Is depression and anxiety a mental illness?In the medical classification, depression and anxiety belonged to the category of mental illness, which was a manifestation of emotional disorder. However, from the perspective of actual clinical work, depression and anxiety were very different from mental illness in the traditional sense. For example, the causes of anxiety and depression included social environment, psychological factors, biological factors, personality, etc. Mental illness also had these reasons, but among the causes of mental illness, biological factors were much higher than anxiety and depression.
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Do doctors in the Emergency Department usually suffer from mental anxiety due to their intense work?Emergency Department doctors might suffer from mental anxiety due to their intense work, such as:
1. Anxious Disorder: Emergency Department doctors often have to face urgent conditions and complicated surgeries. The pressure and uncertainty may cause doctors to feel anxious. Long-term anxiety can lead to anxiety disorder, which is a psychological disorder.
2. depression: prolonged work stress and nervousness can also lead to depression. It was a common psychological disorder that affected the patient's thoughts and emotions, and even affected every aspect of their daily life.
3. Post-traumatic stress disorder (PDSD): Post-traumatic stress disorder is a psychological disorder that occurs after a person has experienced a serious traumatic event. Emergency department doctors may suffer from PDSD due to multiple emergency surgeries and treatment.
4. Other psychological barriers: In addition to anxiety, depression, and PDSD, emergency doctors may also suffer from other psychological barriers such as post-traumatic stress disorder, obsessive-compulsive disorder, substance abuse, and alcohol dependence.
anxietyThe anxiety disorder was the most common type of neurosis. It was mainly due to the experience of anxiety. It could be divided into two forms: chronic anxiety (general anxiety) and acute anxiety (panic attack).
** 1. Manifestation of symptoms **
1. ** Emotional symptoms **
- In the absence of an obvious cause, the patient often had excessive worry, nervousness, and fear that did not match the real situation. This kind of performance often did not have a clear target and content.
2. ** Physical symptoms (vegetative symptoms and other physical symptoms)**
- ** Cardiac system **: Rapid heartbeat, chest tightness, pressure, prickling sensation, and even a feeling of suffocation in severe cases.
- ** Digestive system **: Nausea, vomiting, abdominal distension, indigestion, occasional diarrhea, occasional constipation, loss of appetite, dry mouth, bitter taste, etc.
- ** Nervous System **: Headache, dizziness, amnesia, fatigue, etc.
- ** respiratory system **: wheezing, chest tightness, breathing difficulties, coughing, hyperventilation, etc.
- ** Genitourinary System **: Discomfort such as difficulty urinating or frequent urine.
- ** Skin symptoms **: Skin itching, burning, stinging, skin spots, etc.
- ** Muscular skeletal system **: Pain in limbs or joints, stiffness and squeezing pain in neck, shoulders, waist, and back.
- ** Others **: Obese or emaciated body, hollow nose, foreign body sensation in the throat, neuropathic ringing, and other otorhinolaryngological symptoms.
3. ** Uneasiness due to exercise **
- He was restless, restless, irritable, and found it difficult to calm down.
4. ** Panic attack-related symptoms (acute anxiety)**
- In the absence of a specific fear situation, the patient would suddenly experience intense fear, anxiety, and obvious autonomous nervous symptoms. They would often experience painful experiences such as depersonification, derealization, near-death fear, or a sense of loss of control. The onset of the disease was rapid and suddenly stopped, usually a few minutes to dozens of minutes, but it could suddenly recur soon. During the attack, the patient would always be conscious.
- Anxious premonitions. Most patients were often worried about having another attack during the interval after repeated panic attacks.
- Asking for help and avoiding behavior. During a panic attack, due to the strong sense of fear, the patient is unbearable and often asks for emergency help immediately. During the interval between the attacks, 60% of the patients avoided some activities, such as not going out alone, because they were worried that they would not get help during the attack.
** 2. Cause **
The cause of the disease is still unknown. It may be related to genetics, neurobiology, social psychology, and other factors.
** 3. Treatment Method **
1. ** Medication **
- The anti-anxiety drugs of the class of benodiazepines, SSRIs, and SSRIs could reduce anxiety symptoms, regulate the secretion of neurotransmitter in the brain, help restore mood, and improve the quality of life, but it was difficult to solve the problem fundamentally.
2. ** Psychotherapy **
- Cognitive therapy was more commonly used. It was treated by changing the patient's perspective on things because most of the time, it was the patient's exaggerated, pessimistic, arbitrary, and serious interpretation of things that led to excessive worry.
3. ** Other support methods **
- Sports: Research shows that exercise can prevent depression and anxiety in the long run, and it can also make people feel happy.
- Meditation: Meditating appropriately, such as paying attention to one's breathing and paying attention to the thoughts that appear in one's mind without acknowledging or entangling them, can help one return to the present and obtain peace and strength.
- Accept the pain: Learn to accept the feeling of anxiety, allow it to happen, and accept this uncomfortable state with all your heart.
- Life adjustment: adjust one's work and life to avoid excessive mental stress; develop good living habits, healthy diet, appropriate exercise, and a regular lifestyle; accept one's own imperfection; practice more self-motivation, etc.
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