Anxiety and phobic disorders require a comprehensive treatment using various methods. To get rid of fears, and often have to see a specialist – a qualified psychotherapist or psychiatrist. And have the attending physician prescribes the treatment.
It is not recommended to treat phobias self: uncontrolled intake of medicines, unauthorized use of psychic techniques can make the condition worse. However, as self-treatment can be used prophylactic methods – the herbal therapy and herbal extracts, yoga, creativity, relaxation techniques and other methods not directly related to medical practice.
All methods of treatment of phobias can be divided into three categories:
- Drug treatment.
- the Psychological impact.
- Alternative and complementary methods.
Treatment of phobias with medication
The use of medication for phobic disorders is not the primary method. It is, rather, an aid. Medical drugs are used mainly to relieve symptoms in the treatment of fears, phobias and panic attacks. Different groups of psychotropic drugs, antidepressants and a variety of other means aimed at addressing somatic and psychological symptoms. Successful outcome and sustained remission can be achieved only in strict compliance with doctor’s recommendations, the implementation of medication.
While ignoring the prescriptions of physicians, unauthorised interruption of the medical treatment the symptoms and signs of disease not only may appear again, but worse. Possible complications of the disorder, the acquisition of other psychological conditions.
In the treatment of phobias and panic attacks use the following classes of drugs:
Are used for relief of somatic symptoms. The mechanism of this group of drugs is based on blocking the production of stress hormones. They do not eliminate the psychological manifestations, but removed the extensive physiological symptoms. This, in turn, significantly improves the General condition of the patient with phobic disorder, including its psychological background. Because such effects phobias, such as panic attacks, are often the result of the mechanism of “fear – a physical symptom – the increased fear due to physical symptoms.” That is, the relief of physical condition eliminates the individual’s fear of death, fear of going crazy or acquire a chronic disease.
Antidepressants are various categories
It often happens that the prescription of antidepressants becomes necessary in the treatment of fears and phobias. Successfully cope with this task these types of antidepressant heterocyclic and tricycline drugs, the group of SSRIs (selective inhibitors of serotonin reuptake) inhibitors of capture of norepinephrine and serotonin. The most frequently used substances such as prozac, fluvoxamine, auroks, anafranil and several others.
This group of drugs, including benzodiazepines, helps to stop strong autonomic manifestations of anxiety. However, prolonged courses of treatment these funds can lead to permanent based on the body of drugs, which later is treated seriously. Even light tranquilizers such as hydroxyzine, benzodiazepine and meprobamate, should be taken only in extreme, critical situations, and the course should not be lengthy. The most effective in the treatment of phobic disorders drugs such as diazepam, clonazepam, valium.
Antipsychotics are used for those with severe behavioral disorders, the inadequate, the rapid physiological manifestations: panic attacks, aggression, suicidal tendencies, delusions and hallucinations. They block intense nervous response to stimuli, the patient becomes quiet, but lethargic, inert, drowsy. Have severe side effects and therefore their use is justified only in severe, advanced cases, and is permissible only by prescription. A long course of neuroleptics successfully relieves intense anxiety, prolonged depression, and other manifestations of their phobias.
Psychotherapeutic treatment of phobias and fears
Methods of psychotherapy aimed at identifying the causes of phobic disorders, their removal, rehabilitation, anxiety reduction, correction of inappropriate behavioral responses, the development of techniques of relaxation. For the treatment of phobias and fears have been successfully used techniques such as:
- Psychotherapeutic help.
- a Rational method of therapy.
- the Treatment of the phobia technique NLP (neuro linguistic programming).
- Cognitive-behavioral method.
- the Treatment of phobias hypnosis (including, by Erickson).
- Additional methods.
This method of psychotherapy based on the symbiosis of the patient and attending physician: during a session is their interaction, exchange of information, reflecting feelings, modeling of situations and elaboration. Conventionally, psychological assistance can be classified as follows:
- Psychological information.
- expert Advice.
- Adjustment (behavior, perception, intensity of reaction, etc.).
Psychological awareness is intended to give the patient the most information about his disease, about the mechanisms of certain psychological processes in the brain, about how to control your mind and psychological state. Thanks to this information from reliable sources, the individual begins to better understand the nature of their fears, it is easier to identify the causes of their development.
