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Anxiety Disorders and Obsessive Compulsive Disorder

  • Kurt FritzscheEmail author
Chapter

Abstract

Fear and anxiety are common and basic human experiences. Fear is pathological if it occurs disproportionately frequently and excessively, i.e. without adequate, real threat. When anxiety occurs too often, a patient loses control over it and tends to avoid situations and is thus restricted in his/her everyday life. The most important forms of anxiety disorders in psychosomatic primary care are panic disorder, agoraphobia and generalised anxiety disorder. Very often anxiety symptoms are hidden by physical symptoms. Basic psychosocial interventions include strengthening autonomy, explaining the vicious circle of fear and also relaxation techniques (breathing exercises, progressive muscle relaxation). The core features of obsessive compulsive disorder are obsessions (intrusive, unwanted thoughts) and compulsions (performance of highly ritualized behaviours intended to neutralise the negative thoughts and emotions resulting from the obsessions).

Keywords

Fear and anxiety Panic disorder Agoraphobia Generalised anxiety disorder Hypochondriasis Vicious circle of fear 

References

  1. Good BJ, Good MJD. Toward a meaning-centered analysis of popular illness categories: “Fright Illness” and “Heart Distress” in Iran. In: Marsella AJ, White GM, editors. Cultural conceptions of mental health and illness. Dordrecht: D. Reidel publishing company; 1982. p. 141–66.CrossRefGoogle Scholar
  2. Karasz A, Dempsey K, Fallek R. Cultural differences in the experiences of everyday symptoms: a comparative study of South Asian and European American women. Cult Med Psychiatry. 2007;31(4):473–97.CrossRefGoogle Scholar
  3. Kirmayer LJ, Young A. Culture and somatization: clinical, epidemiological and ethnographic perspectives. Psychosom Med. 1998;60(4):420–30.CrossRefGoogle Scholar
  4. Kitanish K, Miyake Y, Kim KI, Liu XH. A comparative study of taijin kyofusho (TSK) tendencies among college students in Japan, Korea and the People’s Republic of China. Jikeikai Med J. 1995;42(3):231–43.Google Scholar
  5. Ma WF, Huang XY, Chang HJ, Yen WJ, Lee S. Impact of Taiwanese culture on beliefs about expressing anxiety and engaging in physical activity: a discursive analysis of the literature. J Clin Nurs. 2010;19:969–77.CrossRefGoogle Scholar
  6. Margraf J, Schneider S. Panik: Angstanfälle und ihre Behandlung. 2nd ed. Berlin: Springer; 2013.Google Scholar
  7. National Institute for Health and Care Excellence (NICE). Generalised anxiety disorder and panic disorder—clinical guidelines. 2011. https://www.nice.org.uk/guidance/cg113/ifp/chapter/About-this-information. Accessed 5 Apr 2019.
  8. Tseng WS. From peculiar psychiatric disorders through culture-bound syndromes to culture-related specific syndromes. Transcult Psychiatry. 2006;43(4):554–76.CrossRefGoogle Scholar
  9. Wittchen HU, Jacobi F, Rehm J, Gustavsson A, Svensson M, Jönsson B, et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol. 2011;21:655–79.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Psychosomatic Medicine and PsychotherapyCenter for Mental Health, Medical Center - University of Freiburg, Faculty of Medicine, University of FreiburgFreiburgGermany

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