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Full text of "عالم المعرفة"



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16 



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17 



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19 



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20 



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21 



(Who it Strikes And when) 









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l3 jl09 (jajjxll ft»;.iin.; (fSjl (JJ5 

(2 jSLi) . Li>. *_al_j]| jji Ijlaj 

5-it-oiaJI ^yfl JJitJ (jt^-JJ ! miiU (^li-lj (jloJLi 5-aJjLll! CjUI i^-».VI (j! 



57 



3**^\ vja^\ s^\yt 
The Seven Stages of Disease 



spells Oiytt •. jkj» «^\ * 

LoJiJt£.-3JL>JI aJJt j j jU. tU£ j j_jj j^ (., i ,i*t I ( ^ 

I a" mljj (~i (j ')? jJs cxJLSj (j-Ij^I <L>jJJI L^LiL^al 

■ JlJJlJsJI I J I i C ( _ 3 -3 5Jlj * i m '"'j **" i ulj 4_i_«_aL>JI 

|U . j_ljL«JII (J^ ( _* i n -»- 4jJI » I u~~ i mU J j 3j • ■■ " 

<". i n~>-l ^fia» *L9Ju^3 2l «_a JSlJ tLt^o Cjli C^».jj. 
L-ul i ii -»-l (jL^ . jljjJLij pLajJI ^^3 3-aJcj SLjlS 

( _ T jij dLJLI 3jjj (_yil t_iLaJJI ( _ T 3 CjjJQjjiIj .(^^j^l 

LiulS (jlj 7-LujVI ajlc 3-jjj -ij^*-« 4JLj coj L4JSLI 
till j ^j^a ^^a Cxjl£ Jl2J . LoLxj ojljJl^o *-j!a** • ■'* z 

!_yj\ I 11 ■>■ VI *L>- Lx-llj • (_£-}<-£■ J-;LC. I'm i"i f-^>^ (1>^ 

(jl a I * * dUi J j *°> (j-o <JJ_jL£ jJLl 1 LaL^j 3_U«-J 

■ La j La se JJ i4_a^l_*ij| ja^jjL>.l (jl_Ju f_^ ufcsLSJj^al 



29 



<U£. cjI^js (jl L^J (3 .' < " ct^J' ajJI (_y3 j'C i ntl (j^aSJ 3JLtj 4 j j A j-a^l (jl I4J 

(l) .s LaJI 3,,,,- y^J! (jolj^Vl SLc^a^. ^J j^ jjj s ,,,,,11 JjJ 
<ila S-^?-*^ '"'^ I <j '*•> Ij ' Ij-p-f (j-J in-»-VI ^yJii^ij *u Premenstrual syndrome 

La-Lo (jicj j 1 11I JJtJ <Lub 3j_o I j" 1 A ' Lajii£. SjjjJI /. 1 11 m UjLa Cj^lij 

J_jjLl pjl I nTt I J J I a CjUjjIo CjIJlJ . fcj^-cujl (Jj^LaJI ( _ T 3 L^JjLuj/ J^23 CdK 

. I j j ol ( _ T ^ LaI Jlj-o 3^-23 ' L-*jJ^-'-^ (_y-2 3 ^"-"j L^j u-^>^ culSj LLajLiIo 

-3Jl»-Ij 4J3.} 3^' ll>^ 3 .' ' a ' ^~-"' 3L*-3j (j a ■ ' 1 1 I 3" ■ a JJ LijJij-3 i_iLa-"u nlj 
j^3j-«L2jLa <1cj_cuJ Sjm 1 ntl JjjJJ (j 1 -* - " .' " " Wlj'"i ' " ' * *"j I ^ L^JI-jj 
(j_o aLojJI Cj^LsLj I j . ..I . ..^1 (jl^j 3JajJ ^ J £ I g^la- (_jlr I (_j-!l ^<* (J£ 
(jj^Lj (jl j-j_uu<JI (j-*fl i Ji^JII i_2_oiJI ^1 SLcJla jj*-JI di!i ^jic I (jo iii-v 

L^LiLuol (_yl!l cdilLi 4 La jjj a 4jj-l!I ojui (jl LjjLo (j-LaJ (jl <j-o Jj V (jt^J 
(2^-»- ijS\ aJ-& Cj3J->- JlJLI i a I" se a (jlSLo (_y3 I j i i '■■>■ <"< a frl.a clulS (jlj 

(_y^ * . i Lj ~ 4_S_i_S^>JI (_^ (j-S-J (*-Jj .^AILj V (jlSLo (_y3 SjLu-oJI ^j^j Cxjls 
.-taLiSLlul ^ S-Jjij-cuiLi toj^o-l lgi*Ctj «u!l i_jLiJJI 
<\il" (<Jj . Jl^JI Ijufc (jJI I j^ljU.'^V La^Ual (_y£.lj V 4Jf c^12jI J^ J-°J 

. SjJ, I o ju* /_£ Mj>L5 3jj-lI I 

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jl I j j c I j ' f_jJ& jJl^>JI jl (J_i_aJjJLi oj j i a a cLiLLai- CjujJj i -il '^" (jLj^-al 

j_jLSJ3 CjIJlJ CjujjJI (jl iU^a < - , 1^ ^ V I j 'X Ij Ijjili L*U!i I g-S-Jl LaJ joJj 
(_y3 SjjLu it^joj <ii>.Lj< «L»-j^j jj » i"i uLl>.| Cju^JlII ua. I loj (jlSj . J^>*J 

1 (j ' S I (jjjLjJI (j-J-u y UJ (jl (j-« ^Jt_Ci3l I (j I ( n (jl TC-UdI^JI (j_« (jlJj « 1 (j I n^» 



so 



CiU^JJI :^J9UI 6JL?jjoJI 

cjLijJJI ej-& cjj o"i i ..I I il L^_j^>-Ij (j_o (j! <-^jIjj • * 3 * -" I j c 1 i_P-*j cjjjiji 

ii_*jL>- (j-° ' . 'J'l^H j J '"'" ' n~t (jl cloljlj . I g-LC ' a luSjI (jji^llj (jl 4-laj i mil 

