Anxiety Disorders

Panic Attack

The essential feature of a panic attack is a discrete period of intense fear or discomfort in the absence of real danger that is accompanied by somatic and cognitive symptoms. This can include palpitations, sweating, trembling or shaking, sensations of shortness of breath, smothering, feelings of choking, chest pain or discomfort, nausea or abdominal distress, dizziness or light headedness, derealization or depersonalization, fear of losing control or “going crazy”, fear of dying, and chills and hot flushes. The attack is of sudden onset and builds up to a peak rapidly and is often accompanies by a sense of imminent danger, impending doom and an urge to escape.


The essential features of agoraphobia is anxiety about being in situations that is difficult to escape or which help may not be available in the event of having a Panic  Attack. The anxiety typically leads to  a pervasive avoidance of a variety of situations that may include being alone outside the house or being home alone; being in a crowd of people; traveling in an automobile, bus or airplane; being in a crowd of people; or being in an elevator, Sometimes a person can endure these feelings with considerable dread. Often the individual is better able to confront feared situation when accompanied by a companion. Individuals avoidance of situations may impair their ability to travel to work or to carry  out homemaking responsibilities (e.g. grocery shopping, taking children to the doctor).

Social Phobia: Stage Fright

The essential feature of a Social Phobia of social situations in which embarrassment might occur (e.g. stage fright). Individuals fear exposure to the social or performance situations. Most often the social or performance situations avoided almost invariably provokes an immediate anxiety response. The diagnosis of Social Phobia is only warranted if interferes significantly with a person’s daily life routine, occupational functioning or if the person is markedly distressed about having the phobia.

Anxiety is caused by unconscious wishes that the person in not aware of. Repair involves making these unconscious fears conscious.

Claustrophobic Anxiety

Essential characteristics of this disorder is feeling smothered when attempting an intimate relationship or being surrounded by crowds. The tendency to become whatever the other wants you to be stimulates the feeling of being swallow up and suffocated by the other. Treatment involves helping the person to assert their separate personality without guilt or fear of abandonment.