Syndrome of expecting failure

At present, anxiety waiting syndrome is one of the most common diseases. This is due to various neuropsychic disorders that arise in the process of confronting everyday stressful situations. The main reason is a prolonged exposure to a certain stimulus, which destroys the psycho-emotional state of a person.

The state of the nervous system during the period of psychological trauma (as well as its innate property) plays an important role in the initial stages of development and the subsequent course of the disease.

Epidemiology

To a syndrome of expectation of failure predisposed persons of practically all age categories. Suffer the same, both men and women. Especially it should be noted the high incidence rate among children.

[1], [2]

Causes of the syndrome of failure expectation

Syndrome of anxious waiting is caused by a factor when a person, because of his obsession with expecting a complete failure in a particular case, simply can not perform elementary actions. As a result, fears grow into a panic fear of the impossibility of performing everyday functions. The patient is in a situation of a "vicious circle". Therefore, the syndrome of anxious expectation can not be defined as an independent disease. In this case, this syndrome is considered a special form of the obsessive-compulsive disorder syndrome. In cases where violations of the body's functions are caused by the consequence of the transferred infections, injuries, intoxications, they become the starting point in the development of the disease. In the future, even the thought of the impending action is frightening.

[3]

Risk factors

An increased risk group includes people with anxious, suspicious and timid character. The starting reason for the onset of the disease is the following:

• systematic lack of sleep, which leads to disruption of the structure of sleep;
• cerebrovascular diseases of the brain;
• harmful effects on the body, including intoxication;
• traumatological factors;
• constant violations of diet.

[4], [5], [6], [7], [8], [9]

Symptoms of the syndrome of failure expectation

As mentioned above, anxious waiting syndrome is characterized by the psycho-emotional state of the patient, in which he is afraid of performing some quite ordinary everyday activities. For example: read, talk, sleep, walk, have sex, etc.

Let's take a reading. A patient who has a history of cerebrovascular diseases or suffered head trauma may experience visual impairment as a result of long-term and rapid reading of the text (nearsightedness).

The first signs of myopia are the appearance of a mesh or fog in front of the eyes, photophobia, headache. There are also signs of instability in the vegetative system (palpitation, fever, general weakness).

With regard to the act of walking, the example can serve as a patient suffering from diseases of the cerebral vessels during the rehabilitation period after the trauma of the lower limbs. One of the first signs is a sudden drop caused by dizziness. As a result there is a syndrome of anxious waiting at the thought of repeating an unsuccessful attempt. This leads to functional disorders of walking processes (gait disturbance, awkwardness in movements, stiffness, etc.).

Deceleration of the speech device in most cases is connected with public speaking. At the first failure there is an alarm and a fear of having to repeat the action. In this case, the symptoms of anxious expectation are manifested by the lability of the autonomic nervous system - palpitations, a feeling of confusion, sweating, fever, stammering.

Disruptions occur when an anxious condition appears in anticipation of insomnia. In the initial stage, this process is caused by the manifestation of insomnia due to severe emotional upheavals (fear, joy, grief).

The syndrome of anxious anticipation of sexual failure

The syndrome of anxious expectation of sexual failure (STOSN) is characterized by the emergence of an obsessive sense of anxiety and fear of the impending sexual intimacy. At the same time, anxious feelings are so strong that they completely suppress sexual arousal. More often than not, patients with this syndrome complain of erectile dysfunction. Some of them believe that their failure at sexual intercourse is associated with mental or sexual disorders. Some people think that the reason is communication difficulties with women. Some believe that the consequence of these disorders is the small size of the penis, resulting in a feeling of insecurity.

Of course, these factors can form a syndrome of anxious expectation of sexual failure, but the main reason is the psychological aspect. It all depends on the right settings. As a result of misconceptions about sexual intimacy, a man is in a stressful state, he lacks a sense of relaxation. As a result, there is an anxious anticipation of the upcoming exam, the purpose of which is either to test yourself (androcentric version), or to surprise a partner with her sexual abilities (feminocentric variant). And the more thoughts arise about this, the fewer the capacity to carry out the process.

