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In deeper-level psychoanalytic approaches, in particular object relations theory, panic attacks are frequently associated with splitting (psychology), paranoid-schizoid and depressive positions, and paranoid anxiety. They are often found to be comorbid with borderline personality disorder and child sexual abuse. [74]
Panic disorder is a mental and behavioral disorder, [5] specifically an anxiety disorder characterized by reoccurring unexpected panic attacks. [1] Panic attacks are sudden periods of intense fear that may include palpitations, sweating, shaking, shortness of breath, numbness, or a feeling that something terrible is going to happen.
Paranoid anxiety can be understood in terms of anxiety about imminent annihilation and derives from a sense of the destructive or death instinct of the child. In this position before the secure internalisation of a good object to protect the ego, the immature ego deals with its anxiety by splitting off bad feelings and projecting them out.
3.4.1 Feelings of self-consciousness, self-criticism* Tends to be overly aware of flaws in their appearance, interaction, etc. 3.4.2 Feelings of social paranoia or social anxiety* Feels people they're interacting with or are around them are constantly focusing on and judging them. 3.4.3 Pervasive mistrust of others*
GAD is often estimated to affect approximately 3–6% of adults and 5% of children and adolescents. [13] [93] Although estimates have varied to suggest a GAD prevalence of 3% in children and 10.8% in adolescents. [149] When GAD manifests in children and adolescents, it typically begins around 8 to 9 years of age. [150]
Paranoid anxiety is a term used in object relations theory, particularly in discussions about the Paranoid-schizoid and depressive positions. The term was frequently used by Melanie Klein , [ 1 ] [ 2 ] especially to refer to a pre-depressive and persecutory sense of anxiety characterised by the psychological splitting of objects.
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