Ekrem Çulfa Dr Ekrem Çulfa Aile Evlilik Çift Terapistleri
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TURKEY REMAIN AT HOME- MAKING A CORONAVIRUS INTO REINFORCEMENT AND A PANIC ATTACK
30/03/2020
TURKEY REMAIN AT HOME- MAKING A CORONAVIRUS INTO REINFORCEMENT AND A PANIC ATTACK

For the new type of coronavirus (Kovid-19) epidemic, precautions must be taken carefully, of course, but these measures should not be made unreasonable obsessions. Meanwhile, the fight against Kovid-19 should always retain its importance for individual and scientific measures, hygiene and cleanliness. In the meantime, my readers say, "When does a problem turn into an obsession? Questions are coming.
In order to call a problem "obsession disease" something must be a situation that goes too far and challenges the logic. So, it is very necessary to wash our hands carefully in this period. It is necessary to wash thoroughly for 20 seconds, but as soon as the hands are finished, it is necessary not to start washing hands again. It may be necessary to clean the instruments we use in disinfectant, but this should be done once and limited. When it goes to extremes, this situation turns into obsession. When it turns into obsession, it can return as a completely different problem even after the danger of epidemic has passed.
Patients diagnosed during this period should continue their medications and treatments. If they have been given an assignment to do about this process, they should do it. They should not immerse themselves in a particular rigor than anyone else. A normal level of cleaning will be sufficient. One can easily understand that rigor has become an obsession. Sometimes it can be effective for outside people to say, 'This is going to be excessive.' However, they themselves may already realize from their behavior and attitudes that this is illogical, excessive and unnecessary cleaning. When this is noticed, they should try to reduce it, if they cannot do so, they should consult a psychiatrist and psychotherapist. If they already have an existing obsession, they can resort to psychiatry and put themselves in order so that the situation does not go to extremes.
We live in a large country with a population of over 85 million people, the occurrence of cases should not be abnormal. It is of great benefit to state that some of those who have Obsessive Compulsive Disorder (OCD) disease in the current process also take the event to the extreme. Therefore, we can say that they do not need to take extra measures. On the contrary, if there are obsessive-compulsive disorder (OCD) and similar excessive washings, they are already breaking their body resistance in their daily lives. They need to reduce washing actions. Because when they think they are doing it right, they increase the level of danger for them. Those who have panic disorder also engage in behaviors that will prevent their lives and lives with the fear of being a negative situation every minute. However, there are much more harmful diseases in hospitals than coronavirus, because they are not popular and not subject to news, they do not attract anyone's attention. We live in a large country, both as a surface area and as a population, so seeing cases should not be abnormal. Necessary measures should be taken and the explanations of authorized persons and institutions should be taken into consideration.
Patients do not go to hospitals or clinics unless it is mandatory because of the Corona virus outbreak. Corona virus outbreak also affected patient-physician communication. For this reason, many patients prefer telehealth applications to reach their doctors. Those who have psychological problems may not meet face to face with their psychologists and psychiatrists. In this case, telepsychiatry practices and telepychotherapy, which have been used for many years, can enter the circuit, but experts warn against the choice of specialists by saying that the experience of psychotherapists is important, especially in online psychotherapy, which is preferred in the treatment of anxiety disorders and phobia. He said that nowadays, there is an increase in the number of people turning to online psychotherapy with the corona virus outbreak.
Online psychotherapy provides convenience for clients and clients who cannot come together with a psychologist and psychiatrist. Internet connection with the computer or smartphone is sufficient for the method to be applied. Psychiatry / psychotherapy sessions can be held by connecting via e-mail, video conference and various chat programs.
MORE EFFECTIVE IN VIRTUAL ENVIRONMENTAL THERAPIES
Scientific evidence is increasing that telepsychiatry practice is as effective as face-to-face interview in many psychological problems. In fact, telepsychiatry and telepychotherapy may be the first option for some diseases. For example; anxiety disorders and virtual exposure therapies appear to be more effective in phobia. Again, avoidant individuals, children, adolescents, patients with post-traumatic stress disorder who experience severe avoidance symptoms can sometimes only agree to meet with video conferencing. Face-to-face interviews can be challenging for these patients, so psychotherapy through videoconferencing can offer a better option in the first place.

MORE EFFECTIVE IN VIRTUAL ENVIRONMENTAL THERAPIES
Scientific evidence is increasing that telepsychiatry practice is as effective as face-to-face interview in many psychological problems. In fact, telepsychiatry and telepychotherapy may be the first option for some diseases. For example; anxiety disorders and virtual exposure therapies appear to be more effective in phobia. Again, avoidant individuals, children, adolescents, patients with post-traumatic stress disorder who experience severe avoidance symptoms can sometimes only agree to meet with video conferencing. Face-to-face interviews can be challenging for these patients, so psychotherapy through videoconferencing can offer a better option in the first place.
CORANA VIRUS EXCEPT MAY LEAVE ANXIETY DISORDERS
It is worth noting that social anxiety increases with the Corana virus outbreak, which is actually the expected "functional concern". So this concern shifts our focus on what to do about the epidemic, but it is worth emphasizing that the increase in anxiety level can be negative.
If these concerns are constantly replaced by physical symptoms such as high anxiety, hopelessness, palpitations, shortness of breath and tremor, and feelings of helplessness, these may be signs of anxiety disorder. Feeling sick all the time, not being able to continue daily activities with the fear that something will happen to your loved ones, showing extra hygiene obsessions above the recommended hygiene rules may lead to psychiatric / psychological disorders. In particular, anxiety disorder, depression and obsessive diseases carry the risk of exacerbation during these periods.
Meanwhile, there is already serious confusion about what psychotherapy is and who can do psychotherapy. This confusion may increase when it comes to online psychotherapy. Because, although there is no mental health legislation that will put their jobs in the way yet, a certain legal procedure is required for the establishment of offices / practices where psychiatrists and psychologists serve. Therefore, the applied psychotherapist must have both professional competence and competence in psychotherapy. In this context, it is possible to gather the things to be done under two headings.
The psychotherapist must have the following professional equipment:
1) Professional competence: Since psychotherapy is a mental health service and a clinical study, it is necessary to make sure that the psychotherapist is primarily a psychiatrist or clinical psychologist.
2) Psychotherapy competence: The training completed by the psychiatrist or clinical psychologist on psychotherapy training should be supervisions.
If you have any problems, you can call our online professional support line 05447243650 and contact our expert psychologists and psychotherapists.


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