An important reason, due to which the syndrome of anxious anticipation of sexual failure develops, is the right choice of a sexual partner. Sometimes a woman can show herself not quite loyal to a man - show antipathy, make fun of or be rude. In these cases, the man receives a deep psychological trauma, which leads to an anxious expectation of subsequent negative experiences. Such experiments end with a serious disorder of the vegetative system - during the next attempt of sexual contact, there are feelings of rapid heart rate, sweating of hands and lack of air.

Anxiety anxiety syndrome in pregnancy

It is known that during the gestation of the fetus the body of a woman undergoes significant physiological changes. Reorganization of the central nervous system, increased physiological and emotional fatigue, a weakened body - all these factors cause a sense of anxiety. In other words, a pregnant woman initially falls into a risk group predisposed to developing an anxious waiting syndrome.

Now we will get acquainted with the main fears that the future mother is going through.

• Spontaneous, unplanned pregnancy. In this case, there arises fear of possible postpartum consequences associated with the health of the child (how many cigarettes were smoked and alcohol drunk, what medicines were taken, etc.).
• Fear of possible complications during the course of pregnancy.
• Fear of the process of delivery.
• Anxiety about the genetic fullness of the newborn.
• Aesthetic fear. A woman subconsciously experiences because of the changes that occur with her figure and face.
• Fear of responsibility. No one is able to worry about the fate of a child more than a mother.
• Fear of the future. Now everything will change and will never be the same.

In principle, there are no fears that there are certain fears. The natural physiological and emotional protection worked to adapt the organism to new circumstances. But in the case when anxiety develops into a sense of panic unrestrained fear, the consequence of which is the pronounced latency of the autonomic nervous system, it is necessary to consult a specialist. Otherwise, complications are possible - the acquired feeling of complete despair, which leads to the development of prolonged depression.

[10], [11], [12], [13], [14]

Diagnostics of the syndrome of failure expectation

Diagnosis of anxious waiting syndrome is based on the patient's complaints. But on the other hand, there is a need for a complete examination to exclude the somatic causes of the disease.

[15], [16]

Differential diagnosis

Successful differential diagnostics depends on complete mutual understanding between the doctor and the patient, since the diagnosis is still based on the patient's questioning.

[17], [18]

Treatment of the syndrome of failure expectation

Complex therapy consists in carrying out psychotherapeutic measures. An important role is played by suggestion (both in reality and in a state of hypnotic sleep). A very good result gives autogenic training. To restore lost reflexes helps physiotherapy.

In parallel, drug therapy is used, which consists in the appointment of tranquilizers, antidepressants, adaptogens and vitamins.

Warning: medication is prescribed only by a doctor!

Tranquilizers are a group of psychopharmacological agents aimed at relieving emotional tension, feelings of anxiety and fear. Characterized by anticonvulsant and muscle relaxant action. Effectively affect the recovery of the autonomic nervous system.

• Chlordiazepoxide (elenium, librium) - has a marked miorelaksiruyuschee and protivotrevozhnoe action. It relieves emotional tension. Dosage is from 30 to 50 mg / day. It is taken orally.
• Oxylidine - has an antihypertensive and calming ability. It improves blood circulation of brain cells, enhances the effect of hypnotic drugs. It is taken on 0,02 mg 3-4 times a day. The course of treatment is from 1 to 2 months.

Side effects of tranquilizers - violation of the speed of concentration, muscle weakness, drowsiness, slowing of mental reactions. Possible violations of the vegetative system (urinary incontinence, constipation, hypotension, weakening of the libido). When these symptoms appear, the medication should be discontinued. Do not use prolonged use of tranquilizers to avoid addiction.

Antidepressants - a group of medicines designed to deal with depressive conditions. Relieve feelings of anxiety, fear, longing. They remove emotional tension, normalize appetite and sleep.

• Amitriptyline - has good tolerability and bioavailability. The drug is available both in tablet form and as a solution for injections (for especially severe cases). Is taken orally after meals. The initial dosage is from 25 to 70 mg / day with a gradual increase until the signs of depressive state retreat. Then the dose decreases to 50-100 mg per day. For the durability of the result, the tablets must be taken for a long time - several months.

Side effects - dizziness and drowsiness, pupil dilated and blurred vision, delayed urination, dry mouth,

Contraindications - prostate adenoma, increased intraocular pressure, severe cardiovascular conduction.

• Bupropion (zeban) - differs from other antidepressants by the absence of side effects on the sexual function of the body. Dosage: the first 7 days to 150 mg once a day, then 150 mg 2 times a day. It is recommended to take several weeks.