• J-i-l <-7i.il->- (j-o CjJOjJ I (j !S Ij 

3 .' - .' 3 ** ' a 3 ' J^" 1 " 1 ' ""' ' ^J^ a - '-^*~ '^ 1 i> c ■ ^jL>_9-L!I «jut o-sls* jJU 

. L4I0 ^LJJs r-jj>JLi i". 1 n-»-ij 

j_up ^ 1 •■■-" w ui w Jju plj-uo 1 3T** j ** - ." "^ 'LiLi i ij i^-1l I j • - •■-»_' jJia 

2 » *" iLa 1 3 mdj ^yji ,j£j jaJj (Psychosomatic) S-ljLojjjijSLjUoJI 2 JbjJaJI 
(Ju I j ULui JLaJ (jJ i—ijialaJI (jl <Jj£j.}| I 3 iS Ij i«LuLojjjij£Luji (_p3lj^.2l (jL) 

(j_o (jLa I 'ij mi L&Jlj-c i_j_Lj_LaJI Jlj^j *d IjiLs ^j^j"- •'■■"^ (_^ ^\ -> <" 1 nj 

ilul£ (jl >l j n" 1 11 a JLsJI J-o^e-o (_yk: Lfl>lj£Li JLi-t-J V JJS 4Jf I jSla <_y£.lj.i 
.jj^^jl (_y^. Cjj-lx-id i-dJ!i (_ T l^.j .(_ 7 _n_L^>- (_paj_4-i ^ M L^a rt 
(_ T HJI (^^Ij-C^l (j_o 5) j 1 *•» 3 CjLij^j i4-2jj_LiJI oJl^j LJLc. I J-jJ (__>I=j-I,l3 

La j_a> I juij .j_a>Lk> i _i 1 1 11 jl jl jjl (jjJi (j- ^ L^il J> *L2l3 <j-oj 3L^a cjJl^o 

. I J I MM 1 1 ^-"jl (_5-A (^" LfO" 3 "^' **- »AlVI Cjlj-liJI (j^-lj ( _ > l3jJ,l (j^-l <J->A} 

jl (j 1 .. A'ltl jjlaJI Ljxxl uaJ (jl j-^c (j-a Ij-JJJ i_>^ 3 'j- c -'^' I *J-A CjJij>o JlSj Jj 
4jj Laj 1 a jJi3 Jl3 p 1 n-»JI r ' uac I (j-o IJl>-Ij (jLi (jjj » mm (jj -I <^1 Ij . xJLjJI 
cbL^aj LjJjIjj CjJlIs JlS p 1 n->JI (^ 2 ^ja Ul CjLlLwiJI dlli (jl mJI .43 1 j (_,lr 

.3j_uS ljj-i^5 J-ielu (jl 4l>-jJ,l ojuk (_y3 Cjuj-lLI (j£L«jj 

Lightheadedness 4i.jjJ! jf pLajJI S^ii. 

Faintness j jjll *Lui.VI 

or Dizzy Spells jljjJI <^jLi>i jl 

(JjJLj (jl (Jiill j^jlaj^ (j^ (^j^l (J>-ljJ,l (_y3 '-Ji>- 4*jLjiII (_gjK Mill (j^ 

j j < ."ill lj_<fc .(((_yX.jJI (jljL^a jl *Lx^.l 1 ' I mi j (_yl^. (_ T Jbl£ jjji I » : ( _ > iajjJll 
^^cjJI (jljJLii «LLo 'White-out' ^^ *lj^>JI jj » mi j 4_j_JoI j Jl-UI »l or^fLi 
jL£.LpJLi (j^l 1 n-fc. Ij ijjLuiJLi ' fljAa> jj » mi LiLp-l d • a> I L<aj ji^j 'Black-out' 

(jjA_j Ju£j i(_j_aj^>JI (_j_l«J,Lj f-LajJI 4ijtj (j^l 1 n->-l Jl>-j-J Ji^j .joJL«JI (jx. 

^y3-X-i (jl Jl^_(2_J JJ * Ml Jt_« (j-\±>-jjlj (j\£.lj jjl (_^ ' OJt '^*1' * (j^jl I n"^l t-ilLLA 

. LujJI o'jj^ (j-ul 1 aa>j Sjjiu CjVL>- (_y3 OJLajj 4-li uajul 5) Laj mJl 



SI 



l^JLflJI yjbjA 



lil oLu-iVl jj^co -» • • aj 4Ji tj-1.1 jj i a3 lii! L^-j-*- JJ* i"ill 1 Jui < _i 1 1 njj 

.3j-oU- JUaojJll ^LaVl ^ (jjjl>.VI aLoI <lAc u-±L\ 



Imbalance £ jl$nlt £t< 
and Jelly Legs <WUAJf d$*jJI J* j«i l§ 

aj y, , .»j^ (j-^' '-J^ > -' (j^t>- 1 »: cJ La£ L^jJLv cjI jj i nil (_£Jl»-! c^vjji 

/yjl ( _ T 3 QJ^ '"'_' <— 2j-^u (JJjjjS L-uLii (jLi 4-2j1j ulj . ^^.oJuS ( _ 7 \£. ju±p Jl>- (Jl 
LaJLt^j . J^_iL>Jl ^J] jl <"< t n 2f I ^^1 5) laj^ajq cL*_i^j_a /■ mi at ul» .«3jj_<iJ*-« 
(ji JJljJ il i4_*-3j5i (_£ j-ll ijLSLU (_y^ U>^ ij-' O^J^' O^ (j^ J^-ri -h^" 1 ' 
^^JJjusj lilljj .*-3jjI Lx-a Llajl jl (ji^-l mJjj-i-u-o ( _ 7 i^- (jlajVI (j n n l"i (^J^ 
(j^l 1 n -vVl (_g^L»-j J 2 a jj .^^ji^Lj J-J3 J} I " f^ CT^'j- 5 ! o' J**'j jjjuI 

