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How can we manage an anxiety attack in the 10 or 12 minutes we have available in a consultation to see patients? Are there any express tools for professional support and help?

Manel Montserrat
Manel Montserrat Martínez
Mental Health Nurse Specialist. Adult Mental Health Center. Esplugues de Llobregat
Parc Sanitari Sant Joan de Déu

Healthcare professionals are increasingly encountering situations in which the person being treated presents a high level of anxiety in the outpatient consultation or emergency department, or, in many cases, a frank anxiety crisis.

In these situations, it is crucial to maintain and convey calm, control, and a sense of security. The person should feel supported at all times to promote their safety, while also allowing them to have their own personal space.

It is important to try to condition the space (ventilate it, avoid noise) or, if necessary or possible, move the person to a better-conditioned space.

The person being attended to should be comfortable, sitting properly or lying down.

This should be accompanied by simple words or phrases that help guide a short abdominal breathing exercise to try and reduce anxiety levels. It's best to use a calm and clear tone of voice.

At this time it is important for the person to maintain a certain mental distraction that allows them to avoid negative thoughts, to be aware of the symptoms or sensations manifested by anxiety, so that the discomfort is reduced.

If necessary, fast-absorbing (sublingual) rescue anxiolytic treatment would be offered.

Once the discomfort or crisis has subsided, it is important to provide good support to the person, seeking specialized help in order to not only have more and better personal tools to prevent and manage potential anxiety crises, but also to understand and improve their mental health.

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Manel Montserrat
Manel Montserrat Martínez
Mental Health Nurse Specialist. Adult Mental Health Center. Esplugues de Llobregat
Parc Sanitari Sant Joan de Déu
Silvia Rosado Figuerola
Sílvia Rosado Figuerola
Mental Health Nurse Specialist. Anxiety Unit
Parc de Salut Mar