¿Cómo podemos identificar una crisis de pánico?

El 13

La Dra. Eugenia Escorza, psiquiatra de la Clínica Dávila nos enseñó a intentar identificar una de estos ataques y cómo poder tratarla.

Transcript

00:00That's why I want to ask you first, doctor, because a panic attack has to be diagnosed.

00:05How do we know that we go from anguish, pain, fear, perhaps, to a panic attack?

00:13Probably there you can give us some tips.

00:16Well, Priscila, first of all, thank you for this invitation and for being able to contribute to your program.

00:22Well, it's a very good question, because one thing is anxiety,

00:27the anxiety that we have all experienced at some point.

00:29Everyone gives us a little bit of a sore throat.

00:31Myself, being here for the first time, one produces...

00:34Don't give it to him.

00:35Don't give it to me.

00:36You feel confident.

00:37Then a sensation is generated that is normal,

00:41but when it goes through the normal defensive mechanisms, it turns into a pathology.

00:48The disorder due to anguish or panic, which is called in both ways,

00:53that's why there are people who say panic attack, anguish attack, it's the same,

00:57is a disorder that has biological components.

01:01For example, palpitations, sweating, perspiration, tremors.

01:06Is there really a feeling that people feel like they're going to die?

01:11At that moment, they feel the feeling that they can die or go crazy.

01:16They usually go to the emergency services.

01:19For example, in an emergency service, you find a young person who says he's going to have a heart attack,

01:24that he's going to die.

01:25It is most likely that it is a panic attack.

01:29Currently, due to the pandemic and all the circumstances that we have known,

01:33anxiety disorders have increased a lot.

01:37Yes.

01:38And in fact, March studies this year tell us about 25% more.

01:43Incredible.

01:44What can be attributed to the pandemic, anguish, and stress that we have experienced in the last two years?

01:49Fear.

01:50Uncertainty.

01:51There is one thing that we are going to talk about, surely the psychologist,

01:56there is a theme that is fear and another is anxiety.

01:59Fear is concrete. I'm afraid of spiders.

02:02But I have anxiety when I don't know what I'm afraid of,

02:07but I have expectations that I'm going to be harmed.

02:10I put myself on alert.

02:12Because beyond a feeling that there is a mental state,

02:15the body also begins to react in a different way.

02:18Of course. There is an alteration of the hypothalamus-hypophysis-suprarenal axis.

02:22There is an area in the brain called amygdala that is deregulated.

02:28And that area begins to find even dangerous stimuli that are minor

02:33and that one interprets as high risk.

02:36Doctor, here we are talking about a mother and a daughter.

02:39Can this be genetic?

02:40I mean, it also has a genetic component, but at this moment,

02:44panic attacks, one of the important things,

02:47anxiety disorders are in many pathologies.

02:50Not only anxiety disorders.

02:52There is acute stress, post-traumatic stress, which is very common.

02:56Anxiety adaptive disorders.

02:59And it occurs mainly in women.

03:02Look.

03:03Twice as frequent in us.

03:06I want to ask Alexandra, because the important thing is to know

03:10if this can be prevented, if it can be treated,

03:13if a person can forget forever of a panic attack.

03:17Yes. Taking what the doctor said, I brought,

03:20it's not my brain, because mine is on, but I brought the brain.

03:23But I imagined your brain full of colors.

03:26Ah, how good.

03:27Well, what I'm going to say is super important and super short.

03:30Fear is an emotion that we have to have for survival.

03:35Because if we are not afraid, we do not save ourselves.

03:38Because fear keeps us alert.

03:39On alert.

03:40So the primitive time, for you to understand,

03:42because if you understand this, you will be able to get out of panic attacks.

03:45The fear of the primitive time, when the hunters went,

03:48they heard the noise of the predators,

03:50and the hunter heard and felt fear,

03:53and a series of changes occurred inside your brain,

03:57which allowed the man who was looking for food,

04:02to run and save himself.

04:04Why? Because what the doctor said.

04:06Here is the brain, and inside this brain,

04:09if you can here, Mr. Director, show well,

04:12there is the amygdala.

04:13That little dot, like a lentil, is the amygdala.

04:15Let's see, leave it still.

04:16There, two amygdala, are the brain amygdala.

04:19There?

04:20Yes, and there.

04:21The amygdala.

04:22These amygdala would be like the panic button.

04:24So, when the panic attack does not come out of nowhere,

04:28it comes from stressors, like the lady,

04:31and the daughter, in this case, the mother with the pandemic,

04:34the prehensility, and the daughter with the bullying.

04:37So, always behind a panic attack,

04:39there is an event, a stressor, a trigger.

04:42The birth of a child, a separation, a change of city,

04:45problems in the house,

04:47there are a series of things that accumulate,

04:49so, unexpectedly, but with cause,

04:53one night, or one day, you get caught in the subway.

04:56Not exactly in the moment of stress,

04:59it can be later.

05:00It is later than stress, it comes suddenly.

05:02Just in case, for you not to say, it is very easy to speak,

05:06I suffered from panic attacks,

05:08that is why I am speaking not only from the books,

05:10but also from my experience.

05:12Did you overcome it?

05:13I overcame it, totally.

05:14It is important to say the truth.

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