‘Trastorno de panico éUn mal de la época?* Mas del 80% de las consultas que recibo en mi consultorio particular tienen que ver con problemas de ansiedad. Recibo pacientes con una larga historia de trastorno de panico, que luego de consulter con médicos de todas las especialidades llegan a mi consultorio abatidos, asustados y angustiados, solicitando alguna respuesta Aigunos alegan que intentaron todo para controlar los ataques pero nada dio resultado. Muchos estén deprimidos y aislados, dejaron de juntarse con amigos, de hacer deportes, de viajar en transporte publico, de ir a lugares cerrados; en fin, restringieron las salidas porque no quieren volver a experimentar la tan temida “crisis de panico” El trastorno de panico es un trastorio de ansiedad que se caracteriza por la aparicién de dos o mas crisis de pAnico. Las personas experimentan un terror repentino, sin causa aparente, que alcanza su maximo nivel durante los primeros 10 minutos. Es muy comin que por la intensidad fisica del trastorno, las personas se acerquen a las guardias 0 acudan a la consulta médica. La presencia de crisis de panico no es suficiente para diagnosticar dicho trastorno, siendo necesario que la persona sufra ansiedad sobre el propio pénico: esto es, tener miedo de que ocurra la crisis, asociado a ideas catastroficas y cambios en las conductas para evitar volver a sufrirla.- “El trastorno de pdnico es uno de los trastornos de ansiedad mas tratables” Qué es una crisis de panico?sauomeI0J05 0 SOlyo|eDS3 “ET SOaNGIWJOH “ZT 4UOW @ OPIN “TT 090] ass@njOn 0 J0.9U09 [a Japuad e Opalld “OT oduano oidoid jap opesedas 18359 ap o pepijeau) ap uo|esuas oAewISaP ap upIDeSUAS Oo dae’ ‘pepiliqersau sajeulwopge sensajow! o seasnen, oypad [8 ua 1e1SajeW O UDISaIdO “ asiejuebenie ap uoisesuas « oboye ap ugpesuas, sepipnoes 0 souojquial ug}eopns * eipsezinbe 0 sauorseridied dninidusnad SeWOWUIs SaquainBis 50] ap o1en> sous o| Jod ap eyedwore as anb ‘osuayul 4eysajew oO opal ap eunuadas ugouede e sg Mosiavawsny nL Wrdoummas ODmey d #0 INOW NN dd Seo LMS€ _,o1quseo (9 exed sapep) Jap yooga2e, ap a6ed wey ef ua STOZ va operand a1 2) ap enyjubo> edeay A &: ap 2}uesin9 ‘Sauly SoUANG BP EOUADAd Bf AP eIGOIO2ISd ap aUApISER (2219) jemanpu0y onwubo> elder) ap ova jap sUeL6aIUT GETbR “IN “dW “C6 “OIN “N'W “eB0/02ISq “UUAYy eINET 40d. ~eoneuibeyerp uoDeuidsar A ugpefeas ap sea1u>9y A “s1su9 uN J9ua) e JoWa} od eyAa ayaIed jo anb S@uoDeNUS © SapepIANde A seplusay SeDISY SBUOIDeSUDS Se] e ugpisodxa) eandasouaqu! uoiisodxa ‘(sepiuiay sauopesuas se] ap e21a9e SedyOASEIeD soUO|DeIeIdiaUIEW se] 8p UpDeDYIpoW) enmUBOD UODeIMpNASe—J ‘U!DeINpaodIsd ap eoueisul eun aknpul crud ap owsoysesy fap oqua|uieye. 