The business aims to give the patient practical knowledge, which he can use in critical situations or for treatment of the disease. The consultation patients learn proper behavior in a time of crisis (panic attack, intense anxiety in the presence of the stimulus), in unusual, unexpected situations, work on self-esteem, learn techniques to manage their fear. That is, the doctor gives the patient guidance that he may apply for correction of anxiety.
Psychological assistance means as well as the impact on the customer and systematic phased work with him. Situational, the “shock” therapy is used in psychological crisis. And long-term work is aimed at establishing contacts with others, social adaptation, an analysis of its state and behavior, development of psychological flexibility in different situations.
For the treatment of anxiety-phobic disorders the methods of various directions of psychology:
- Psychodynamic (identifying and working with repressed memory facts, events).
- Behavioral (behavior management and control).
- the Existential direction (work is directed at social problems).
- Humanistic direction (the development of abilities of the individual, the use of inherent potential).
Method Rational psychotherapy
A rational method of treatment for phobic pathology is based on the formation of objective and logical thinking individual. Patients are exposed to phobic disorders, inform about the causes and triggers of their fears and phobias, about the nature of somatic symptoms. When a person is aware of the mechanism of manifestation of somatic symptoms, it ceases to associate them with imaginary physical ailments resulting in reduced anxiety.
Treatment of the phobia technique NLP
Neuro-linguistic programming is used to treat phobias, based on the technique SCORE. This abbreviation stands for the following: “symptom, cause, outcome, resources and effect” and represents stages of psychological work. Specialist together with the patient, gather necessary information, analyze and check on her. This phase consists of three steps:
- Gather data on symptoms of anxiety, its manifestations.
- the Patient, sets goals, determines what exactly will be sent.
- Examines the effectiveness in the current period and its results. If the current result satisfies the patient, if in his estimation it is positive, it is the motivation to continue movement in the same direction. If the analysis reveals the negative impact of the results achieved, the patient and the doctor taking a step back to the previous stage and revise the task.
- If necessary, elaborates the background and reasons for the formation of phobic disorders. If this is not necessary, this step is recommended to skip.
- Determines what resources are necessary for the patient to overcome obstacles and achieve the desired result.
This consistent methodology allows for a short period of time to obtain the necessary information and analyze them, and then to concentrate all forces on achievement of targets. Neuro-linguistic programming gives high results of treatment of phobias. In some cases it is just one or two sessions. The most popular treatment for phobias methods visual-kinesthetic dissociation techniques and “stroke”.
Cognitive-behavioral therapy effectiveness in the treatment of phobias is in the first place, according to studies the who and the Ministry of health of the United States. A variety of methods and techniques, which includes this direction of psychotherapy, allows to choose the universal individual set, any given patient, taking into account his personal characteristics and severity of diseases.
The essence of this method lies in the fact that the patient help the therapist determine which plants are destructive, negative and cause anxiety. Subjecting them to critical analysis, the patient asks incriminating questions about these plants: “why I decided that I always will?”, “who instilled in me the idea that everything that happens is negative and there is no way out?”, etc. by Analyzing their answers, working through the various options, the patient rebuilds their thinking on the optimistic and tries to look around the advantages. Critical analysis or allows you to see the pros in their installations, or to replace them with others, positive and creative.
Thus, cognitive-behavioral therapy helps replace pessimistic thoughts and negative behavioral reactions, which provoke anxiety, the positive, forming a favourable emotional background. The main thesis of this branch of psychology: the thoughts and actions of an individual determine his identity. Using this method erroneous psychological program identified and destroyed through analytical and logical thinking, and consideration of objects from a different angle.
Treatment is based on the fact that, under the guidance of the therapist, the patient simulates certain situations that cause anxiety, and learning to behave properly in them, to react to stressors the way you want. First, such modeling occurs only in the imagination: the doctor and the patient discuss possible solutions to tasks and choose the most appropriate. After moving theory to practice intentionally when faced with stressors in real life and solving the situation on the ground. With each session the therapist complicates the task, set new goals for their wards. Thus, there is patient education. He learns a new way to react to the objects of their phobias, produces other behaviors when interacting with them. The result of such training is reduced anxiety, calmness, and an adequate response when confronted with their fears. Over time, perhaps full freedom from anxiety phobias.
