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Panic attacks can be reduced through endurance sports
Anxiety disorders can be treated both psychotherapeutically and pharmacologically, according to the statement in the new S3 guideline "Treatment of anxiety disorders". In addition, endurance sports have a preventive effect and a positive effect on therapy - especially in the event of panic attacks, the experts explained when the new treatment guidelines were presented.
In principle, the new treatment guidelines recommend the use of psychotherapeutic procedures and / or pharmacological treatment. In the area of psychotherapy, cognitive behavior therapy should be mentioned first, but psychodynamic therapy can also be successful here. Furthermore, the S3 guideline provides for intervention strategies based on targeted exposure to the fears, for example in the case of panic disorders or agoraphobia (fear of certain places and places). Those affected should face their fears under therapeutic guidance.
Psychotherapy or psychiatric drugs? According to the new treatment guidelines, the decision whether to treat the anxiety disorder with psychotherapy or psychotropic drugs should take the patient's wish into account. The latter can therefore choose between the various therapy options. For this reason, however, the treating physicians must inform you comprehensively about the therapeutic approaches. Serotonin reuptake inhibitors (SSRIs), selective serotonin norepinephrine reuptake inhibitors (SNRIs), but also agents such as tricyclic antidepressants or pregabalin are provided for the medicinal treatment of anxiety disorders in the S3 guideline. However, the guideline rejects the widely used benzodiazepines.
Endurance sports and visiting self-help groups As a further measure that can have a positive effect on the therapy of anxiety disorders, the new treatment instructions recommend visiting self-help groups. In the case of panic disorders, endurance sports can also have an extremely positive effect, according to the new S3 guideline. The guideline was drawn up over a period of six years, taking into account all current studies on this topic. Participants included the German Society for General Medicine and Family Medicine (DEGAM), the German Society for Psychosomatic Medicine and Medical Psychotherapy (DGPM) and the German Society for Psychiatry and Psychotherapy, Psychosomatics and Neurology (DGPPN). (fp)