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Ja sod uezj1aj2e1e9 as o21ued ap sanbeye S07,ji oe 27pm soyeuous sepa Soxsy sOINS * + seeuoemyssaxopeoedod sore ‘axquon epsnuy ey ap osori, ofa, £8 ompupdysa (coqeep sve yuo ap eds ae) aos om 2p wo ops amped 9 doo wpa oy 2.4 [pp ssopesdins soy ssag paging 2 0102 Madge waRY CUE] put =P arm pus URES sspsong Krmuy fo tay, a809 20 euojoupe epshdue w| aye einjosge pepunfos omtats = go] ¥ ensnue ‘by alue pepunias ows erauea eunfusu 2p = 9 ap ensndue B| opeszo wey anb zan sUN PEPLMRS ap UP}TESUDS B| AIOIEA + ‘ensndue 2p siso js osod pepassue v] ap eunuadas uojourede) epnay pepaysuy 9p o1posidal = YW ‘ensndue ap epenta sISi9 = W19 ‘eua|d ensnBue ap sIstig = YaD ‘0[219 [2p Epse> owoD “ep Teldsout szgurerajdti09 vals ap ofmpaid 2s ayshaue of = JN “uorsennIs wisp ue ensndue ap Sisuo Eun JLT eqetadsy = 3 « | 5 a owoqammnge | sep segeasye | s.9p mos apemsondin) opepsy | “seepeaudion) | ogpeaatinn, | ee orem | opiate cabgerp) wpe | peepee spmmpenuad | Seep 1 “solation ms ap ups xexoxane ap uy onpostaop apna qo ws 2 oo> onuosd wer ouenutos fo reuOKUy din ap Arey] "wuBUIDS eure] ajTEmp oxeuoustiadxe sey anb epne Pepasur aD Soiposido o efsniue 9p sepeatl SIs49 “reys0g rie op sis sotnbqens seen eed oes} 399m oe} Hog SOUOPONT saqsion epniy peparsuy & eppsnuy op jeuemos onstiou 18 2orpupdy57 TERAPIA COGNITIVA DEL TRASTORNO DE ANGUSTIA (sen spa eed uo peu 9.) aos om ap uy 29 ope asp oy seen} vapand ony sos pp saopesdos so ssa pao 9p 0107 Maud) Foe MOY CIE) PEC ap 2 uo mua upon ny fo Kay a80) 2g euo}xpe epsndiue e| a1Ue esnjosqe pepunos omuais = 9p] ¥ ensnaue vy jue pepunos o1uais exoueus eundus ap » 0 ap efsnue e] opeseo eAey anb Zan eun pepuIBas ap tpITesUDS | HO)E + -(ensndue ap sisio us aed peparsue e] ap euruadar uosouede) epnsiy epoisuy ap orpostdsy = yva ‘ensndue ap wpernum sisug = VI ‘eu2id ensnue ap sIsuD = Vad ‘0[e19 [BP EPIe> 0109 ep Srindsoussjuoueqdisoo euLio} 2p ofmpoud 2s ensnve e| = JN upoenns wIs9 U9 eHsnUE ap Sisko Bun sys eqEIOdsA = By C f Toamin pape | _seopmee | sep | jammer av “anoaoum | ofponda Towoumuage | sapere | sq2peosme | swowme copes | “yy ommonbyem>) | abyerp) aueeu | jp tHeny apsepndsa)opeyesny | “tospeaxding | egpeaatong | sqapmpdioea | (oora)peresmee| | sjspsiopenwad | Seog ep aera sepepmnperen | sme solfnualioo srs ap upsoaide ewoue ap uy © pond op spray okisod ws 2] uno oid we ej f2 eu ap ayy eu ern aminp anya exe ond epi pepasuy =P cee es edae papers sat ensue ap sito sobyen tobe Hed oiuo} oe one 20] SUOMI reypo — = ‘a1quon, epndy peparsuy & epenfuy op yeuewas onsiiow 1'8 201pugdy3 {sp syn eed nao uy es) ees on ap say ano ps oppude a sede wasn ou ana vp siopeadues so sang uo 2p 010g MA "RT. REY HEL) Y pd ap roo ou seapion dre Jo Kay a0) 2 euotoepe epsndu e a1ue einjosge pepLnBes o1uats = goy € erisnue be] ayue pepumfas oars exoueu wunduyu op = 9 ap efsnue e| paseo exCy an z2A wun pepunas 2p UpIoesUas w| 210TEN + "(ensndiue ap sitio as axed poparsue 2] 9p eunuedar upsouede) epnily