Cognitive-behavioral method is good because at the end of the treatment the patients acquire the ability to cope with a sense of fear, unpleasant, unexpected circumstances. In consequence, they not only overcome their phobia, but also improve the quality of their lives: personal and psychological growth.
Treatment of phobias hypnosis
Hypnotic therapy is one of the most mysterious methods of treatment, causing controversy and doubt. Specialist, owning gipotenziei, is perceived by many as a doctor and as a healer using methods of alternative medicine. However, the official medicine recognizes its efficient and effective method of psychotherapy, giving high performance and lasting positive impact. With hypnosis you can achieve a successful and rapid treatment of phobias, although this method of treatment is resorted to less frequently than traditional.
Hypnosis, figuratively speaking, “reveals” of the patient, allows you to work directly with the unconscious, bypassing the mechanisms of psychological protection. Under the influence of hypnosis the individual abstrahierte of the reality surrounding him, is in a state of maximum relaxation. This gives you the opportunity to focus on an issue that concerned him, to reveal the way to resolve it. After that there is the suggestion the doctor is needed and settings for the patient.
A hypnotic trance is intentionally created short-term change in consciousness. Under hypnosis, the doctor fixes the mind on the problem and suggestible patient facilities, while blocking his psychological defenses and strong-willed self-control. Entrance into a hypnotic trance starts with the maximum and total relaxation, smoothly flowing into a state similar to sleep. After the session there is a complete post-hypnotic loss of memory: the patient is completely absent of memories about the session and what happened during it.
Classic treatment with hypnosis fears and phobias should be carried out in specially designed hypnotease interior rooms atmosphere promotes maximum relaxation and comfortable immersion in a hypnotic trance. The most successfully used for the treatment of phobias and fears Ericksonian method of hypnosis. Its technology is designed specifically to take into account the individual characteristics of each patient. It applies to everyone without exception – even those who are not amenable to standard gipnoticheskom and suggestion. Hypnotibility in Ericksonian method is committed to one hundred percent. The method is based on clearly defined principles, foremost of which is an indirect, mild suggestion. It leaves the mind of the patient a right of voluntary choice: to follow the installations or not, whether they are logical, correct or not. Under hypnosis, the specialist makes a compelling case and the arguments in favor suggestible installation, smoothly summing the patient to self-selection. The setting selected on their own, most effective, its effect more lasting.
The speech of the hypnotist during a session replete with indirect statements. He cites analogies, comparisons, uses speech metaphors. That is, the meaning communicated to the patient indirectly, leaving him the opportunity to “think out”, to guess to choose the correct solution. Express language of installation orders is strictly not used. Invalid and straight clear instructions. The hypnotist gently and skillfully brings the patient to correct, but self-solving problems through psychological manipulation.
Curious and this feature of the Ericksonian techniques as promoting the denial of the client. The resistance, rejection is approved by a doctor. Thus, the technician switches the consciousness of the patient to cooperate, cleverly transforming any denial in the right direction. Due to this the patient does not have the opportunity to reject inspire.
complementary and alternative treatments for phobias and fears
Treatment of phobias the therapist can be supplemented by some alternative methods of treatment, including self. Among these additional measures are especially effective following:
- Group training sessions.
- Art therapy (drawing, modeling, voice lessons or playing musical instruments).
- the Recitation of mantras, affirmations.
- the Development of techniques of auto-suggestion.
- a Healthy lifestyle, adjusting diet and daily regimen.
- sports and leisure.
In this article we have tried to collect the most useful information for our readers on different ways of treatment of anxiety and phobic disorders. We spoke in detail about the therapeutic methods used in medical practice. And also provided a number of recommendations that you could use yourself. I hope that this article will prove useful to you in the struggle with phobias and fears. And we ask you to share useful information with friends and followers by clicking repost. So we can help other people to overcome their fear, become free from fears and start new bright life without phobias! You can Also leave your opinion and exchange views with other readers in the comments.