.«(jl£j,l (j-o I (j < 1 <iJ-a-> 

/<uij .«(JjU,I ?-jjJLi» (j^l 1 n->-VI ljui ( _ > iaJjjLJ ^1 4jvL>JLi jjjti^. QJ^ * '"'JJ 
d la >J ^_b QjJVl i n" 1 ^^_tSJj 4 1 j 1 i 2 ij ^j-I f^- 1 ' ^L^-J-^J-^ 4_2jj-LiJ QjjSjjlj 

/j 1 c --j 1 "j^ j-i^. j-oVl j^j-£ jj ' njtl £yj '3-3jLj><J.I lilij - .(jj'j-^' ?' JlC ' 

■»■ La 1 ■■ ^ 1 c j j i nlu <l j i mi «L)L) t j-ul i n-v VI ^jj^*- 1 ' 2x<aJa . Julj Li_i3 J * 2 1 1 

3_2-jJL>JI (^ (jl<Jaj V (tt^-ol jJaLa jUtoJI ^Lcl (_y3 tcjvjGj ( _ t j*j 2 m» . nil 

(jJl (^lajjiJI I Jl#j t_iL-iiA (J^J-j (j^J . 4Ja>J (_gi (_y3 (jjJaiL nj Ji^ /ojkj iljui 
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j^jlaj'ill (j^_i (JI '^"Vl ^-Jj'j J-i-C ' a ~- j -I (j! wjjj ''" 'l (j-° <-*-pJ-_9-^ ,d - 
oLaoVI (jl J_H^ (j_o (—kijejj i(jl£Uu JaLujVl Aj9 JjJxj (jjt>-Ij .iiajL>Jlj 
(jXj jsJj . ( _ > l3j'^l (_ T i^- 4jujV1 «Laljial Cijjj iJajl >JI ^1 4 li"^ j'u nl tixjp- 
iLa-^-Li UjjijA LjSi 4_lojjJI Sj^Ltll 3Ljj>J1 ( _ T 3 (jlij . 4"K i"ia i_2jj(J Jl>.| 

. . )«_4lL>iX 1 {jj£ La^Hjt_a I i-LaaJLq ^J^s^-i 

3j_^-^_Jl (J-^-J VI— 1 ( J-tjl I !!■*• Jtl LfJUii Lt£.J_Ltf3J_4-l 4 1-^ |JJ I I ( J_U_U_UL>.V1 [J-«J 

(^ /a^J *JJJ p (j l> JI O^ "-Jj^jll IJLA ^^3 {jjuajll (j^ajj .4JL111 j! d-La^l^Jl 
• U Mill J-i^. «Ll!I (jjji" i ii j Jl>.| ^1 QjjvLIjej 3jL«J1 ( _ t 3 (<uij iSJjjJa CjIjj^ 

Sj^vVI diljl j i ii i a-; lis* «^^ ^a L^jjIj i-iJj '" '^Jy' * i l? iJl> "! '"' ^^ "^J 



32 



CiU^JJI :^J9UI 6JL?jjoJI 

(jjiL>o (J-«-«JI ^1 L^Jjj-3J Jijja^j CjjI£j .^js>-\ «L2j^Lij i_lJLui ^1 (Jjj^sjJI 
. L^-J-Ij L^SI J-C. jl '>-^j c-u taj LlulSj . jL^ill (Jl^la LjJ^-2j J < ii 1, 1 (j-oAj (jy^ 
,tj (_)!_& jJI ^ 'I fljj ^ jl j'tl t L(ji Jji^coJI ^Ir !JljL»- I j "■'»!*■ «i c^jj_o JuSj 
tj-Sj i _ 3 -^ tl)^ '"' J **" 1 ' &JutiLfl i~i 1 1 <•> j JL9j .<"m ill (_2jl Js^jlj ^^>- aLu>J1 

LfruS ■"■ rt t Mini (jjljUJu I g 1 ■■■ 1 na» I JljjLuoiJ (_^>- (^^tJ-Ji (_^ Cjl^_a 3ji£. (jS>Jl 

4-fl-ilig-a (jj la -l L^jIJlJjI (j-u 7"jl^p <jj-il£j i(j^_uj/ «_tuj (J^L>- (j-Gj I Jij-3 J 

jLjtio (_j^- ' . '^. cr^l ' " 'J ' ** * J •j"^jl l '' ia ' ij *' '"' ' "* > -lj iLoLx-i L$j1>-j 

. «QjfcLJI I j . ..At ^ |_£JtJ\J ( _ T JiJ ijJj^elLo 

^jLSLa (j-* > j i nil I^JjLv LajL^ /c^-«1 JlSI xJ9l^_« «La^Lj_u I a ' ' ^^J it t!o jj^- 

7-^Lo ( _ 3 _LiLi (Jjl^-I)) ".(JLLs ^ 1 " a ' JLp- ji (_>iaJj-o (_ij-3j JlSj •J^-' (^-IJ 

.«j^j>JI it^LLo j_ulj (3^Jj 4 iii<->Lg. ^^3 ^Ij'C 1 11 



(Difficulty Breathing) 

(_gjtic» 1(((J oAIJI SjlC. f_jll (_5-3 4jJJU^3 (_gjJ» 1«(J ILflJuJl (j^ 3jJJ(J^5 (_g JJ£. )) 

*I^J| (jLi (jjt>-i)) i« ( _ T ijj (^ >I^Jl (j-o ^-j-»- iioll jJ^SJl (JL>-jj (_y3 3jjju-3 

'"• c I iJI jjl ji 1 ' a a j " JLS ■" 3 1 ■■ a '" I ^»j_'l^ll p-L2jVI (jlj i(j ■■ A~tl 4_uLo 
4Jal 1 11 1 \ i— kaj'ij 1 11 til! jj -"j 1 '"-i" ^Ij i/y^qjj i_3jjj/ (j nAZUl (_,i^. (j «-uJaJI 
(jj^jjjt^ (&^-il (jj 1 n~^J Ji^J .(jJjtxJilo (j niiTill (_ T 1^. p(j 1 iinti Ij^jjaj jaJ lil 



