Anxiety and Related Disorders by Ágnes Szirmai

By Ágnes Szirmai

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G. public places, with strangers or in presence of elements associated with traumatic event in the affected child (abuser) Common and usually characteristic with girls unlike boys Diagnosis most of the time missed out and child treated for a seizure disorder. In adolescent it is miss diagnosed as a conversion disorder Often children are shy, negative, controlling or oppositional. Been seen more common in family settings where mothers are overprotective; child develops fear of the environment and therefore cannot manipulate it.

The goal of treatment is to reduce symptoms and improve patients functioning in society, so that the patient have a normal life. A modest proportion of patients will achieve a complete release of symptoms. 1 Pharmacological treatment Of all the classes of drugs used in psychiatry, serotonin reuptake inhibitors are by far the most effective in treating OCD, as first line therapy in the treatment of this disorder. Of this group of drugs are clomipramine - tricyclic antidepressant (TCA) - and selective serotonin reuptake inhibitors (SSRIs) - fluoxetine, sertraline, paroxetine, fluvoxamine, citalopram and escitalopram.

The respiratory symptoms are related physiologically to changes in blood gaseous imbalance with a result of low levels of carbon dioxide. Symptoms from circulatory system include: palpitation, sweating, trembling, elevated blood pressure and muscle tension. Gastro-intestinal symptoms include nausea, butterfly feeling at the epigastria area and sometime diarrhoea and vomiting. While in the urinary system there is increased frequency of micturation, all these are in preparation for either fight or flight However, most instruments for measuring Anxiety Disorders in children do not screen for Panic Disorder Epidemiological Patterns of Anxiety Disorders in Kenya  37 In Kenyan setting, adolescents who have spontaneous panic attacks report greater severity of attacks, more depression and greater lifestyle changes as a result of the attacks 5.

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