. Elementary - observed immediately after the appearance of a super-strong psychogenic stimulus. The reasons for obsessive thoughts are clear to the patient.
2. Cryptogenic - occurs spontaneously, the reasons are unclear. Misunderstanding of the process of formation of obsession is due to the body’s defensive reaction when it hides in the nooks and crannies of consciousness some traumatic facts from the life of an individual.

Features of compulsion

Compulsion - obsessive rituals - behavioral reactions that occur after a certain period of time. The patient feels that he is obliged to perform some action. If he refuses or cannot do this, anxiety increases and obsessions arise.

Compulsions vary in type of manifestation, but have similar features. The main problem is that they cannot be abandoned. If initially it is enough to perform the action once, then over time it is necessary to perform the ritual several times. The demands of the subconscious become more stringent every time. Thus, a disorder accompanied by a feeling of dirt on the hands requires more thorough washing.

Causes of obsessive-phobic neurosis

From a biological point of view, disorders of this type appear as a result of genetically determined or acquired in the process of life disturbances in the balance of substances in the brain. People suffering from obsessive-phobic syndrome experience an increase in the production of adrenaline and catecholamines.

Copying the behavior of adults is the most common factor influencing the formation of perception of the world around us. The child's psyche is a blank slate. He does not know how to behave correctly, so he takes an example from his parents and follows their guidelines, believing that their reactions are truly the correct behavior.

Obsessive-phobic neurosis can be a symptom of schizophrenia. Here the reasons mainly lie in genetic factors and living conditions.

Symptoms of the disease

Obsessive-phobic disorder is characterized by a number of psychological symptoms that cause physiological abnormalities. Under the influence of fear and anxiety, patients feel dizziness and numbness in their limbs. Tremors and convulsive contractions may occur facial muscles. Severe conditions in acute period accompanied by hysterical fits and panic attacks.

From the outside of cardio-vascular system There is tachycardia, chest compression, shortness of breath, racing blood pressure, increased sweating. Often, under the influence of anxiety, patients suffer from diarrhea. In women, neurosis can provoke a change in the cycle. For men, obsessive-phobic disorder can cause impotence.

More than 40% of patients have a history of sleep disturbances; a long absence of sleep provokes the appearance of hallucinations.

Obsessive and phobic neurosis

Comparative characteristics of obsessive and phobic neuroses:

• phobias and obsessions arise due to high suggestibility;
• behavioral reactions in both types of neurosis depend to a greater extent on the level of adaptive capabilities of the body;
• obsessions can arise against the background of phobias, and phobias can appear against the background of obsessions;
• both pathologies can be accompanied by compulsions;
• phobias are caused by heredity, because fear is the body’s natural reaction to danger, it is a defense mechanism;
• obsessions are more common in adolescents; in children, such manifestations are rarely recorded;
• Phobias are observed in people of any age, and are more pronounced in children.

From this it follows that everything pathological abnormalities are inextricably linked. May manifest themselves in varying degrees, under the influence of certain psychogenic factors. Main role In the formation of neurosis, it is not the strength of the influencing factor that plays a role, but the person’s personal perception of it.

Conclusion

Obsessive-phobic disorders are characterized by a number of mental and physiological abnormalities. This is due to disruption of the central nervous system. Pathology refers to neuroses. IN mild form reversible with the help of psychocorrection. Severe forms diseases require long-term treatment in the hospital. The disease can be triggered by biological, genetic and psychogenic factors. The main role in the formation of neurotic deviations is given to the adaptive abilities of the individual.

This neurosis includes a number of neurotic conditions in which patients experience obsessive fears, thoughts, actions, memories, which they themselves perceive as alien and unpleasant, painful; at the same time, patients cannot free themselves from their obsessions.

In the origin of the disease important role constitutional and personal predisposition plays a role. Among the patients, people who are prone to reflection (self-analysis), as well as anxious and suspicious ones, predominate.

Most often, the leading symptoms of neurosis are fears (phobias). There is a predominant fear of contracting severe somatic or infectious diseases(cardiophobia, cancerophobia, syphilophobia, speedophobia, etc.). For many patients, a feeling of fear is caused by staying in confined spaces, transport (claustrophobia); they are afraid to go outside or be in a crowded place (); in some cases, fear arises when patients only imagine this difficult situation for them. Neurotics, in the presence of phobic disorders, try in any way to get rid of those situations in which they have fears. Many of them constantly turn to various doctors to make sure there are no heart diseases (cardiophobia), cancer(cancerophobia). Close attention to the work of your internal organs contributes to the formation.