55 



oJl^j £y i\ uz\\ ( _ 3 _»l3j_«JJ I Jl^v a a j he a j LoLx-i <13jijji-a lJlsIj^ L$ii cj-^ 

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jjii-Jlj (JjJiJl!! Jila iSjjJlc 3jjjl»- (^Ij^.! ^yJI ^yJLlILj (^jJj Lx-a .»jJI ^ 

CiLa-i i'm (_yJI 3JL>JI (_£-ij3 Ijji-Tj i4i-jjJlj ipLojJ! 2 flj»J ip 1 n-^JI *lj->-l (_j-2 

» I 1 A V t j (j-LojJLtlj (JjJljJI /_i 

jlj o"n iiu 7tJ,l ( _ T a (j .. Ar.tl jijJL SjLiVI jjt (j_»jj£j| jj 1 nSl (_5-iij (jls u,j 

(j-n-fl '* H (_j-3 <LJLJi_i_1I Jjlj (j^j^SLII Jj 1 nSl jjju ^_) — <b (jLa , -^ t\". ' 1 1 4_u_£j| 
(jJJ j J '^ II <U_i_lIJ Lj-£:ta j" * "M j^>a Jlsej }Lb . dlli <j-uSLc ^-11 lS-SJJ 

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. LjJSj^ ^J :A~\\ .If . J J U I I J^L>J| 

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j_£j_o ^^Jl SjLjiVI (, '^ aJ (jl I j_A (- Ir i—j^Ij Lo^ (j ..AT.tl j_^ JaljiVI 
(_gjjjJI (_yjl ^l"tl ^ ..AV.tl ^J| i-J^Sl LoLkiJ Jj<"n n_t (jl_i Oj-aLj tcJ,I /^ ^j .. AT.tl 

.<Luu S^a 

Jljj_JI (_jjJLI I J-a ^1 cjjk^UI j~Ar.t| oLjJ i_j^J3 (jl Ijl>- j^LJI £y»j 

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11 



CiU^JJI s^gUI 6JL=>jjoJI 

. ^ysjX\ Jlfrkj ( Jjvl^_a ^ya 4Ji>-ju<i ^^ 4 IS i"ill tfjufc 

(Palpitations) MLaJt £Lu» 

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(_^ J^j^J pjl ' m~j (ji 3L?ta ' . lLSJI jj-Sj (jl i " 'I j d 2 II ojufc i . i ii «J La Ij_uSj 

J Laj (jl i_3j|jJiiJI ojut (»^ i_2jJlJ,l j-;LC (j-a ,jj»jJj . ^ i j la c 3x.j^jiJ ^Guj-Ja 

5x.j i nil 3jji (j^ i .l?ll » Ijji ii (_L*» SJLlSjJI f_^s 2-ij-lo 140 ^1 • , lL2JI icj^j/ 

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(2>jj-II (j-ul— i-I! tiJ-UjI Ij_lxS ' j '"* j-}-*^ CjLoL«j-aI (.P- 4 - 1 ^^' "^^ 1>J^* (_p-« 
CjujJJI oJ_<fc (JlLo ^-Lu La LJLcj .CjujjJI ojufc (J^L>- 3uL«Jll ^1 £jjj La i aj 

. ^^LC ^-;LC 1^_UJtJ /C^JL_L>. t tjjL_ui ^_UJtJ (^l (_ 7 _Ltf3jJ,L) /-^J ''** 5^2JI (J-* ^-^"j-^ 

i«(jLo2 1 J j 1 1 ii (_y3» /j a '""" "ill jjLsc-o i-^JJ (_jJ1 CjLcaj^J.1 (_£Jl>-I cA2jjI Jl^j 



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i _i it Jl3 (j^>- -I "ill (j-a jj>-LLo CjjSj ct^*" J t^aVI Jx.j_o J_l3 (j-o-^j I jJaJ I 
OjISLs iSjjJui d -*■ j J J j a ^_'j pjl i n~j La IjjjS I J xl a (jljj . j»L<jj <-^jJ! (_^\ 

ju^3 CjjLCs .cjujJJI ejjt (j-o 3jl>-Ij (J^L>- cjj^j (jl (j-o L9^>. (J12JI 4aj!.j 

I ^ojLlq? Ijl I g MiLtjV (_, rt mh i ii U (_yJJ <iia l(jU->- tjSLxj jLCa (^ (Jlaj jl 

.i£>£tl 3-aUaJ! 

CjJl^Ij iSJljJlC Cjlj-a (jLajLj I j"" .a ae a Ju3 ^jljlaJI <t3^c. <i5-ufc cljL^j 

I j~ il .^1 i L^3j_ij>-i Lx-ijj ii_J-2JI ( _ 3 -3 i— ilaa. (_pa^a (_gl (j_a LjILo^Llu LjJ 

c^-ajJa La lj_iilSj iCjLjjL^Ji,l L&Ji£.Ljij (<sJj .i _i i n-»-q (Jiil! (j_o ' .'0 "" ,' 
(j£. Ij.23 LixJL? Lg-iSLl iSJLts <L>JL»-a LglIL>- ??JL«3 (jl (jSLx-i jl£ 4jj.il LjjJI 

i^jLdl u^nj Cj-sJjljj . LK 2bj.iV! fl JL* i_u_-*TlJ LaL? I JL4 (jlSj i(_<JLaII f-L2j! 
l_£JJI <_J-2JI jLg-a. J-*j) i_, < *^ j^^ ' ■ ilaJI f«-<-uj J I J - ^ 4 • J taj La 3«l^ (_y2 
LgjJLaj <j-ur>o LoJlJI^. luLSj (' . lLojI ( _ t 3 ^^jLi^SLII Jal iVillj f-Laj^l ("u-u^J 
(JiJLl!! alx-i (_jJ^- duLCa jl ua •'■ uM] (j-a j_ui (_y3 I frilS "■ a ^jc CjJLxjj ^ nt"> 
Jul! (Jj .(_jii (_gi l(jn uaj (jjj i4_Lo jjjjaj V (Jj/LlII (jij (jiilLi L^Ila^Lc. (j-o 