epoisuy ap orposidey = YW ‘eusndue ap vpeanuy sist = VIO eu9jd eusndue ap sIsH49 = YaD ‘0721 [ap vpIED owo> “ep 3 Sibisstateuerydueneuto} ap ofpaad av eshte o| = aN Tape wis Uo Tuy ap SED WU sEyNS eqeIadeT = 4 3 2 s 2 ‘ i e i ee xeon | apond 2 Tacetecge | sopra | sqapmaeae | sotemmmopeens | -ypauonbgerD) | angry) meus | epee S| apsemmdsijoemy | ‘cpensiany | copening | “stapeminog | oora)pprmee| | mapminpmoind | {voy ep g | eam appemipann | ane "| solizwwaioo sn 2p uotsjaxt | eqsauine 9p uy & omposta op sondsop afq}sod wom x02 onvoid ues oueynutos fo remoun una ap sie, eusas Bum Tues asenususuodxo exey nb pre pEpatsue 2p ) | ssbgmep) sens | rpaneny apmendes} opesy | ‘uepeauding | umpeaxting, | sop 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esouews eum 3 7 - “ipemaeapeopeen | eaopems | _cmpen | _opmmn mon ko “anogoam | _opends Toworemmaue | sqapmaeunye | sqapeomme | seoprrneopea | "yay ome sabe) | sagen) apes | pp epee spsedsa peasy | satneaxtinm | oppeaadinm, | sm spmpdioma | (cola) pes] | sjapsainpesant | Sno ey uelsoemd | sppeppmmappany | roma | sofzuatios ss ap upon eauauane 2p yw Tpostda fap sendsap sso 9s = cvios oquoud ues ouusios yo seuousauino ap aye, ‘eueuoy eur ¥ sive cnwusmansae wey onb epee Pepessee =P Sefbosda aura ap sepesa sus mse ap obo smbyeno seroue ese oxen are as Hone 2 SaWOFSONSE = sso ~ aquion, epndy peparsuy & ensniuy op peururog onstiong 18 22;pupdyoa (soe sp ted uo peu a5.) runs os ap sou woo ops spades sedooon pond ogy pp suopsduoo sv ssa pgm) ap Of07 MBuAdoD "9g NON Ky PEC ap 2nD04 pur 2ueng sagwog uy jo Aéomy aH euojxpe ependue v| a1u8 eunjosqe pepundos omtats = 9p] # ensue ey sjue pepunfas oyuays exouews eunuru 2p » 0 9p enanu e] opesco wey anb za kun pepundas ap LIIeSUES e] OTEN + (ensndue ap sista ws aued pepatsue e| ap eunuadas uoroutede) epnsy pepoisuy ap orposidg = va ‘eusnBue ap wpe si = 19 #eU9]d ensnue ap sIsuQ = Yad OPI [ap epIe> oWwo> “ep Feat aluadieis{diuoo euio} 9p ofnpoid os ensnze | = IN "upioenafs wis9 ua eNsnsue ap SsU9 wun AUFNS eqEIodsa = 3, € | Tommi pamecr | eaopaes | aopenos | _epnmu teary YD “axoaean | _oponda Townmuaye | sapsapeme | s2peopue | swopme reopen | “yy emonbgen>) | asbgrep) seus | ep tHe spseponisa opempsy | “suspmaxiing | empmsdon | sqapmmdnea | (ora) presmee | sjapsopemod | Atog rp sepa sppepmemipepey | SIE -sofimquatioa sns ap upysfoand | xewuoUune ap uy ¥ ofposida fp sanidsap a(q}sod v2s >| owios onuosd wey ouejutoy fo sewustHydlu9 ap azey, "ees CUTTY w ajuenp arewuaKILadxe ekey anb pre pepaisue ep Sorposida o ensnétie ap seperhi sjsu> ensnue ap sfs}9 saynbjena s2,0ue ered ourymuts0} 2489 asn one} 104 'sadOPINYSU 04 2qkHON epndy pepoysuy { epsnguy ap jeummas onstioy, 1'8 20ypugdy_oa \GRITWA DEL TRASTORNO DE ANGUS (sje sp eed 1uSdo peu 259) uns os ap sauy woo eos oppure a ean0}0}vopand ogy a9: [pp sosopeaduos soy