Went there in my 30s, and you should know about Guiyang TCM Brain Health Hospital, right? The environment there is good, quite a few people will go!
Epidemiologic surveys show that the prevalence of GAD in the United States is 3.1% in the past year for the general population and 5.7% lifetime; the prevalence in women is about twice as high as that in men.
There is a great deal of variability in the age of onset of GAD: some individuals develop the disorder in childhood, most in early adulthood, and the other peak in old age, often in the setting of a chronic somatic disease. By definition, GAD is a chronic disorder, with 6 months being the minimum length of time for a diagnosis of anxiety, and most patients suffer from the disorder for several years before seeking treatment.
GAD is particularly prevalent in primary care settings, being present in 7-8% of patients. However, patients rarely report worrying symptoms. Patients in primary care facilities (rather than mental health facilities) present primarily with somatic symptoms, such as headaches or gastrointestinal distress. children with GAD tend to present with recurrent abdominal pain and other somatic symptoms that may cause them to stay away from school.
Depression is a common ****affected disorder of GAD, although depression may be difficult to distinguish from GAD because many GAD symptoms (e.g., fatigue and insomnia) overlap with depressive symptoms. Persistent lack of pleasure (inability to experience pleasure) is a core symptom of depression, but not of anxiety.Individuals with GAD often describe a sense of helplessness, whereas depressed individuals may often feel hopeless. However, individuals with GAD are at higher risk for intentional self-injury, including suicide attempts. For many patients, GAD is a state of potential ups and downs - bouts of depression in the context of particular life stressors. This combination of dual GAD and depression is sometimes called "anxious depression," and is particularly common in primary care settings.
Functional neuroimaging studies in patients with GAD have shown increased activation of the limbic system (e.g., the amygdala) and decreased activation of the prefrontal cortex; other evidence suggests that functional connectivity between these areas is diminished. In addition, preliminary data suggest that effective treatments for the disease may repair the abnormal brain function described above. For example, functional magnetic **** vibrational imaging (fMRI) shows that patients with GAD have elevated levels of amygdala activation, whereas CBT attenuates its activation state.
Almost everyone experiences anxiety, just to varying degrees. Anxiety disorders, which are of a more severe degree, tend to bring to mind that agonizing experience of being terrified and on edge, as if a catastrophe is coming or danger is imminent. For this reason, some people are afraid of anxiety, always hope that they can get rid of anxiety, to achieve a kind of anxiety-free state, but do not know because of anxiety plus fear of anxiety will reach an extremely painful state.
Case: a young woman, half a year ago, a day suddenly appeared palpitations, chest tightness, shortness of breath, dizziness, sweating, after the emergency ECG suggests sinus tachycardia, no other abnormalities were found, about 10 minutes to relieve. After that, the above discomfort appeared intermittently, and he went to the emergency room of the hospital for several times, and no other abnormalities were found except for the rapid heart rate. On a business trip for work reasons, on the train, felt closed in the compartment, and then chest tightness, suffocation, and asked the attendant to open the window, relieved after 10 minutes. Staying in the hotel feel closed windows, indoor air circulation is not good, worried that they will go crazy, will die, for this night closes the door do not dare to put on the chain, do not dare to sleep, always ready to escape from the room. From then on, she wanted her family to be with her and did not want to be alone at home. She was afraid that her condition would recur, and took Valium to relieve her condition. She said the doctor told her it was "cardiac neurosis", and she also went on the Internet many times to learn more about the situation, and felt that she had a mental problem and came to see the doctor.
Preliminary diagnosis: acute anxiety attack, so we explained to her about anxiety and the physical reactions that come with it. She was made to understand that anxiety is a natural emotional response experienced by everyone and occurs whenever there is a perception that something bad or threatening may happen. These threatening things include physical threats such as the possibility of illness, accident, or death; social threats such as the possibility of being humiliated, rejected, or ridiculed; or mental threats such as the possibility of going crazy, losing control, or becoming incapacitated. She also explained that when we feel these dangers, the brain sends messages to mobilize the body's fight-flight system to provide energy for attack or escape, at which time the workload of the blood circulation, respiration, and other systems increases, and we feel a change in the heart rate, the strength of the heartbeat, and the rate of respiration, which is reflected in the heartbeat accelerating, respiration speeding up, deepening, etc., and sometimes the Breathing becomes uneven and produces harmless but uncomfortable symptoms, such as difficulty in breathing, coughing, chest tightness or tightness, etc. At this time, protective somatic changes produce uncomfortable somatic symptoms. Because anxiety reaches a certain level, our own body through its own regulation, anxiety itself will gradually ease.
The next step is to let her experience anxiety again: after guiding her to relax, let her imagine a scenario that gives her anxiety, enter a closed room, she feels nervous and scared, her head has a sense of gold band, her body is stiff, her heart palpitates, and she has difficulty breathing. At this point, she was told to take deep breaths, relax, and accept that she felt tired and weak and was still worried about this weakness. It was explained to her that it was normal to feel tired and weak because anxiety consumes energy, and weakness occurs after anxiety. When she experienced it again, her anxiety was significantly reduced and she was no longer fearful of experiencing this anxiety.
This discomfort, slowly her degree of tension, discomfort decreased, to be able to tolerate, let her experience that feeling of anxiety again, at this time, let her accept this feeling, slowly to experience this feeling, her anxiety gradually relieved, after she said that the feeling of
Let the visitor talk about the experience of this psychotherapy, she said: in the past, whenever the anxiety comes to the moment, I always think that it is a disaster. This is a disaster, I want to control this emotion, or reject it, but I failed in every attempt, but it brings more pain; in the past, I always wanted to find a clear reason, but I could not find conclusive evidence to make myself more fearful. Through this treatment I feel that accepting this emotion is more effective than rejecting it, and that the fear of not having a clear cause may come from within me, and be related to past stresses that I don't care about, less than desirable things, etc. I will accept it in the future, and stop worrying about the anxiety. In the future I will accept it and stop being anxious about anxiety. She had a happy smile at the end of the treatment.