Lgx-ifc ■" J i ^_'J ( _ T ji^Lu jl .^. .", , ,,VI CjJl>-j 3JL>JI I j" i A ' lii! (<u . fl^ Lajj '"II 
.AjJI liili ^ SLpJ! OjS ^yk: JIaj (jl JjVl 
jLS La (_pj . 5_)_l>-j S^H£ Jju 5-uIaJ I 3-ci^Jl (JSL! Lolxj SijijjL^ d4--^-Li-o ij 
(j-C i±<^e_Ljj i^jljJaJI 3^.L9 ^1 (-J-&J3 jl jLp.'i/l i .lr I /_i tLLag I gjlg 

i^^v) 5j_a ^jujj (j_a cUj-b j ^ i"ii jiil (_ T J-lJ f) ' ^J J ^"' J * )lj_ul ^LlLd'^I jj-o-Uj 

La lijjjajj dJLiLa *(_yji (_yJ CjJl>- ^J 4J|j ij_ijtj jj£l_u (_,-i-il '^ ^ a cr J J-^l 
i £ I I ~ (j^ 3jLc «LjJI £-LL>o La J^ jLCs .((Cjj^I fjr&jla (jj lililj i«U ^J-23 

. ^ * ' o la rt <Lal i n"i \1 L^J ^ i n" 1 1 jij 1 itae i"ia 4j_u1j t )1j_ul ^j-u-Uj ^_^J jl 4Jaa=l]| 

/_^ Jlj>-Lj LoJlJ^. ' . lLojI 4cjjj/ /pajAJel] ^ Laj i aj SJijJl^. 3>^ <-i!Lu*J 

(Carotid body) ^pLxJI a m-*Jl liLJaj LjLlsI jL? Lajjj Laj^miIj t g-jl ..rill 

(_jj ' . ilSJI (j^ i»jj| JjijEj (_g JJI (jJi j i nil ju^-iiJI (_,i^. 3ji^>-j^ Sjiic j-Aj 

(- I C Sj_<IiLj_0 ji'ill <J OT ill Ll^sJ 4_L^jJI ( _ T 3 (jjl J I nil p I n-»Jl Jl>-JJJ .7tJll 



J6 



CiU^JJI :^J9UI 6JL=>jjoJI 

2_cj_cuJ I i n'stia LiiaLaJe-il i _u i uj «_u3jj,l i_dli(_ T 3 (jLj^-ifuil ' a-uii»JI dJLJjoJIj 
jjLa I 2 I to " CjJsjJI (j-oij (^ 4_l3jJI (j-a <j1_uL>JI dlljij VI dJLk:j ic^lSjl 
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^1 SjLil i~»m . y. ...ll Cjitj Lfc^jjL>. . U . , >. 1 1 j icjjjJI cjjjL>o I iLa iajJI 

(jJSi i i ii II /n i n -»JI dJLjJj-jj i -ll .^"~ > vl cr*-^ ' . 'I-'H 4x.jjj/ ( jiaA5ej ^^S tcJ,I 
jL^jsJI (ji *Ljc_lj_L1Ij . Sj_ui jIJlcLj (^jiajjijtill CjljLil JLi-ujI (_jJI ojjiseJ 
<Lcj-uu '"'I La j| I jlj ,i_J_SJI 3^,jjj ^j^j^->" (_yl^. (J-a-*JI (_5-3 Ji^cJ /—J-Lajtll 
. I JaJl Sjjlj uliLij-iia /T^JI (_j-3 2_aLc 2 A , aj JLjivVI JJ3 I . ilaJI 
/-j Lac ij*^ (j- JiJ^J ct^ 2 ' ■ oSJI 2<* j . u^v^LaJeJ ^^3 (J[>»- 2 1 (JjL-ujJI Lai 

i(Vasovagal reflex) j-jL»JI t_-i <r-nll ^jjjJI u^SjJII Jjt-aJI ^^j-tuj (j-uSL»-La 

^_^ui JL>- (jJI Ij^Iaj (_ T 1^-I J-*J . ^ ..U»ll ^j ,iS» tX| (JjiAII LUaJI (_, o i n_) J-A J 
oJlj* (jjU>o LaJuJ-Cj . 4_L<_»_a i-ill o i nl ( _ T ^ I , ^.j , ,-, ^ a «Lulj_JI Cjulj-pJI 
iLajV I J • alj 2 " J 2 c-l 3L»-3 (j ■■ 1^ »" L4JL9 jiajj I jl JljJl^jJLj ifJI 1 n^M 
'"'I jl J ' I J Aj >-J (_, I r *Jsl^JI sUI . U 1 . V. 3-iLjjj -AjM' *^' ^ „''ij • ^W*" 
l_£.5^j (_£JJI (j^JaJLll (j aSLatlXI Jtiill 1— <-lluTi3 . 1 j • ulj »!"" (_,lr 1 -il Lac "I 
L^-al 1 11 -vj (J-«-«3 lilljiJJ .j-;JjS Jl>- (jJI (^yij^lj ' ■ lLoII 3_cj_,j, ^iajjijej ^1 
(_JjJj .<_ij^JI ji JLl2JI (J^-l (j-a 2 al tall J J a j"j 2^j| t|| 2 lj 1 ujS J^l 5x,j , „\ 
(jL>JI j? /ojIII j? <= l->-^JI < ijj J-A 1 liLa tQ <{\i tXI (JajUI I J-A (j-a 2_l2j (jl 1 n'tVI 

