Kungaba nzima ukubhekana nokuhlaselwa kokukhathazeka, kodwa kunemithi yokwelapha ephumelelayo. Kwesinye isikhathi kufanele uzame okumbalwa noma ukuhlanganise, kepha iningi labantu liyakwazi ukwehlisa noma ukuqeda ukuquleka kwabo emasontweni noma ezinyangeni ezimbalwa ngenxa yalezi zinyathelo.

ukwelapha

Ukusebenza kwe-psychotherapy ekwelapheni ukuphazamiseka kokukhathazeka kusungulwe kahle. Ngisho nokwelashwa okukhethwa kukho ezimweni eziningi, ngaphambi kokuba uphendukele ezidakamizweni.

Ukwelapha ukuhlaselwa kokukhathazeka, ukwelashwa okukhethwa kukho ukwelashwa kokuziphatha kwengqondo, noma i-CBT⁶. Empeleni, ama-CBT ngokuvamile enzeka izikhathi ezingaphezu kweziyi-10 kuya kwezingu-25 ezihlukaniswa ngeviki, ngawodwana noma ngamaqembu.

Izikhathi zokwelapha zihlose ukunikeza ulwazi mayelana nesimo sokwethuka kanye nokuguqula kancane kancane "izinkolelo zamanga", amaphutha okuhumusha kanye nokuziphatha okungalungile okuhlotshaniswa nazo, ukuze esikhundleni sazo kufakwe ulwazi olwengeziwe. enengqondo futhi engokoqobo.

Amasu amaningana akuvumela ukuthi ufunde ukuyeka ukudlidliza, futhi wehlise umoya lapho uzwa ukukhathazeka kukhula. Ukuzivocavoca okulula kufanele kwenziwe isonto nesonto ukuze kuthuthuke. Kufanele kuqashelwe ukuthi ama-CBT awusizo ekwehliseni izimpawu kodwa umgomo wawo awukona ukuchaza umsuka noma imbangela yokuvela kwalokhu kuhlasela kokwesaba. Kungase kuthakazelise ukuyihlanganisa nolunye uhlobo lokwelapha kwengqondo (analytical, systemic therapy, njll.) ukuze kuvinjwe izimpawu ukuthi zinganyakazi futhi ziphinde zivele kwezinye izinhlobo.

izidakamizwa

Phakathi kwemithi yokwelapha, izigaba eziningana zezidakamizwa ziye zaboniswa ukunciphisa imvamisa yokuhlaselwa kokukhathazeka okukhulu.

Ama-antidepressants ayindlela yokwelapha ekhethwa kuqala, kulandele i-benzodiazepines (Xanax®) kodwa, eveza ubungozi obukhulu bokuthembela kanye nemiphumela engemihle. Ngakho-ke lezi zokugcina zigcinelwe ukwelashwa kwenkinga, lapho isikhathi eside futhi ukwelashwa kuyadingeka.

E-France, izinhlobo ezimbili zama-antidepressants zinconyiwe⁷ ekwelapheni ukuphazamiseka kwe-panic esikhathini eside yilezi:

• i-selective serotonin reuptake inhibitors (SSRIs), isimiso sayo esiwukwandisa inani le-serotonin kuma-synapses (ukuhlangana phakathi kwama-neurons amabili) ngokuvimbela ukuphinda kuthathwe kwakamuva. Ikakhulukazi, i-paroxetine (i-Deroxat® / Paxil®), i-escitalopram (i-Seroplex® / Lexapro®) ne-citalopram (i-Seropram® / Celexa®) iyanconywa;
• i-tricyclic antidepressants njenge-clomipramine (Anafranil®).

Kwezinye izimo, i-venlafaxine (Effexor®) ingase futhi inqunywe.

Ukwelashwa ngama-antidepressant kuqala kunqunywe amasonto ayi-12, bese kwenziwa ukuhlolwa ukuze kunqunywe ukuthi kuzoqhubeka noma kushintshe ukwelashwa.