Google ad
End of ad
left arrow Google ads: down arrow
Independent expert answers
on psychiatry and psychology

Avoidance and Anticipatory Anxiety

Abstract: Avoidance and Anticipatory Anxiety caused by Panic Disorders.

Web4Health logo
psychologist Independent medical expert answers on psychiatry and psychology

Avoidance and Anticipatory Anxiety

Intelligent natural language question-answering in the area of psychology and psychiatry. Ask a simple question  Local help Info


Go the top of the page Top Forum iconDiscuss this Forum iconGet expert advice Printer Print
Question(s): 
Written by: Martin Winkler
First version: 22 Jul 2008.
Latest revision: 09 Dec 2010.

How will clients with a panic disorder change their life?

Answer:

Sceam of anxiety It is a common experience of psychotherapists that a client with panic disorder would not go for professional help after she or he had his first "panic attack". Most clients only recognize the physical symptoms and think of some sort of virus infection, heart problems or other possible somatic reasons. Some of them might call a doctor and ask for a complete physical exam.

But usually the panic attack will reoccur. This can cause very typical changes of behaviour and attitudes of the client.

"Triple A"

  • Avoidance

    Very often a person should try to "identify" possible influences of the environment or any activities that seem to trigger (cause) the onset of the anxiety. Typical examples could be riding in a bus or train, being in elevators or shopping-centers, having an unaccompanied walk in the city. Clients very often have a fear "to lose control", to be alone and without any possible help by someone else. The clients try to avoid these situations, which seem to be "dangerous" or cause severe discomfort for them. Sometimes they use a little "help" to find good excuses not to face these triggers of their anxiety or might ask someone to come with them ("just to feel safe").

    Temporarily the fear might be less severe for the person, if the specific situation is avoided. But it does not keep the attacks from happening.

  • Anticipatory anxiety

    Once clients recognize that the panic attacks could happen again without control they are very much concerned about any future anxiety symptoms. Now the anxiety is already triggered by merely thinking about the possibility of having another panic attack. This causes additional stress and tension in the patients.

    Many clients try to change their behavior in a very restrictive way and try to do everything to decrease the risk of further attacks.

  • Agoraphobia

    Often occurs in combination with panic disorders (but also without those). Agoraphobia is the fear of being in places or situations from which "escape" would be impossible or difficult (embarrassing). Many people are concerned about the loss of control or are frightened by merely thinking of a sudden loss of consciousness without any help. They try to stay at home or in "safe" places and may only dare to leave home accompanied by someone.

Intelligent natural language question-answering in the area of psychology and psychiatry. Ask a simple question:
Local help Info
Google ad
End of ad
Disclaimer: The documents contained in this web site are presented for information purposes only. The material is in no way intended to replace professional medical care or attention by a qualified psychiatrist or psychotherapist. It can not and should not be used as a basis for diagnosis or choice of treatment. If you find anything wrong, please notify us at .
Go to top of page To top of page