(j^i » > ^1 liLIi ^^1 gO-Ja-a m (j^_u-«-II (jt^- lUiiMl ^lj ji i-SjLJI «ULi 
til! j (jj/LLlI (j-a jjjS Jl>-j Ji^j . (j n'vt Lt| (JjiAJLi ' . il2j| 2_cj_,j, ^^a ^)^j^-»"H 
«m (_jj_Joj jl t ^ (j ^>?-j (j-^ r j l~' U *LU j-^ajj (jj^j j" 1 1 1 (j^>- aL^JVLj 

t U-2JI tLcj-uj L)L?t_Ltf3 jJtC * ijl i u2 1 ljufc a! Jl?-"( i nl (jS_c_ij . «Lc^_tuJ r* a u 1 1 

./Q^JjiS 4lCj-uj q^LdJeJ (_ T 3 5JlC1 i h oil 



Chest pain or pressure > <A f JMrilll^ j^dll (tail 

ijJI_L<fc (jL^ SjljmljJ.1 0LV3JI (^ 2 j Ifr^l t-jj^ti) 2_JLlII oljJ-tuJI ^ 
/j 2 .^." ..." (_y3 J-«-»j (jL?j i(Jacob Dacosta) l"i mj^l^ <_ij^L>- ^jj i-t^^jIs 
(jl j Mill jij-lisJI Jax. (jlaJlj j ) lqJI aVT(Jij j^£JLt,l JoLujVI 1^^^ wj^ ' "** 

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Ij-lLS £j\ I Mill tVjji (j! I ■>■_>! ■ U ^ V J . <_|J^>JI (_yi (<l^jlj_L>- ■" j"'*^** j' (JJJJI 
^^5 TC-xIdIj iJy&JJi ^Jtju^. (^SLj (*^9 t4_t_lla «Lj_a-t-iU*. «L5C_x-iD ^^jS LiiJii lj^. Ll_l3 

c-<-1-2jI (_y^ LjJLiJLa. LUoj-o rf i r*?i~ duLs La IjjjS (j-^l 3JL>JI oJufc ' . ixal\ 
LJLc 3JL>JI eJJt ^^jGj ' . tlaJl i -i I i a c al LLuoSlj ^ajj> Jju La-i3 i"<jo i a 
(_p3jji CjJlj>o L$j| (_gl . ^vLiU tcusI^oJI /j i luiill jjjoJ! j I ilaj ilajl "-jLlC. ( _ t 3 

La LJLcj 'L$L> ' "J^ ' , ilaJl 3 S La I a ^ya tUuusjjz Q3SJ Lg.jj i"i plj-i^l ^v&IJ 
j fl-Lj JLSa t j i ii j a 1 (_gjJLll d_al>. (JjL-ui ajjuus ( _ T 3 ^ ^j-a-C (_>iaJ^J,l I J i naeJ 
(_^fl J <j k tl ^yJI Jj-aJJ Jj ijjLLaJ! (jiaLj ^1 j-uu 2?l (_5JjJI (j^-° 6"° (°^^' 
(j_a ^^-La-JI 4_l>-L(JI (_ T 1^.I ' ■ OLflJ joJ^I (j-a (jL) pJJ <-LJLufcj .(jl_L>-2l (_pajLJ 
' ** '^JL3 .(j-a-i2l (_gjLjJI ^^Jl 4_La j J LtaJI j^j_a ^1 t—i^l QaSLjJ ijJu^aJI 

jjjuual] (_£-JJJ La Ij-jj^J • -lL>. JlSLi xj] \jJt {_jl\ • a LJaJj jjsa jLv j_i£. jjT' 

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(j-a 3jLU (_y3 (J-Oj-u j^e-i (_^3 1 j^. 2 I ojufc (j-o aS ifuja ilaj JaJI ' flaajellj 3JjL;e-a 

jJij^aJI ' la i "j ( _ T 3 CjJiJt-i3 4-j2oa»JI 4-ulaJI 3jo-JI (_i ^^^-ijjiil! (<sJj I Lai 

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j j j o "i II SJl_l^>.^J! «LLu-i^oJ! jji (i _i I a \ I lySLlj gSJI da I mi 1 11 ^-f^) jJ^-jJ 3^^ 
ja^j^S (j! ^^jiajJ,! i_2^c ! jLa .diLijjJI tfjui i_JJl>-I «Loi (j\lIL>JI lTU Jtj^II 
l_a_j-3 -"j i "j fl I ^1 4 LiS i nil cdJii jLci j j La *- 1 1 JjJlJuJI (j-a p^-iji L^J (J^ijJ 
SJljJ Mill CjVLsJI jj^S Lr usjX\ (j-i^eJ J^J •J^'^l t_,\c (p»l>CJil «Jl^J t3^-*-y 
(S-^jLiLuoI ( _ 3 _3 •" Ajl ^" c I m,j-2j La j-Aj i^j i imII fo^cljll ^1 JJLaj f&J^/Li 

. I fl^» d i . 1 ^ e\_) a_ij 



(Choking Sensation) ^JaJI MM guLft )J( 

L^.LijI jl I j"jj ui (jljiia ^1 Lls-Ij i _u i nil (^£Lj /<sJj (jl <^>^»tl ^a ijjiaLa 



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I j '& jj .(J^l (_y3 <_^j5j f jjsJLi jjlJuj LljK (j .."v til ^Ir (Jj i(_yjl j^- j» I la "' 

(j^j>JI ^LSLa -> I » u 1 1 (j^-!l lSj-" *ct^" l£' l)j'-" o- <— 2j->J1 Sjajui <jj-iLs 

(j_o /- mi -ie-j <JJ_iLS L^JI (Jj iL^oulIs /_£ (j^ i ".pj-ll (j^jljJLlI La-A ^^Li^J Ij 
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, h \ , n m l_3jj_u ^JlJ^. ^Ij^Jl (_£jj?e_« (jL£j tcldSt jj J)U < t cj3jj_o ^_^i>- (jLl» 
(jjj 3L*j3 ^ lajul ojui J" nil uLt>-ij .jL^-cJI i .If I /, alo. ^^3 *> La£ i_LJLuij 
(_2Xa. ( _ T J5 Ij mi -a- '< a LSj mi (jl£ (jjt>-Ij '(J^^l (jx. pLij-oVI <j-<->- (_y^>- '■.'."" 
(jL£ Ijj IjJ^ lj-<-ul j_aVl Q^i3 -^lli'iU 7^5 (_^ M-JS (3g ( * Tj .<_dl_Lj4> 

