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