Obtrusive and phobic disorders

Anxious-phobic disorder is a neurotic state in which obsessive fears (phobias), thoughts, memories arise. All these obsessions (obsessions) are unpleasant, alien to the sick, but they can not get rid of them independently.

Anxiety-phobic disorder, obsessive-phobic disorder, obsessive-compulsive neurosis, obsessive-phobic neurosis are all different names for the same disease. Let's take a closer look at the causes of the development of the disease, manifestations, as well as treatment.

Predisposition to the development of obsessive-phobic neurosis is inherited.

Some personal qualities are a fertile ground for the development of anxiety and phobic disorder. These include anxiety, suspiciousness, caution, responsibility, pedantry. Such people live by reason, and not emotions, they are used to think about everything in detail, weigh it. Also, people suffering from obsessive-phobic neurosis, are demanding of themselves, are prone to self-analysis. Almost never a neurosis of persuasion does not happen to persons who are able to easily transfer responsibility for an unpleasant situation to others who are prone to aggression, achieving their goal at any cost.

One of the variants of psychopathy, psychasthenia, is the background for the development of anxiety-phobic disorder, constantly manifested by more or less pronounced obsessions.

At certain age periods, the risk of developing neuroses, including anxiety and phobic disorder, increases. This is the adolescent period, the period of early maturity (25-35 years) and the time before the climacteric period.

Obsessive-phobic neurosis occurs approximately equally with both men and women.

Causes of obsessive-phobic disorders

All neuroses, including anxious phobic disorder, usually arise when a combination of mental trauma with excessively hard work and lack of rest, chronic lack of sleep. Various infections, alcohol abuse, endocrine disorders, malnutrition act as factors that weaken the body.

Variants of obsessive-phobic disorders

The first option is the rarest. It is manifested exclusively by attacks of panic attacks. The phenomena of agoraphobia and nosophobia arise rarely and close links with panic attacks do not form. The second variant of obsessive-phobic neurotic disorders is manifested by panic attacks and persistent agoraphobia. A distinctive feature of panic attacks - they arise suddenly, among full health, are accompanied by a strong anxiety and are perceived by patients as a life-threatening corporal catastrophe. At the same time vegetative symptoms are poorly expressed.

In the second variant of a phobic anxiety disorder, agoraphobia and hypochondriac symptoms join very quickly to panic attacks. In this case, the whole way of life of patients is subject to the elimination of the conditions for the onset of panic attacks. Patients can develop a whole range of protective measures to avoid the slightest possibility of getting sick or getting into a situation accompanied by the appearance of a phobia. Often, patients change jobs or even leave, move to a more environmentally friendly area, lead a sparing lifestyle, avoid "dangerous" contacts.

The third variant of the obsessive-phobic neurosis is panic attacks that develop as a vegetative crisis. Panic attacks are preceded by not a sharply expressed anxiety, various pains on the body. In most cases, a panic attack is psychogenically provoked. Its main symptoms are heart palpitations, sensation of lack of air, suffocation. Even after a panic attack passes, a state of complete well-being does not come. Patients begin to scrupulously observe all, even the smallest, deviations from the work of internal organs and consider them signs of serious pathology.


For the treatment of panic attacks, the most commonly used antidepressant is anaphranil (clomipramine). Help to cope with panic attacks and other manifestations of spasmodic and phobic disorders antidepressants fluvoxamine, sertraline, fluoxetine, which are also used to treat depression. The drug of choice for the treatment of social phobias is moclobemide (aurox).

In addition to antidepressants, tranquilizers (meprobamate, hydroxyzine) can also be used to treat a phobic anxiety disorder. These drugs have minimal side effects, their continued use does not entail the development of drug dependence.

In acute forms of anxiety-phobic disorders, benzodiazepine tranquilizers alprazolam and clonazepam are most effective. Also intramuscular or in the form of droppers can be used diazepam, elenium. However, these drugs can only be used for a short time to avoid getting addicted to them.

In phobias, accompanied by a complex system of protective rituals (an obsessive account, obsessive decomposition of words), with the combination of obsessions with delusional inclusions, antipsychotics such as triflazine, haloperidol and others can be prescribed.