Zimakhala zovuta kulimbana ndi nkhawa, koma pali machiritso ogwira mtima ndi machiritso. Nthawi zina muyenera kuyesa angapo kapena kuphatikiza, koma anthu ambiri amatha kuchepetsa kapena kuthetsa kukomoka kwawo pakatha milungu kapena miyezi ingapo chifukwa cha izi.

mankhwala

Kuchita bwino kwa psychotherapy pochiza matenda oda nkhawa kumatsimikizika. Ndi chithandizo chamankhwala chosankha nthawi zambiri, musanagwiritse ntchito mankhwala osokoneza bongo.

Kuchiza matenda oda nkhawa, chithandizo chosankha ndi chidziwitso cha khalidwe, kapena CBT⁶. M'malo mwake, ma CBT nthawi zambiri amatenga magawo 10 mpaka 25 otalikirana sabata imodzi, payekhapayekha kapena m'magulu.

Magawo ochiritsira amafunitsitsa kupereka chidziwitso chazomwe zikuchitika komanso kusintha pang'onopang'ono "zikhulupiriro zabodza", zolakwika za kutanthauzira komanso zizolowezi zoyipa zomwe zimagwirizanitsidwa nazo, kuti zilowe m'malo ndi chidziwitso chochulukirapo. zomveka ndi zenizeni.

Njira zingapo zimakuthandizani kuti muphunzire kusiya kukomoka, komanso kuti mukhale chete mukamamva nkhawa ikukwera. Zolimbitsa thupi zosavuta ziyenera kuchitidwa sabata ndi sabata kuti mupite patsogolo. Tiyenera kuzindikira kuti CBTs ndi zothandiza kuchepetsa zizindikiro koma cholinga chawo sikutanthauzira chiyambi kapena chifukwa cha kutuluka kwa mantha awa. Zingakhale zosangalatsa kuziphatikiza ndi mtundu wina wa mankhwala a psychotherapeutic (analytical, systemic therapy, etc.) pofuna kuteteza zizindikiro kuti zisasunthike ndi kuwonekeranso mumitundu ina.

Mankhwala

Pakati pa mankhwala a pharmacological, magulu angapo a mankhwala awonetsedwa kuti achepetse kuchuluka kwa nkhawa kwambiri.

Mankhwala oletsa kuvutika maganizo ndi mankhwala omwe amasankhidwa poyamba, otsatiridwa ndi benzodiazepines (Xanax®) omwe, komabe, amapereka chiopsezo chachikulu cha kudalira ndi zotsatira zake. Zotsirizirazi zimasungidwa kuti zithetse vutoli, zikatenga nthawi yayitali ndipo chithandizo ndi chofunikira.

Ku France, mitundu iwiri ya antidepressants imalimbikitsa⁷ kuchiza matenda a mantha kwa nthawi yayitali ndi:

• selective serotonin reuptake inhibitors (SSRIs), mfundo yake ndikuwonjezera kuchuluka kwa serotonin mu ma synapses (kulumikizana pakati pa ma neurons awiri) poletsa kubwezeretsanso komaliza. Makamaka, paroxetine (Deroxat® / Paxil®), escitalopram (Seroplex® / Lexapro®) ndi citalopram (Seropram® / Celexa®) akulimbikitsidwa;
• tricyclic antidepressants monga clomipramine (Anafranil®).

Nthawi zina, venlafaxine (Effexor®) imathanso kuperekedwa.

Chithandizo cha antidepressant chimaperekedwa koyamba kwa milungu 12, kenako kuunika kumapangidwa kuti asankhe kupitiriza kapena kusintha mankhwalawo.