(_i_Lcl » jJallj Ij-jJ 3-JL>- cixJl£j .3jUI fj^ (j\ < j i nj (j^-ijl j^tJ f lj~ 2 K Mill 

jl iii t (j_i jJI (j-uLj-Ji Q^* * (ji ' 1 a >< I 1 £j_<_u (j-«j • 4_Laj_ujjJu Cj2L>J1 (j_* ^H-*^- 1 
CjL>j_i (0-$J CjJLso a I «JaJl (JjLu (j-o LiLlu L9ji. (jjsLjeJj l*1IJj p^i ill i n-vj 
JlJJ_) -" J i ■■ d *i ^^^Js 4-tj i"i*ie-) La pjJ3j (jl ?s_aId1jj1 <j-«j . «La-£Uu1 (j_« ^ j ^^ ^ ^ 

. Uj^ ajSLAll 
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1 1 1 J ifl . 4_J9j_*£L« ^ i n~»Jl (j-* ^^3^"' Lt^ J^^-^'J ciri- 4 -'-^^ (j-u_u_ul_>-t ^ uu n 
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ijajo (jiajjj,! (jl^ U (j^LIj iSj^sLi. 5-d^aJ IJl>- <LjtC.j-a L^jIj (^ ( _paljX.'i/l 
(j^ J^Lli.1 J^J-J (j-a 4"n iSia. ^1 (_g JJJ lillj (jLa ^^SjisJI ,_p3jj,l (j^JJ I (j Lu 
. U^ljCiu ^^-iJijJI (jj^LaJI (j^ Jufol (jj^ 3 (_yJI lSAW lS 1 -^' J- ^' d^.utl «Ll>.LUI 
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uLt>-lj (j^clj jJI ( _ T 3 CjJl^o jJiiJI (j nji hLvI (j^ (_jjl3jj,l Oji jj La jliSlj 
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I -1 J ''I i". 1 J-W3 (_yl»- (_yC.!j JJ jJiiJI 7-J-;l» '• JLfl£ (jlalj^.'^l j>JL& 4 Ac i " I j I f 
j^lj ^ o mi -v (j_o tj^>JI l*Uj (_yi^. SjJa-j i "tl CjJl2j3 (_5-iLj Cjjjjij .(JUILlo 
I Jlj* (j_a Ij-jlIq jN Mil duLS (_Jjj>-i ^ ' a£> " CjjSj till jiS .««b ^ LuaJI CjJl^S 



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(_j_La-<JI L^.lji (jl_> ji 1 1 3 3"^ J ' tLLtaJLj (j^l i n->.VI ul_L>.i J-tLaj L$j| ( _ > l3jj(JI 

jJ-J-^-uU (j-\Jj_« CjjJiD^JLJ L^jI tlxJLjJ Lft£ . Cj^ftJJ 1" <r~)JJLS Ju9 ^_L<i_jj1 L^SL-Uj 

3_lJLjJI 3jJ,I ^^-S I J Jij idjLa^Lj . I j i i "-«- (j-a (j^j'i/l I ki^alll ,_£ I flj-JaJ |j 
cJlj (jl Jl-«-1J .J I i"i TL-J Ct-i-Li-a I L$j| L^jJI (J;^- (^^ LaLcJ L^3jj^5 CjjJia 
(j .h1 ^j_a"i?1 (ji <_x_lxLiJI L^J Ji£i CjLcLji 3ji£. Jjlj LaL^j (jlalj^.'i/l oJLA I 3 '"* 

/_jj '3 1 ■■ * * * c^Ajvj -cj gLSjj-L^j ^j.* (3^^*^ (^"^ ' *j l9 ^ l)-* ^-^j-^ ct~^ 

L^JI (j-a <_2_jJ»JI L&JiJLc. I 'lij (j'i/ SLcJua I 3^'a L^3«I^J3 lIuLSLs , 2 j , U 1 1 (_£^J| 

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. 4j ft i to* 

(Hot Flashes) ^*LJI W^m&J I §1 « jl^aJI $A$-i 

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(J^L>- J}_j^ ct-'! lO ' "JL? "- :: ^^ ,,J (j-° ^j'j-^^H 1 o-"' ' " *•] ' iJl ^ ,) • < ^5l£ j-a^l 

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Nausea ^L«Alt 

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.cLtujjjJI SjlSLtuJI <US ."ill 4 ii*^j 4_Lo jS i"i" (S^JLa 4ijla «UL3 (jl VI i(jLuJti! 

-(jLuJtjl i -"^ L^a * jJaj .^j*_J1 jljJU jj t ili I IS 4_) (^^xfiD^J,! jL>-i j^jt-LM (JlSj 

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.«4jl$jjLi uljjlj 4^vljJI (j-o J ' jj""'^ 

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(Diarrhea) J LA* 21 

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II 



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12 



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15 



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iJ-LJU3 fj£ I j"'_'l Si 3> (_jJI '"• La llj l«Lij|jL!l I Hjll (_yJI Ij-^l CjJjtj JOJ 

