（非药物治疗方法）如何治疗急性焦虑发作或惊恐发作Panic Attack Treatment Malaysia

如果你在日常时刻经常会面对以下其中一些临床表现症状，可得多加注意了：

• 突然感到强烈不适、
• 胸闷、
• 气透不过来的感觉、
• 心悸、
• 出汗、
• 胃不适、
• 颤抖、
• 手足发麻、
• 濒死感、
• 失去控制感、
• 反复出现强烈的惊恐发作，伴频死感或惊慌感
• 发作可无明显原因或无特殊情境。
• 还有一部分人会在某些特殊情境发生以上症状；如拥挤人群、商店、公共车辆中发作（这点就是广场恐怖症伴发惊恐发作Agoraphobia with Panic Attacks）。

你也可以尝试做做以下的自我测试，看看你是否有以上的症状
（欢迎把分数记下来，并email告诉我分数）：Panic & Agoraphobia Scale

常见导因：

第一点：生理层面

生理层面引致的惊恐反应（自律神经失调）；当你本应该放松时，身体却被错误的激活惊恐模式。（就好比说你在广场里应该放松购物，但心脏却因不安而开始心跳加速）

第二点：脑部神经系统问题

脑里的化学作用出了状况，这可能是基于食物的选择或重金属超标等问题引起。

第三点：潜意识（空间方位感）出错

潜意识状态对身边事物的空间方位感认知出错，因此导致去到人多的地方时激起内心里潜意识层面的害怕反应。

第四点：心理状态诱发

个性、抑郁、哀伤或感情问题等等。通常病因和患者个性与处理情绪的方式有关。

Hiro Koo给你的话：

身体生病了，我们知道尽早看医生疗效较好；那心理生病了，也要尽早求医。

我可透过特殊的检测方式来了解你的导因，然后推荐你适合的治疗方法。

我们的处方是非使用药物的治疗方法：

针对导因第一点：我们可以透过脑波反馈疗法EEG biofeedback training来调理生理层面因素。

脑波反馈疗法能帮助我们学习自我控制的能力，但它并不能直接作用于我们。这疗法需要有专科训练的治疗师来进行。通过反复的训练，可以改善自己的自律神经状态。

针对导因第二点：脑部神经系统问题，可以透过头发重金属检测与营养调整来改善。只要吃对食物和做适当的份量调整，你其实也可以改善你的脑部神经系统状态。

针对导因第三点：潜意识（空间方位感）出错，我们可以透过合格注册的催眠师进行催眠治疗法来改善潜意识的认知与减少无意间诱发的害怕反应。

针对导因第四点：我们会透过心理建设与教育，让你认识问题的来源（就好像车子坏了，你得找出是哪个零件出了问题才能对症下药）。继而再透过心理治疗技巧，让患者走出负面的心理状态。

如果你还有任何疑虑，欢迎联系我咨询更多详情。

Insomnia Treatment in Malaysia

Insomnia Meaning:
Insomnia is a lack of sleep due to insufficient sleep quality or quantity. The insomniac’s major complaint is awakening during sleep, followed by difficulty falling asleep. An insomniac may sleep but experience poor sleep quality, also known as nonrestorative sleep. As a result of a lack of quality sleep, impairments are experienced in social and occupational functioning.

The three types of insomnia are sleep insomnia involving difficulty falling asleep, sleep maintenance involving awakening during sleep, and late insomnia involving early morning awakenings. Insomnia can be episodic lasting for a period of one month within 3 months, or persistent lasting longer than 3 months. Recurrent insomnia is two or more episodes within a year. Insomnia disorder is one of the major three groupings of sleep disorders under DSM-5, together with hypersomnia and arousal disorders.


Insomnia Symptoms:
The DSM-5’s major criteria for a diagnosis of insomnia, in brief, are (APA, 2013):

1. Dissatisfaction with sleep quantity or quality, with one or more of the following symptoms: difficulty initiating sleep, difficulty maintaining sleep, early-morning awakening 
2. The sleep disturbance causes significant distress or impairment in social, occupational, educational, academic, behavioral, or other important areas of functioning 
3. The sleep difficulty occurs at least 3 nights per week, is present for at least 3 months, and despite adequate opportunity for sleep 
4. The insomnia does not co-occur with another sleep disorder 
5. The insomnia is not explained by coexisting mental disorders or medical condition

Insomnia is a precursor to, and comorbid with, a number of mental and medical disorders. To ensure proper treatment, DSM-5 recognizes that one or more disorders may be present at the same time. A medical condition such as chronic pain or mental disorder such as breathing-related sleep disorder may be the cause of the insomnia. However, DSM-5 does stipulate that the insomnia should be clinically significant on its own to warrant a diagnosis.


