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).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
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.
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.
Kirmayer LJ, Young A. Culture and somatization: clinical, epidemiological and ethnographic perspectives. Psychosom Med. 1998;60(4):420–30.
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.
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.
Margraf J, Schneider S. Panik: Angstanfälle und ihre Behandlung. 2nd ed. Berlin: Springer; 2013.
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.
Tseng WS. From peculiar psychiatric disorders through culture-bound syndromes to culture-related specific syndromes. Transcult Psychiatry. 2006;43(4):554–76.
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.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Fritzsche, K. (2020). Anxiety Disorders and Obsessive Compulsive Disorder. In: Fritzsche, K., McDaniel, S., Wirsching, M. (eds) Psychosomatic Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-27080-3_9
Download citation
DOI: https://doi.org/10.1007/978-3-030-27080-3_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-27079-7
Online ISBN: 978-3-030-27080-3
eBook Packages: MedicineMedicine (R0)