（非药物治疗方法）如何治疗急性焦虑发作或惊恐发作Panic Attack Treatment Malaysia

如果你在日常时刻经常会面对以下其中一些临床表现症状，可得多加注意了：

• 突然感到强烈不适、
• 胸闷、
• 气透不过来的感觉、
• 心悸、
• 出汗、
• 胃不适、
• 颤抖、
• 手足发麻、
• 濒死感、
• 失去控制感、
• 反复出现强烈的惊恐发作，伴频死感或惊慌感
• 发作可无明显原因或无特殊情境。
• 还有一部分人会在某些特殊情境发生以上症状；如拥挤人群、商店、公共车辆中发作（这点就是广场恐怖症伴发惊恐发作Agoraphobia with Panic Attacks）。

你也可以尝试做做以下的自我测试，看看你是否有以上的症状
（欢迎把分数记下来，并email告诉我分数）：Panic & Agoraphobia Scale

常见导因：

第一点：生理层面

生理层面引致的惊恐反应（自律神经失调）；当你本应该放松时，身体却被错误的激活惊恐模式。（就好比说你在广场里应该放松购物，但心脏却因不安而开始心跳加速）

第二点：脑部神经系统问题

脑里的化学作用出了状况，这可能是基于食物的选择或重金属超标等问题引起。

第三点：潜意识（空间方位感）出错

潜意识状态对身边事物的空间方位感认知出错，因此导致去到人多的地方时激起内心里潜意识层面的害怕反应。

第四点：心理状态诱发

个性、抑郁、哀伤或感情问题等等。通常病因和患者个性与处理情绪的方式有关。

Hiro Koo给你的话：

身体生病了，我们知道尽早看医生疗效较好；那心理生病了，也要尽早求医。

我可透过特殊的检测方式来了解你的导因，然后推荐你适合的治疗方法。

我们的处方是非使用药物的治疗方法：

针对导因第一点：我们可以透过脑波反馈疗法EEG biofeedback training来调理生理层面因素。

脑波反馈疗法能帮助我们学习自我控制的能力，但它并不能直接作用于我们。这疗法需要有专科训练的治疗师来进行。通过反复的训练，可以改善自己的自律神经状态。

针对导因第二点：脑部神经系统问题，可以透过头发重金属检测与营养调整来改善。只要吃对食物和做适当的份量调整，你其实也可以改善你的脑部神经系统状态。

针对导因第三点：潜意识（空间方位感）出错，我们可以透过合格注册的催眠师进行催眠治疗法来改善潜意识的认知与减少无意间诱发的害怕反应。

针对导因第四点：我们会透过心理建设与教育，让你认识问题的来源（就好像车子坏了，你得找出是哪个零件出了问题才能对症下药）。继而再透过心理治疗技巧，让患者走出负面的心理状态。

如果你还有任何疑虑，欢迎联系我咨询更多详情。

Agoraphobia and Panic Disorder Treatment in Malaysia - Psychological Hypnosis Method

What is Agoraphobia?

Agoraphobia is a type of anxiety disorder in which you fear and often avoid places or situations that might cause you to panic and make you feel trapped, helpless or embarrassed.

With agoraphobia, you fear an actual or anticipated situation, such as using public transportation, being in open or enclosed spaces, standing in line or being in a crowd. The anxiety is caused by fear that there's no easy way to escape or seek help if intense anxiety develops. Most people who have agoraphobia develop it after having one or more panic attacks, causing them to fear another attack and avoid the place where it occurred.

Agoraphobia treatment usually includes both psychotherapy and medication. It may take some time, but treatment can help you get better.

Typical agoraphobia symptoms include:

• Fear of being alone in any situation
• Fear of being in crowded places
• Fear of losing control in a public place
• Fear of being in places where it may be hard to leave, such as an elevator or train
• Inability to leave your home (housebound) or only able to leave it if someone else goes with you
• Sense of helplessness
• Overdependence on others

In addition, you may have signs and symptoms of a panic attack, such as:

• Rapid heart rate
• Excessive sweating
• Trouble breathing
• Feeling shaky, numb or tingling
• Chest pain or pressure
• Lightheadedness or dizziness
• Sudden flushing or chills
• Upset stomach or diarrhea
• Feeling a loss of control
• Fear of dying

Panic disorder and agoraphobia

Some people have a panic disorder in addition to agoraphobia. Panic disorder is a type of anxiety disorder in which you experience sudden attacks of extreme fear that reach a peak within a few minutes and trigger intense physical symptoms (panic attacks). You might think that you're totally losing control, having a heart attack or even dying.

Fear of another panic attack can lead to avoiding similar circumstances or the place where it occurred in an attempt to prevent future panic attacks.

Psychotherapy

Also known as talk therapy or psychological counseling, psychotherapy involves working with a therapist to reduce your anxiety symptoms. Cognitive behavioral therapy is one of the most effective forms of psychotherapy for anxiety disorders, including agoraphobia.

Generally a short-term treatment, cognitive behavioral therapy focuses on teaching you specific skills to gradually return to the activities you've avoided because of anxiety. Through this process, your symptoms improve as you build upon your initial success.

You can learn:

• That your fears are unlikely to come true
• That your anxiety gradually decreases if you remain in public and you can manage those symptoms until they do
• What factors may trigger a panic attack or panic-like symptoms and what makes them worse
• How to cope with these symptoms
• How to change unwanted or unhealthy behaviors through desensitization, also called exposure therapy, to safely face the places and situations that cause fear and anxiety

If you have trouble leaving your home, you may wonder how you could possibly go to a therapist's office. Therapists who treat agoraphobia will be well aware of this problem. They may offer to see you first in your home, or they may meet you in what you consider a safe place (safe zones). They may also offer some sessions over the phone, through email, or using computer programs or other media.

Look for a therapist who can help you find alternatives to in-office appointments, at least in the early part of your treatment. You may also want to take a trusted relative or friend to your appointment who can offer comfort and help, if needed.

Message from your clinical hypnotherapist (Hiro Koo):

"Give a man a fish, he'll eat for a day; teach him how to fish, and he'll eat for a lifetime,"

I will use clinical hypnosis as an adjunct to psychotherapy session (Psychological hypnosis method): Hypnosis method is used to help patients to reduce cognitive and physical symptoms of anxiety (Frankel and Macfie, 2010; Elkins and Perfect, 2008), and provides you with more control in every day situations (Baker and Nash, 2008). I will also teach you self-hypnosis techniques so you can continue your treatment at home. So next time you feel anxious or overwhelmed, you can practice a brief self hypnosis method and trigger a sensation of calm. 

You can complete the self rating assessment below to understand your condition better (Welcome to email me your result, it will be kept as P&C):
Panic And Agoraphobia Scale

Source:

http://www.mayoclinic.org/diseases-conditions/agoraphobia/basics/definition/con-20029996

http://www.londonhypnotherapyuk.com/agoraphobia-social-phobia/