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Pánico: Fisiopatología de la Angustia I


Uno de los mayores males que asedian al paciente de pánico es la interpretación catastrofista de sus propias sensaciones corporales.

Es fundamental en el tratamiento de este tipo de pacientes una psicoeducación que incluya una detallada explicación sobre el origen y formación de los distintos síntomas, de manera que el paciente tenga la posibilidad de cambiar su interpretación catastrofista por otra más ajustada al proceso fisiológico subyacente.

A continuación se describirán algunos de los síntomas que caracterizan la respuesta de angustia, componente fisiológico del Ataque de Pánico (hoy llamado Crisis de Angustia por la preponderancia que se le otorga a esta sintomatología física) muy susceptible de interpretación catastrofista (negativa y exagerada):

  • Opresión o malestar torácico: este síntoma tan característico es habitualmente interpretado por el paciente de pánico (esta condición está presente en prácticamente todos los Trastornos de Ansiedad, especialmente en la Agorafobia, y en otros cuadros psicopatológicos) como la posibilidad o el peligro de estar sufriendo o sufrir próximamente un ataque al corazón o un infarto. Sin embargo, este malestar, opresión o dolor en el pecho, lejos de ser síntoma de infarto, es consecuencia de la hiperventilación, una práctica respiratoria característica en los pacientes con este trastorno que implica un ejercicio intenso de los músculos intercostales (en vez del diafragma) y que produce gran cansancio y dolor en esta zona del pecho cercana al corazón.
  • Nauseas y molestias abdominales: el estado de hiperalerta en el que vive el paciente con Trastorno de Pánico o Trastorno de Angustia (también, por supuesto, Trastorno de Pánico con Agorafobia) facilita que se produzcan nuevos Ataques de Pánico o Crisis de Angustia, con el consiguiente desequilibrio del Sistema Nervioso Autónomo, que reorganiza los niveles de aporte sanguíneo, incrementando el caudal hacia los grandes músculos, sobre todo las extremidades, para lo cual reduce el aporte en otras zonas menos necesarias en una situación de alerta. Una de estas zonas es el Sistema Digestivo. La consecuencia directa de esto es que se interrumpe la digestión y la comida cae pesadamente al estómago, produciendo nauseas, sensación de “nudo” o “mariposas”.
  • La sequedad de boca, estrechamente vinculada al miedo, está directamente relacionada con esta respuesta del Sistema Nervioso Autónomo que reduce el aporte sanguíneo al sistema digestivo e interrumpe la digestión, ya que la digestión comienza en la boca, con la saliva, y al interrumpir aquella también cesa la producción de saliva, produciendo esa sequedad de boca tan característica.

Pablo Pérez García, Psicólogo Experto en Psicopatología y Salud

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    institution, which can come beneath new management and change into a subsidiary of U.S.
    Underneath the accord, Mt Baker, primarily based in Bellingham, Wash.,
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    The perceived issues with the existing social welfare apparatus have been six-fold: that
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  • The BPV in the table is the dollar change in price for $100 notional for
    100bp change in yields. The zero-coupon bond will have
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    in yield.

  • JENSEN; PALMER; BOOMSMA; PEDERSEN (2005). «Varying degrees of Apis mellifera ligustica introgression in protected populations of the black honeybee, Apis mellifera mellifera, in northwest Europe».
    The Academy of Academic Planning and Management (AEPAM) was established in 1982 as an autonomous Organization of Ministry
    of Education and it was declared as ‘Subordinate Workplace’ of
    Ministry of Education in 2005. After 18th Amendment Bill 2011
    AEPAM is ‘Subordinate Workplace’ of Ministry of Federal Schooling and
    Skilled Coaching. Republicans opposed to the invoice have
    been concerned that it might make it tougher to pay back the billions of dollars
    of debt owed by the National Flood Insurance coverage
    Program. According to Miller, Michigan residents subsidize other,
    more flood prone components of the nation, by paying higher premiums than they
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    One Republican Michigan Congresswoman Candice Miller argued that the state
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    the governor to take action. Workplace of the Secretary of State (Texas) (2002-09-13).

    «State Senate Candidates for 2002 Basic Election».
    Born in Texas City, Texas, Carona was a resident of East Dallas since early childhood, but now lives in Preston Hollow.

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    2,673 damaged and 14 destroyed. Its cancer mortality charges are
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    125-126 The international ramifications of the Smoot-Hawley tariff, comprising protectionist
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  • Of all households, 24.9% had been made up of individuals and 10.0% had
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  • The historical past of Eire 795-1169 covers the interval
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    Uí Néill.

  • Chai tow kway Singapore Additionally recognized locally as carrot cake,
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