0 In neuroses, the ability to evaluate reality is strong.
0 The main pathology in neuroses is often anxiety. (Free floating anxiety)
0 The division of psychiatric disorders into psychosis and neurosis is an old classification.
0 Diseases in the neurosis group in the old classifications: Anxiety disorders, obsessive compulsive disorder and related disorders, trauma and stress-related disorders, somatoform disorders, and dissociative disorders.
0 Neurosis is not defined in DSM IV TR and DSM S.
Anxiety Disorders
0 Obsessive-compulsive disorder and trauma-related disorders, which were classified as anxiety disorders in DSM IV TR, were excluded from this class in DSM S and examined in separate groups.
General Symptoms:
• tremor
• Back-headache
• Difficulty breathing
• Hyperventilation
• Autonomic hyperactivity (tachycardia, sweating, flushing, diarrhea, xerostomia)
• Difficulty in swallowing without organic disorder (globus hystericus)
Drugs Used in Treatment:
• SSRIs (they are the first drug of choice)
• Tricyclic antidepressants
• Other antidepressants (venlafaxine, mirtazapine, MAO inhibitors)
• Buspirone
• Benzodiazepines
• Propranolol
• Antiepileptics (valproic acid)
Panic Disorder
• It is characterized by spontaneous panic attacks.
• 50% of patients have mitral valve prolapse.
• Sodium lactate provokes attacks.
• Seizures usually come twice a week and last 30 minutes.
• Antidepressant drugs and psychotherapy are effective in treatment.
• Cognitive and systemic desensitization can be done.
Agoraphobia
• Fear of being in places where it might be difficult to get help or escape.
• There is a behavior of avoiding crowded places such as public transport, theatre, cinema, shops, open spaces or being alone outside.
• It is usually seen together with panic disorder.
• In this case, the patient is afraid of having a panic attack in the environment.
Specific Phobia
• It is the most common anxiety disorder.
• Characterized by irrational fear and avoidance of an object (dog) or situation (height).
• Anxiety happens when faced with the feared thing.
• Drug treatment is ineffective in specific phobias. The most effective treatment is systemic desensitization.
Social Anxiety Disorder (Social Phobia)
• It is characterized by irrational fear and avoidance of social situations.
• Antidepressant drug treatment can be applied together with psychotherapy.
• Propranolol can be used before social performances.
• MAO inhibitors have been found to be effective in severe cases.
Generalized Anxiety Disorder
• There is always a fear that something bad will happen.
• There is chronic generalized anxiety for at least one month.
• Drug treatment can be applied together with psychotherapy.