Very often the vegetative crisis is called the term “panic attack”, but the essence of the disease does not change from this. This is a spontaneous state of non-epileptic origin, which is expressed by polymorphic autonomic disorders provoked by the activity of central vegetative structures. Simply put, this is a kind of inadequate state of the body, which appears with somatic, mental, endocrine disorders, as well as under the influence of drugs. But in most cases, the autonomic crisis is an acute form of neurotic disorder and is accompanied by distinct mental disorders. Such a panic disorder is recurrent in nature, that is, it is systematically repeated after a certain period of time, and the duration of such an interval depends on many factors. By their nature, psycho-vegetative paroxysms often have a hereditary predisposition, that is, some element of genetics, and depend on the dysfunction of vegetative structures.
What is the dynamics of this pathology? First of all, a certain pattern is monitored, which makes it possible to clearly outline the age category of patients. So, a vegetative crisis is more often observed in women who have reached 20-40 years of age, and its first exacerbation, in fact, has no significant reason. The attack increases within a few minutes and is accompanied by a complex of autonomic disorders: lack of air, tachycardia, pain or discomfort in the sternum, hyperhidrosis, irrepressible tremor, hot flashes of cold or cold, feeling goosebumps, dizziness, lightheadedness, fainting, stomach cramps, indigestion, upset frequent urination. A vegetative crisis, the symptoms of which exert a significant load and stress most of all internal organs, does not pose a real threat to life, but it greatly affects the psychological state. In addition, hysterical symptoms are also characteristic of this pathology, in particular, a split personality, delirium, madness, loss of consciousness, mutism, a sense of detachment from this world. Sometimes a vegetative crisis is accompanied by dizziness and other vestibular disorders.
If we are talking about panic disorder, then we should highlight a certain tendency to recur, since the frequency of unexpected relapses can vary from several times a day to a couple of times a year. From the number of repetitions of seizures, many patients have an insane fear of impending panic attacks. In patients, agoraphobia begins to progress, that is, in anticipation of the next exacerbation, they avoid crowded places and, as it were, look for secluded "corners" for the next attack.
It is very difficult to diagnose a vegetative crisis, the treatment of which is also very difficult. For an accurate diagnosis, it is necessary to completely exclude all serious diseases with similar symptoms, for example, such as epilepsy, bronchial asthma and others. Also, mental pathologies are not an exception, among which some phobias, schizophrenia, endogenous depression are similar to a vegetative crisis . After a detailed examination, an experienced specialist should establish friendly relations with the patient in order to reliably convey to his consciousness the essence of the disease, and also explain how to prevent the occurrence of attacks. The most important thing is to convey to the patient the idea that, despite the severity of panic attacks, he has no reason to fear for his life, because this disease does not pose a direct threat. Intensive drug therapy is also prescribed, which includes taking antidepressants such as amitriptyline, doxepin, clomipramine, tianeptine, and benzodiazepines, for example, alprazolam, lorazepam. The first pharmacological group acts very slowly and is sometimes accompanied by deterioration, and representatives of the second pharmaceutical group begin to act faster, but the course of such treatment should be limited, since they can be very addictive in the body. Treatment is combined with elements of maintenance therapy.
The patient must learn to promptly stop the vegetative crisis, for example, with a Relaniumium tablet under the tongue, only then can the number of relapses be reduced and their own condition can be significantly relieved.