Sometimes neuroses develop in connection with a disruption of any habitual activity, while patients are in a state of anticipation of failure in its implementation. A typical example may be the occurrence of a psychogenic weakening of adequate erections in men, which subsequently leads to a fixation of attention on a possible “failure” when it is necessary to get closer to a woman and the formation of “expectation neurosis” (E. Kraepelin, 1910).

In more rare cases, the characteristics of neurosis are characterized by a predominance of obsessive thoughts. In addition to their desire, patients experience, for example, intrusive memories that they cannot get rid of; some patients senselessly count the steps on the stairs, the number of passing cars of any one color, ask themselves various questions many times and try to answer them (why are there four letters in the word “chair”, and five letters in the word “lamp”; why is a chair - it is a chair, not a table, although both words have four letters, etc.). In this case, the phenomenon of “mental chewing gum” is formed. Patients understand the pointlessness of such thoughts, but cannot get rid of them. Particularly difficult for them are obsessive thoughts about the need to commit some shameful actions, for example, swearing obscenely in public, killing their child (contrasting thoughts, “blasphemous” thoughts). Although patients never realize such tendencies, they have a hard time experiencing them.

In addition to such disorders, obsessive actions (compulsions) may occur, for example, compulsive washing of hands to achieve ideal cleanliness (up to 100 times or more per day), returning home to check whether the door is closed, whether the gas or iron is turned off. In some cases, obsessive actions (rituals) arise in order to eliminate obsession. For example, a patient must jump 6 times and only after that he can leave the house, because he is calm and knows that nothing bad will happen to him today, etc.

In the dynamics of neurosis obsessive states(N.M. Asatiani) there are three stages. At the first stage, obsessive fear arises only in a situation where the patient is afraid of something, at the second - at the thought of being in a similar situation, at the third - a conditionally pathogenic stimulus is a word that is somehow connected with the phobia (for example, in cardiophobia such words can be “heart”, “vessels”, “heart attack”; for cancerophobia - “tumour”, “cancer”, etc.).

Some patients experience “” - repeated attacks of severe fear, most often fear of death, or loss of consciousness, which are accompanied by palpitations, shortness of breath, painful sensations. These conditions can last quite a long time, patients subsequently fear their recurrence, do not go out alone or move with accompanying persons. Most of these autonomic paroxysmal attacks with palpitations and shortness of breath are closely associated with chronic stress and occur against the background of overwork. IN domestic psychiatry such conditions were described as sympathoadrenal crises or designated as diencephalic syndrome.

Usually fear, panic and anxiety are manifestations pathological condition, which is called phobic neurosis in medicine. By phobia we mean a psychological state of strong fear, which leads to neuroses, including those of a phobic nature.

Most often, pathology is detected in adolescents and young men. During this period, the child’s body undergoes active hormonal changes, which leads to various mental disorders. Anxious phobic neurosis is expressed in timidity, shyness, and suspiciousness.

If an illness develops, the child has little conversation with peers. When they start talking to him, it leads to panic fear and even hysterics. The child subsequently tries to exclude communication with people, which leads to various mental disorders.

At the initial stage of the development of the disease, the appearance of fear is due to a number of factors, but soon its occurrence occurs when any situation or object is mentioned. Subsequently, the person begins to be pathologically afraid of everything. Even though he understands his illness, he fears everything against his will. People who have a problem in the form of phobic manifestations try to protect themselves from panic attacks throughout their lives.

In addition, with phoboneurosis disease, other unpleasant symptomatic signs may appear in the form of headaches, dizziness, depressive states, cardiac pathologies and some others. Seeing something that evokes terrible associations, a person again becomes susceptible to phobias. The patient is very tense and cannot relax, no matter how hard he tries.

People prone to phobias diligently avoid the conditions that caused the pathology. They try to think about other situations and objects.

A person is susceptible to phobostates in the following situations:

• if there is a negative association about the subject;
• if you have had bad experiences in the past.

Manifestations of the disease may occur due to:

• dysfunction endocrine system body;
• a number of hereditary factors;
• increased anxiety, constant worry, excessive responsibility, suspiciousness;
• emotional stress and physical exhaustion;
• dysfunction of sleep processes;
• improper nutrition and daily routine;
• infectious pathogenic conditions;
• excessive drinking of alcoholic beverages, smoking tobacco products, using drugs and other bad habits, which are incredibly harmful to the human body.

The emergence of phoboneuroses is due to the development of other pathological psychostates, including schizophrenic, obsessive-compulsive, and psychoasthenic manifestations.

Phobic neuroses arise at certain stages life path person. Particularly at risk are people in adolescence, in adolescence, as well as before the onset of menopause.