Side effect - dry mouth, dizziness and impaired coordination of movements, tremor of the extremities, abdominal pain and bowel disorder, skin rashes and itching.

Contraindications - chronic kidney and liver diseases, Alzheimer's disease, epilepsy, Parkinson's disease, diabetes mellitus. It is contraindicated for persons under the age of 18 and after 60 years.

It is necessary to pay attention to the peculiarities of the treatment of pregnant women, since the medicament means for them are undesirable. In this case, it is better to emphasize the treatment with herbs.

• Valerian - has a mild sedative and hypnotic effect. It relieves anxiety states of mental and somatic (vegetative) origin. Improves the quality and duration of sleep. An important aspect is the absence of side effects (except allergic reactions).
• Peppermint - has a moderate sedative, spasmolytic and choleretic effect.
• Melissa lemon - is distinguished by a focus on increasing the concentration of attention, the body's immunological state, and also has an antioxidant effect.

Available alternative recipes for the treatment of the anxiety syndrome of failure

• Recipe number 1. To calm down the nervous system will help infusion of root or bark barberry. Preparation: 30g of raw material pour 1 cup of boiling water. Boil on low heat for about 15 minutes. Let it stay. Ready to take infusion of 1 st. L. 3 times a day.
• Recipe number 2. Young spring leaves of birch (100 gr) chop and pour warm boiled water (2 cups). Insist 5-6 hours. Strain. Drink 0.5 cup infusion 3 times a day for half an hour before meals.
• Recipe number 3. 3 tbsp. Spoonfuls of berries of viburnum grind into a gruel. Add 700ml of boiling water. Insist for 4 hours. Strain through gauze or a fine strainer. The broth is taken 4 times a day before meals. In this case, a full-fledged diet should be present.

Homeopathic Remedies

Aspen (Aspen) is intended for people who experience unexplained anxieties and fears.

Prevention

Adaptogens and vitamins are used for the preventive purposes of the anxiety waiting syndrome.

Antidepressants are drugs designed to effectively adapt the body to various negative environmental factors. They differ in the ability of an excellent combination with other drugs. To date, highly popular adaptogens of plant origin. The most common of them are:

• eleutherococcus;
• Schisandra Chinese;
• ginseng;
• aralia;

Use recommended once a day (in the morning, before the start of the work day).

Contraindications to use - high blood pressure (hypertension), a previous myocardial infarction, acute infectious diseases, fever. It should be noted that adaptogens accelerate the processes of puberty, so the appointment of drugs to children under 16 years should be treated with caution.

Vitamins are the basis necessary for the full vitality of the body.

• Vitamin A retinol, beta-carotene, retinal, retinoic acid. Insufficiency of vitamin A affects the quality of vision and skin condition, as well as causes disruption of the brain and cardiac activity. The necessary daily dose: for women - 700mkg / day, for men - 900mkg / day. With increased strain on the body (illness, pregnancy, old age), the intake dose should be increased. For a more lasting and lasting result, vitamin A is used with vitamin E.
• Vitamin E (alpha-tocopherol) - most of all in demand in the health and beauty industry. Promotes the restoration and nutrition of cells, the establishment of circulation of the supply of useful microelements to them. Displays the decay products of once useful substances. Very well promoted as a means to exclude pathologies during pregnancy. For men is the basis of quality sperm.
• Vitamin D - is produced in the body by itself, thanks to the effects of sunlight. Helps the process of absorption of phosphorus and calcium salts in the intestines, while affecting the strengthening of bone tissues of the body.
• Vitamin C - has high antioxidant properties. Excellent cope with the problems of immunity functions (catarrhal diseases, infections, the influence of harmful substances of the environment). Especially I want to emphasize the role of vitamin C in the ability to produce anti-stress hormones.
• Vitamin B - belongs to the group of water-soluble vitamins. Therefore, it is recommended to take it every 8 hours. The most popular subgroups of vitamin B:
  • B1 is thiamine.
  • B2 - riboflavin.
  • B3 - nicotinic acid.
  • B6 - pyridoxine.
  • B12 is cyanocobalamin.

All vitamins of group B are responsible for the harmonious work of the functions of the central nervous system of man.

[19], [20], [21]