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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Specialists

Evgeniy Libson (Israel)

Radiologist, FRCR

More than 20 years of work

11 reviews

Milliet Jean Rene

Otorhinolaryngologist-surgeon, Otorhinolaryngologist

More than 20 years of work

9 reviews

Salim Nidal (Israel)

Radiotherapist, Clinical oncologist, Radiation oncologist

More than 20 years of work

38 reviews

Derlon Jean-Michel

Neurosurgeon, Professor

More than 20 years of work

3 reviews

Elias Raid

Ophthalmologist, Ph.D. of Medical Sciences

More than 20 years of work

14 reviews

Vladimir Nosov

Oncologist, Surgeon, Ph.D. of Medical Sciences

More than 20 years of work

31 review

Iskander Abdullin

Urologist, Oncologist, Ph.D. of Medical Sciences

More than 20 years of work

12 reviews

Grigorev Nikolay

Urologist, Doctor of Medicine, Professor

More than 20 years of work

12 reviews

Bregeaut Yves

Dentist-orthopedist, Dentist

More than 20 years of work

8 reviews

Irina Vasilieva

Mammologist, Oncologist, Surgeon

More than 20 years of work

19 reviews

Abakirov Medetbek

Surgeon, Vertebrologist, Doctor of Medicine

More than 20 years of work

Orkhan Abdullaev

Neurosurgeon, Ph.D. of Medical Sciences

4 reviews

Abraamyan Knarik

Therapist

1 review

Averyanov Dmitry

Vascular surgeon, Phlebologist, Ph.D. of Medical Sciences

More than 20 years of work

6 reviews

Evgeniy Avetisov

General Practitioner, Family doctor

More than 20 years of work

Avstrievskikh Marina

Cardiologist, Doctor of the highest category

More than 20 years of work

4 reviews

Ajrapetyan Robert

Dermatovenerologist, Cosmetologist

More than 20 years of work

3 reviews

Akimov Vitaly

Neurologist, Ph.D. of Medical Sciences

More than 20 years of work

14 reviews

Akimova Svetlana

Pediatrician

Aksenov Kirill

Dentist-surgeon, Dentist, Ph.D. of Medical Sciences

14 reviews

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Reviews

Anonymous, City: -

I reiterate my gratitud

I reiterate my gratitud for the kindness and excelent professional services of Dr. Oxana Levkina and her team.

Doctor: Oksana Levkina

17 May 2025

Anonymous, City: -

I feel much better now

Thank you so much for all doctors , nurses, helpers for helping me when i got hospitalized 3 weeks ago. I feel much better now.

Anonymous, City: -

Thanks to Dr. Oxana Levkina

Thanks to Dr. Oxana Levkina and her teams. Excellent as always.

Clinic: Ophthalmology Clinic

Doctor: Oksana Levkina

28 April 2025

Mirza petrus Auraha, City: -

Many thanks to all medical staff and especially Dr. Alexey Afanasyev

Many thanks to all medical staff and especially Dr. Alexey Afanasyev for the professional treatment. This was my second visit, in 2015 I had a successful knee surgery done in ECSTO. Thank you and best regards, Mirza Petrus Auraha

Doctor: Afanasiev Aleksey

23 April 2025

Patricia, City: -

Excellent care

I am very grateful to Evgeniya Kondrashova for her excellent care while I was a patient in the hospital.Throughout my stay she monitored and cared for me with noteworthy professionalism and was readily available if I had questions or needed reassurance.

Clinic: Cardiovascular Diseases Clinic

Doctor: Kondrashova Evgeniya

7 April 2025

Patricia Johnston, City: -

Highly recommended

I recently had a cardioverter defibrillator implanted by EMC surgeon-arrythmologist Dr Oleg Evgenievich Sukhorukov. I spent five days in the hospital and I cannot praise this wonderful Doctor enough for the skill, care and attention he provided. I can confidently recommend him and
the excellent team of cardiologists. They are thoroughly professional, immensely skilled and dedicated to producing the best outcome for their patients.
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Clinic: Cardiovascular Diseases Clinic

Doctor: Suchorukov Oleg

6 April 2025

Аnonymous, City: -

Thanks very much to Dr. Oxana Levkina

Thanks very much to Dr. Oxana Levkina. As always professional and human.