Types of neurosis

When a person is struck by fear at the sight of people or objects, he develops a phobic condition. Sometimes the patient only needs to remember something to begin to fear and be afraid of everything. IN modern world Phobias develop in two ways:

1. If a person performed some work unsuccessfully and this contributed to the appearance negative consequences, then this served to develop the primary reflex. For example, a person burned himself on the surface of a hot iron and is now afraid to iron clothes.
2. The appearance of fears is caused by a secondary reflex. For example, a patient is afraid to talk on the phone because some time ago during the conversation a fire or accident occurred.

Modern man is becoming susceptible to agoraphobia, the fear of open space. He is afraid to leave the room. A person may also experience claustrophobia, which is expressed in a strong fear of enclosed spaces. The patient attempts to visit only spacious rooms and stay in outdoor conditions.

If a person develops a fear of heights, this leads to acrophobia. When there is a fear of various living beings, a zoophobic phobostate occurs. When a person is the center of attention, they talk about the presence of social phobia.

In the modern world, there are a large number of psychoneurotic phobostates, which are united by one thing - dysfunction of mental processes.

Experts distinguish 3 types of panic fear:

1. The person tries not to touch the objects that caused his panic fear.
2. A person expects to touch the object that caused the phobic state.
3. Patients imagine touching an object, after which fear appeared, which leads to the onset of psychophobic states.

Real examples

Agoraphobia and nosophobia are rare in nature. There is no close connection with panic psychostates.

But sometimes agoraphobic manifestations may occur due to panic attacks. Such phenomena can arise out of the blue, a person begins to worry, fear everyone and everything. A person understands a panic attack as a catastrophic threat to life. At the same time, there is a weak expression of vegetative symptoms.

Panic attacks occur in the second variant of phobic disorders along with obsession and hypochondriacal symptoms. At this time, the patient tries to eliminate the factors that led to panic. Patients develop certain rules, compliance with which will not lead to the development of the disease. People often write a letter of resignation and change their working conditions, area of ​​residence, and their compliance with correct mode day, do not communicate with anyone outside.

If vegetative-crisis phobostates develop, then the occurrence of panic attacks against the background of residual insufficiency is due to the appearance of severe anxiety, various painful sensations. If psychogenic factors are not eliminated, this leads to rapid heartbeat, sensations of lack of air, and suffocation. The patient does not feel better as the disease progresses. People begin to carefully monitor their health, believing that they are developing a serious pathological illness.

Signs

Experts highlight the following general signs phobic neurotic states:

• frequent feelings of panic and fear;
• dysfunction of the heart, blood vessels, respiratory organs and other organs and systems human body;
• dysfunction of sleep processes;
• Constant pain and dizziness;
• feeling of general weakness;
• depressive symptoms;
• the person becomes emotionally and mentally tense.

The detection of all of the above signs occurs as a result of contact with an ill person with an object of phobic pathology.

Symptoms

Experts divide symptomatic signs into several groups:

1. The appearance of panic attacks. The patient is afraid and expects a speedy death. All this occurs accompanied by an increase in sweat secretion, dysfunction heart rate, the appearance of dizziness. The person begins to feel sick, suffocates and feels the unreality of the situations occurring.
2. The emergence of agrophobia, manifested by fear of large crowds of people, open space. If the disease progresses to severe stage, then he is afraid to leave his own home.
3. If a patient is afraid of any disease, then he may develop the pathology of hypochondriacal phobia. It seems to him that an incurable disease has already affected his body.
4. In the modern world, one can often encounter social phobias, expressed in fear of the attention of others, fear of criticism or ridicule.

Treatment

Anxiety-phobic neurosis is often treated in a complex. Specialists prescribe psychotherapeutic measures and treatment methods.

Elimination of the condition is possible with the help of psychotherapeutic influence. Patients are taught to avoid the phobic objects and use relaxation techniques. Behavioral therapy and hypnosis are sometimes used. Patients are trained to withstand fearful objects and use a variety of relaxation techniques.

Panic attacks are eliminated with the help of antidepressants. Neurosis is effectively treated with the help of Anafranil (Clomipramine), Fluvoxamine, Sertraline, Fluoxetine.

If social neurosis develops, treatment is carried out with Moclobemide (Aurox).

In addition to antidepressants medications It is necessary to take tranquilizers in the form of Meprobamate, Hydroxyzine, Alprazole and Clonazepam. They can only sometimes lead to side effects. If the drugs are used for a long period of time, then drug dependence is not observed. It is necessary to strictly monitor the use of Diazepam and Elenium, as a person soon gets used to them.

It is possible to use antipsychotic medications, especially Triftazin, Haloperidol and others.

The appearance of phobic disorders often occurs due to various factors, which can only be eliminated by a neuropsychiatrist after examination and prescription various methods medical procedures. If the patient ignores the psychostate, then the onset of undesirable consequences for the human body, therefore, at the first appearance of fear, it is better to consult a doctor.