Insomnia Treatment:
Medication is the most commonly used treatment for insomnia. A class of sedatives called hypnotics is typically prescribed. Benzodiazepine has a high risk of side effects and long-term dependence, and therefore is recommended for short-term use. Nonbenzodiazepines are more commonly prescribed today but still have a risk of side effects and are habit forming. Doctors will first try non-drug approaches to treat insomnia. These may include mind relaxation exercises and avoiding stimulants before bedtime such as caffeine. Despite the complications, insomnia worsens when patients go off medication for insomnia.

Psychotherapy approaches (Such as CBT-I) include stimulus control to teach the association between the bed and sleeping, sleep restriction to restore sleep regulation, and cognitive restructuring to address anxiety-related thoughts that lead to a lack of sleep (Mitchell, 2012).
While almost half of us report being kept awake by stress or worry, increasing evidence suggests that a large proportion of chronic, long-term insomnia is caused not by environmental factors but by the very worry we feel about getting our prescribed eight hours. In short, this sleep performance anxiety – our worries about getting enough sleep – is stopping us from getting the sleep we need. Thus, sleep performance anxiety issue should be addressed first during the therapy session.
Study also finds that those highly suggestible to clinical hypnosis can have deeper sleep after hypnotic suggestion.


Message from Hiro Koo:
Our psychological hypnosis approach will combine psychotherapy and clinical hypnosis methods to deal with your insomnia problem. First, we will do an initial consultation (Include brainwaves analysis method) to find out the root cause of your insomnia problem. After that, we will recommend the most helpful method to deal with your insomnia. Please drop me an email if you need more info: [email protected]



Source:
http://www.theravive.com/therapedia/Insomnia-Disorder-DSM--5-780.52-(G47.00)
http://www.healthista.com/want-better-sleep-worry-less-about-how-much-youre-getting/

为何失眠？如何治疗失眠？何谓睡眠表现焦虑？ | 无药无副作用 | 马来西亚

来中心找我看诊的病人里，有50%以上都面对失眠问题。

或许是基于“催眠”二字出发，让人觉得对治疗睡眠问题来说是最理想的选择吧！因此，很多人都是因失眠问题来向我寻求解决方案。当然，我并不是指这想法是错误的，许多研究与实例亦证明临床催眠疗法确实对治疗失眠问题颇好。

从失眠者的脑波层面，我察觉到他们大多都面对焦虑与压力相关问题。

（脑电波检测并不是根据心理学诊断手册DSM的方法来操作的，我们有独特的解读脑波科学方法。当然脑波检测也不属于Diagnosis，而是让我更好的了解病人的潜意识状态的方法。）

而绝大部分面对失眠问题的病患都有着情绪管理相关问题。

睡眠问题大多来自于饮食习惯、工作压力与人际关系。

因此，在我让他们理解相关问题并协助他们进行情绪和心理层面调整后，问题都会得到极大的改善。

此外，也有一部分的人是因为“睡眠表现焦虑”症状而无法入睡。

什么是“睡眠表现焦虑Sleep Performance Anxiety”症状呢？

这是一种”担心睡不着“的心理状态；就好比说你平时能够顺畅地说话，然而一上台你就因为害怕而开始口吃和忘词的道理相同。整体的状况其实并不是你无法睡着，而是你心中害怕睡不着（就好比说害怕上台说不出话）然后就因而变得真的就睡不着了（就好像上台后真的说不出话来了）。

那么怎么改变这个问题呢？

如果说告诉自己不要害怕就能不焦虑了，那么世界上也不会有人面对任何问题了（开玩笑）。打个比方说，你害怕上舞台演说，那你应当怎么解决呢？

方法只有一个：做好心理建设，并且不断的练习，最终方才能掌握舞台演说技巧。睡眠表现焦虑的问题也一样。

所以说如果你面对的是睡眠表现焦虑问题，却一直使用药物来解决问题，那么你会发现成效或许颇为有限。这是因为真实的问题来源和你的心态有着绝大的关系。

药物是不会改变你的心态的，因此它的效力是有所局限的。它或许能让你镇定下来，却不一定能让你不再害怕。

再问一问你自己，如果你害怕蟑螂或壁虎，你又会如何解决呢？是选择逃避还是寻求帮助呢？

你要的不是每次都靠别人打死蟑螂，而是学习如何与之共处在同一个世上啊。

如果你愿意，心理治疗配合催眠疗法将帮助你克服你的失眠问题。

临床催眠配合心理治疗法能帮你改善你的心态，然后在运用你的潜意识让你放松，继而轻松入睡的。

有更多疑问，欢迎email我咨询更多：[email protected]