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Treatment of anxiety and panic disorders

Anxiety disorders are a group of disorders in which the predominant symptoms are irrational uncontrollable fear and persistent feelings of anxiety, which can occur in situations that do not actually pose a current danger.
Experiencing anxiety is a normal adaptive response of the body to changing conditions or threatening events. However, fears can pose a serious problem for a person if the level of anxiety reaches pathological proportions. This imposes restrictions on the normal functioning of the patient, which significantly reduces his quality of life. Also, the long-term existence of an anxiety disorder dramatically increases the risk of other mental disorders, such as depressive disorder (about 15 times) and pathological addictions (about 20 times).
The main anxiety disorders include the following disorders:
Panic disorder - the main symptoms of the disease include recurring bouts of irrational anxiety (panic) that are not limited to a specific situation or any specific circumstances.
The dominant symptoms are sudden tachycardia (rapid heartbeat), sweating, tremor, dry mouth, chest pain, difficulty breathing, a feeling of suffocation and nausea, as well as dizziness and a feeling of unreality.
Agoraphobia is a group of anxiety disorders encompassing a number of phobias, which include a painful fear of open spaces and public places. Patients experience uncontrollable anxiety when in a crowd, refuse to visit shops and other crowded places, restrict unaccompanied exits from their homes, and have difficulty using public transport on their own. Agoraphobia is one of the most maladaptive types of phobic disorders.
Dominant symptoms: when immersed in a frightening situation, patients experience increased anxiety, increased heart rate and breathing, sweating and dizziness, and in some cases, panic attacks. As a rule, such patients try in every possible way to avoid those situations that cause them to have a panic attack, which contributes to the consolidation of anxiety disorder, changes their habitual way of life and interferes with normal functioning.
Generalized anxiety disorder is manifested by a constant feeling of anxiety, tension and persistent anxiety about a variety of life events, the probability of which is extremely low. Anxiety is not limited to any specific external circumstances, so it is often difficult for the patient to outline a range of situations that trigger panic.
Dominant symptoms: the most typical complaints are a feeling of constant nervousness, trembling, muscle tension, sweating, tachycardia, dizziness, and discomfort in the epigastric region. Often the patient feels fear for his loved ones, suffers from gloomy forebodings. To make a diagnosis of generalized anxiety disorder, the described symptoms must be present for at least 6 months.
Social phobia – at the heart of this anxiety disorder is the fear of being seen by others, as well as being in an awkward position, being ridiculed or humiliated, which leads to the formation of a reaction to avoid such situations. This disorder is often combined with low self-esteem and fear of criticism. Fears can manifest themselves when eating in a public place, the need to maintain a conversation during a casual meeting with acquaintances in the presence of strangers, visiting public places and group activities.
Dominant symptoms: tremor of the hands, nausea (fear of vomiting may be present), imperative urge to urinate or defecate (or fear of such urge), redness of the face. Sometimes the patient mistakes one of these side effects of anxiety for the underlying disease. Avoiding frightening situations causes significant psycho-emotional stress, since the person himself is aware that his reaction is excessive and has no reasonable basis.
Specific phobias are fears limited to narrowly specific situations, such as, for example, being in close proximity to animals of a certain biological species, being in the dark, at height, in a confined space. Specific phobias also include fear of air travel, fears about eating certain types of foods, visiting a doctor, medical manipulations, and the type of blood. When faced with frightening stimuli or when thoughts about them arise, a person's anxiety is "triggered" and the symptoms described above are observed.
Advantages of treatment in EMC
  • Thorough diagnosis of the patient's mental state, identification of risk factors.
  • Preparation of an individual treatment program, including pharmacotherapy, cognitive behavioral therapy, and, if necessary, TMS.
  • The Clinic of Psychiatry and Psychotherapy constantly organizes trainings that teach relaxation skills and coping with anxiety symptoms.

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Efficient, professional service as normal.
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Very good experience of visiting clinic. Dr. Kirzhinov
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Vitaly, the doctor's assistant was great. He assisted from booking to the production of invoice for insurance reimbursement and everything in between. A very pleasant and personable youmg man. Thank you Vitaly. Also, Dr Olga Romanova was exceptional. She listened to me and took
into account my self-knowledge pertaining to my own condition, and did not dismiss me and my self-diagnosis. As a doctor myself, I was impressed, as many of my own often complain of poor bedside manners they experienced with other physicians. A day later, and my symptoms have already began to resolve. Thank you Dr Romanova, you are a credit to the profession. As for the facility itself, it was a really nice and modern clinic, well appointed and clean. However, the general staff could be a little more pleasant and not just transactional. Maybe it is because I am a tourist and they know I dont speak the language. No matter the language barrier, a warm smile goes a long way in making others feel welcomed. There was not even a smile from the nurse who gave me a shot. The pharmacist was however quite pleasant and warm. Next time I am in Moscow, and become ill (I hope not haha) I will certainly return to EMC.
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I would like to express my heartfelt thanks to Dr. Raed and his wonderful nurse team for their exceptional care during my LASIK eye surgery. From the very first consultation, they made me feel comfortable, informed, and confident about the process.
The procedure itself was smooth and painless, and the team’s professionalism and kindness truly stood out. I deeply appreciate their skill, attention to detail, and genuine care for their patients. Thank you for giving me such a life-changing experience — I couldn’t be happier!
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Just want to thank the urology team - Dr Ekaterina and the support team - for the great work in past few weeks. They made somewhat uncomfortable treatment much more bearable and the results I am very happy with.
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