Clinic: Dental Clinic

Doctor: Oksana Levkina

26 March 2025

Anonymous user Name, City: -

I wish you all good health and professional success

Many thanks to the doctors Moskalets E. R. and Penkova O. V., who described my pictures on the day of the study, as well as to the staff of the PET CT department Nikolay, nurse Ekaterina, laboratory assistants Eduard and Nikolay, who were with me from the beginning and until the
end of the study, we worked in a coordinated, professional and friendly manner.
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Clinic: Institute of Oncology

Doctor: Elina Moskalets

26 March 2025

Аnonymous, City: -

My child was in the very best hands

From the cloakroom attendant to the doctors— we felt warmly welcome. We had a close supervision by the assistants. And the doctors took plenty of time for the patient and examined utmost empathetic.

A.V., City: -

I would like to express my deep gratitude to Alexey Vasilyevich Kovalenko

I would like to express my deep gratitude to Alexey Vasilyevich Kovalenko for his high professionalism, high efficiency and sensitive attitude to patients. The doctor performed the most difficult operation for me, and at all stages of preoperative preparation During my
postoperative rehabilitation, I felt his professional and emotional support.I very much hope that the EMC management appreciates such highly professional specialists as A. V. Kovalenko, and my highly positive feedback on his work will be taken into account when determining his KPIs.
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Clinic: Urology Clinic

Doctor: Aleksey Kovalenko

19 March 2025

Konstantin Vladimirovich, City: -

I express my gratitude for the treatment!

He came back with severe pain in the neck. The diagnosis revealed an intervertebral hernia. The very next day, the operation was carried out, everything was very fast. After the operation, he was surrounded by nurses. I would especially like to express my gratitude to:
Krivoshapkin Alexey Leonidovich, Yulia Markina, Vladimir Klimov, Orkhan Abdullayev, Gleb Sergeevich Sergeev, and Alexander Loginov.
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Clinic: Institute of Oncology , Neurosurgery Clinic

Doctor: Krivoshapkin Alexey

16 March 2025

Anonymous, City: -

Thanks to Dr. N. Samokhina

All consultations and prescribed treatment are always positive.

Clinic: Ophthalmology Clinic

Doctor: Samokhina Nadejda

15 March 2025

Аnonymous, City: -

Thanks to dr. Oxana Lepkkina

Her colleagues and her teams. As always, perfect.

Doctor: Oksana Levkina

10 March 2025

Vladimir Georgievich, City: -

Many thanks to Dr. Samokhina Nadezhda Ildarovna!

She is the most reliable ambulance for our family, which has helped out in critical situations more than once. At the same time, Nadezhda Ildarovna is distinguished by her great friendliness and ability to calm the patient and not get depressed.

Clinic: Ophthalmology Clinic

Doctor: Samokhina Nadejda

10 March 2025

Anonymous user Name, City: -

We thank all the staff of the clinic for saving our lives

We thank Alexey Leonidovich Krivoshapkin, Alexey Sergeevich Gaitan, Orkhan Abdullayev and all the clinic staff for saving our lives.

Clinic: Institute of Oncology , Neurosurgery Clinic

Doctor: Krivoshapkin Alexey

7 March 2025

Shavrina E. G., City: -

Thanks to Dr. Makarov V. K.

I express my gratitude to Dr. Makarov V. K.

Clinic: Ophthalmology Clinic

Doctor: Viktor Makarov

6 March 2025

PK, City: -

Thanks

Everyone was very kind and helpful, thanks.

Anonymous user Name, City: -

Endless gratitude

Endless thanks to my dear Dr. Pavel Koposov.

Clinic: Institute of Oncology

Doctor: Pavel Koposov

4 March 2025

Vladimi, City: Tyumen

Gratitude

Alexey Kovalenko is a sensitive, attentive doctor, a surgeon from God. He gave me an operation to remove the affected prostate, all very carefully. I am grateful to him!!!

Clinic: Urology Clinic

Doctor: Aleksey Kovalenko

26 February 2025

Charles and Diana, City: Tiburon, California

Huge thank you to Dr. Marina & team to help us deliver our first born!

Dr. Marina Sharova = A+++++! Highlights => super knowledgeable! Confident! Professional! Mother-type! Truly terrific bedside manner! Spends endless time with moms! A wonderful choice for all, especially first time moms and foreigners who only speak English! Special thank you to
midwife Svetlana Kirsanova and anesthesiologist Vladislav Stanivlavovich! Great team! Great work!
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Clinic: EMC Maternity Hospital

Doctor: Sharova Marina

24 February 2025

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