ssig paogin 9p 0102 NBO) oq baRY CUE) pled =p Ary pur awa suo Aimy Jo Keay oo) euo}ipe spensie wf axwe einjosqe pepLnFas omuats = 90] # wHisnue ap wmnsndie e] opesao ede anb Zan wun PEPLINZ9s ap WO!eSUDS e|a10IE + (ensnue ap sisio Is oxed pepossue e| ap eunuadas uorouede) epnily ‘peporsuy 2p orposida = ya ensne op epeiny SS = VI9 “BUO|d eRSNBUe ap SISEID = Vad [OI [9p EpIeD owOD “EP Peidaot! ayusurersjduaos wai ap ofnpord Ss mnsndue m= 4N “uoroemNs wiso UD easndue ap sisu9 ean suns eqeiadsg = 3 « ey sue peptinos owuays eioueut eunsuru 9p “Vipqpas ap wpeus | supers | somopems | soa FSO way anoaoam | _oponrn Towmarucge | smopsaneame | myapeomm | mepueseosen | -yyeuesenine) | anbgmyyampens | ppwpem spenndeny opeiesey | sempenating | eapeaading, | emsppadineg | (cora)pmenmen | eapsampemied | soy Hy vundseeomia | sppermompepany | soma | ‘sojienuatiioo sns ap uotstoaxd Bj zenuaUNe ap uy e orpostda jap Sandsap 2/qIsoX was eos oniexd ue onfeynuLos fe. seuotmdama ap ave, "BUBIIDS eUUTD ¥| emp oretoutiadxo sey anb wpa Peparsie ap Soiposida o ensndue ap sepeatial sisa0 een ap sso 4aynbyend sejoue ered OLTE|MULIO}=1s9 SH ‘OAE} 10g SOUOPONUIST ———inqog ~anqntony epniy pepaysuy & epsnfuy ap jeuewag onstiou 1g sompusdy5a 3 3 (sayep sur exe yds ap ep amp) uote os 2p soy uo jos pues sedon0n wpand aug nse [pp ssopeadans 7 ssa peg) 2p 0102 HatGn9 "NG NOY KBE PAR ap D4 pun ean quod Mama fo Suny a2 24 euorpqpe ensnue e] ae einjosqe peptunsios ouats = gg} ¥ ensue | sue pepunes onuo1s exoueut eundusu ap = 9 ap BNsnBUe e] opes20 exey an zaA euin pEpENSas ap UprDesTIAs e| aiojea + (erisndue 2p ssu9 us o1ed pepaysue 2] ap eunuadiau wo}stede) epn3y pepaisuy 9p oiposida = va ‘enstue ap eperrant sts = VI :eu9qd ensnue 9p sistig = YaD :0[219 [ap epje> oMo> “ep ‘rigdsou stuauieysydauo> euLio} 9p ofnpoud 9s syste | = AN ZugpeMs wiso ua ersMBure ap SsuD wun spn eqeseds Timmins paqpnen | eeopenme | omopenes | _aqummlnony awa “aNeaom Toameege | sqapsupeune | sejapempue | soopeesmopens | ‘aoa mbgs) | acbyory) woes spend) opeiasny | “Batoesaing | peat | sepparpiomg | oie) per | sap inprood ed sep sppepmmiprpacin | smmanst solfquotio sns 2p upstaid | ewuaune ap uy © poste fp sgndsup 4804 W252 ‘ous oyuoud wer ofr oseiuotayduana ap area, ‘euPCS eID | aTUEINp arewsoLasadka exe an epnse pepersue ap exey onb 29 wun PEPLAaS ap UPIOPSUDS e] HOHE + (ensndue op sista uss oued pepojsue e] ap euntuads1 upia.zede) epnty pepaisuy 2p orposida = ya ‘ensnue ap perry mBlig = W19 ‘CUDqd ensmBlse ap S29 = Vad 4919 [AP EPFED oUOD "EP eepdoour afuourediaos eunoy op ofmpaid as ensnze | = IN two.Dems wiso U9 endure ap sisto PUN TMs eqeISdsA = [ ~ 7 “ipepniosop onsen | eomperin —| momen | _ofenaa tammy nar anoaoan | open Toqamuage | ssapseipeamye | mapropue | seopur epee | yay eum snbyean) | sabgeep) amen | epeepeny spendin opeipesy | smeopenadiny | egpraating, | sy spuppdiomg | (opie) perme | sjapsiepemand | Se 4 i ad sepepmoraypepuny | SRE } soitquatios sns ap upisfoaxd e zeusune 2p uy ¥ orposida yap spndisop ayqsod b2s ocuoo aqua ue omepULo, fo reIMeRUT ana ap are "wUBUDS eUUND v| aquEp ore uaUULIadxe ecey anb vpnde Peparsue 2p Soiposids © ensndue ap sepest isto eisndue ap sisi9 Jaynbyend Jejoue ered oLrejmuLio} 2189 sn “lone lod SAUOPLIMSU - eyed, s eagrON epn3y pepajsuy 4 ensnduy op [eueulog onstIoN re 20pudy‘exqop peed Bo ap eu ae) eosnd om op soy wo ops axpunte 9 don wapand ag asd [pp seopesctoa soy sug puogtng 9 0107 N00) "FOAL VEY CAzE] V pe ap ara pur auaey pion Ky jo Suny an809 99 euojqpe ependue e|a2ue winjosge pepunsos o1uars = 99] ¥ wHsndue _y ayue pepunas ozuots ezauews eunSune ap = 0 op ehendue p] opesso wey anb 294 eu pepLizes ap LoIesUIDS e| 2I0[e% + ‘ensrdue ap sisto urs o1ed peparsue e| ap eunuadas uotourede) epniiy peporsuy 9p o1posida = yya ‘ensndue ap penny sis = W19 ‘euaqd eisnifue ap sIstig = Yao :0[o1 [ap epse> omoD “ep Pepdsout gtourerajdiiog aise ap ofnpoid 2s mashdue e| = 3N "uoroens iso uo ensndue ap SSID BUN sTAINS Bqeradss = ; - - “pena ap wypemee | eaopean | eaopenas | _ open eay “net YD “axozoam | _opawis Tovememeage | sqapsapremye | sqapmome | enor seopeas | ‘yay um ontyenn) | anbgnep) aren | jp tony apsmndiny opeyey | ssuapemdeny | wppoading, | emopmpedioeg | (oora)pprme | eapsacpenad | seq m4 und ope sppepmmnipepany | seme | sotiequatios sns ap apse | zeuauine ap uy e oxposido [ap syndsap aqsod #25 2] ‘ouios onvord we) ofeysutag fa senuouu dina ap area, "PUEUIS ene] tuEaNp orEsuauTLadxa wAey anb epnite pyporsure 9p Soyposido.o ersndire ap sepris ststi> esnBue ap ss}9 zamnbyena IevoUe wed oveyrunso} 2189 sn “one 30g ‘sauOONAST] reyped : ‘s1qWON, epndy pepaysuy & wpsnday ap peueuag onsioy re 20;pugdyApéndice 8.2 Formulario de Revaloracién de Sintomas Nombre: Fecha: Instruceiones: Por favor, use este formulario para anotar cualquier explicacin alternativa ala que pueda atribult los motives de por qué experiment las diferentes sensaciones fisicas que le generan ansiedad y angusti ‘Seale snack ‘Wee cans ne Hieidadaets | fxpeimentada (pj, | Farcadasenacin enumere aa enpeaiones | skerts nnodhd, cexpeaclé parn ‘ugar fla deat, | slats dias del por read er dein | conan emcads conta add ie) ‘ati tnida) esac (10° ion * Para las valoraciones de confianza, 0 = no confia nada en la explicacién, 100 = certeza absoluta de que ésta es a causa de ls nes fisieas + Para las valoraciones de efectvidad, 0 = la explicacién no produce ningun efecto positivosobre la ansiedad, 100 = siento que la explicacién es completamente fectiva para climinar las sensaciones ansios. De Copii Therapy oft Disorders Scene and Practice de David A Clary Aaron T. Beck. Copyright 200 de Guilford Press. 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