Ojui (j-o I J . iLflJ (_y3 J^3 La S^jiS (j^a jljjJu (j •.-- i jl t\~ >VI 2_3^c. ^^3 CxjlSj 
JLlC J^Ial Lioj 3j*"" "I 4J| I Jjj iSjLlCJ 3^Jj i . ._. .Utl I j . ^ ^- a .jJal^iJI 
(jl 52a. Li i"i 1 n->.|j . «LlII » 0" 1 11I <j^>- «Q^.j-<-u CjJjI^j (_g JJI I j j I a (_Lc 1 a .^Xll 
S<U-3 j < flj (jL? (_£ jJI La (^jj . di!i I^^Nj VI ^»->i C^JlS" I g i< 1 j 1 1 JJ-^j 
» A-j ' " *(_ T -^' LfJLo (_ 3 -L»_a (jl (j_a JlJ Z l\ m mi (J^J jaJ 1!iU,J Sy t n liiLaj 
(jl L*LI!i (_ T J-»J (JjfcD .(JjJUtlll j,'-" i ' - ■ I LaJ i_2jjji 4JI 3jI j Lll (_y3 JLs aj 
Laij^i-lj . I4JI 1 ill lILjiaj (jl (Jj^ 4-!jJ3 (_yJI LliCjLu La ijJIi «Sj_lLsJ>. j_aVI 
' . ola-i • " 4JSDj iS^jL^tA 4_ul3^a 4jlaX. u^- 7c-cislj JjJ^ (^1 <-iJLui JJ-JJ V «bl 



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. Lt_L3--*- JTjLli!l «Ll!I JlJJtJ ^fia» AU! Sj^lj JlJLJ ji. I 

«ul (j-a (jia ^ L&jJLjIj SjJLi)! 35^1111 ^Lj^I t 3^~"" U^ LjjL° t^j^j 
aLVI diij (_^3 caJLSj .3-LuJI jLo-^Li L^Iuj (_,!>. ji-I lo^j-a L^J jojv 

, - 1 1 k ^ t jVjj 2 fc. -<■! J^ S-s-jJS I Mj t;-. j ^^a CjJjI^JJ . L^jLsj Jju t-jLax.^Li 
L$j| (Jj£ (j-o Ciijj^, L^JI 3J 4 li I" Ae_a 3Ll>- u"n*"" 11 ijjjl£ L^JI 1 " 1 i La j . jL^ill 
(j i n^-t (_ T 1^. L^jLl>- 4_jJlj ^ ' ^ 53 (2)1 (jS_$j ' '"_ l£LH *(J-*- 41 j' ^H-*- 1- ^ Oa-4J-uj 
J^Li. 3_jj^c. 2 m'C 1 ,1 j (-, 1 M -»»lj .2.^ 1 n"i 1 nVI I j ■ ..*'i ^Ir C^jiaji jJLl ?«L»-J 

(Jli. (_gl i_l!Lui (j .hI 4JI_i L&jji-I 11 . .^i .Utl 3jLj£. ^1 Cjjl»-j LoJl^ Lg-iSLl 
SJl-l^jJ! 2 K ifUJj 5-jJLXjiaJI .SjJl>J! (^ *-23 AjJI c!jLuLi-i£ (J£L3 ijjlai- 

(_gl 'LijJ o-"J-! ' j * ' " i_P-° ct^ 0"-" 1 - 1 ! L?' •^ £l \) J "J L *J * '-4^W LAj ' "^ (j^J' 

"Lu-iiax 3-jj-ij j-4-i L$JI 4-A^. (J Jj La JSj 11 . g2j| u^sjjt ( _ T 1^. jj>.| Tccislj JjJj 
SoL^a^a I 3 1 "■-" i'ii 1 ii->. L^jl i^jiUll tlijiij .(J^^l 4j-ije-i ujLo 1"' ' ip-lj 
(j\^j (_5i^- I Jj a Cj-ilS CjujjJ iJjjIojjij L4JL1 L*U!i 1 yilaa. ( _ > I3^xj JljSQJI (jyi^. 
(j-a 5>J-^-I "Ual 1 hi J jj^^l Jii-G (jl I gje uali /. flja I ' ; U-iIaj| (j^LIj iCjoJ.1 (j-o 
,Ujj ,>.ll jjj L^J jtxisjij .iLujtflj Ja^iiis (_gf (j£, jL«jjVI JjLso (jlj ijj^jJI 
JlCj^ JjJij>o Jj^*-a l(j"r I t-i"i 1 nl (_y3 (jij ijjU-*- (_j!ii (_gl 1 pi j 1 n~ (jl (j^-«J V 

. L^jLjtA (j£, cjjL^tiLI tLiij c^j (_gl (_y3 «Gj_u^SL<j/ «_o 

(_ji£. gLje-pe-i-a 4-2j^LlJ ?(— iji (_p ' ■ uokj I (JjlS Jiil . 7?J-><1 Lj Uj La Cjjjljji 
itGjig.1 1 11 aj oj-i-us (_i I 2 a. 4_al_<tljil « 3 to la ilji^p- I j ' a 5e 3 jl JL»- (J^ 
ja_<kaJ (_j_iL«j (_Jj^>.| ^ j J I '^ c 3 1 is Jj a -^J^?- L*J-«J 4JI ^j^ C^i\S I 3 !S Ij 
(_y^ 7-^ja_i I". 1 11 ->.|j . t|_LjLoj^ujS j 1 11 (__)l3ljX.I Jj^*-o 1 (j ' <"> Ij^- 1 (jlj 1(_>^3_>-Il 



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I fllSc (jli i^^JLJLsJI CjjJ.1 AjvIjj L$j| L^J IjiJJ .Cjj^-i ( _ T ji L& 5 j j La a. (Jli- 
Uj-tb I Jl3 i ^j a 2 '"' 2j JJJ3 2 ^->l_>° f ." " '(J-*»j! (_jJ1 M^-jL^ (J^ tlilj-a f ." " 

(j .I o ->■ jL«-II ij^ ij- ^L^ ^-j-1 (»3-ii-I I j ' "^> Jlju LoJlJc^. <juI£j . <_a^>Jlj 

ifJj'C i"ill (3^-Ij 4je-LSe.LO *JJ '^.'J L«L«J Cj JM3 L^JI (j-oi-o 3j-o ,_p ,_£ Cxjlij 
I jLo i£_>3 «Lajjaj-3 ojjj i ajg Li>- CjJ^Lj (Jj* . L&jjLjiJ til! j «_o (JiaJ «LajI jJI 
ifJj'C i"ill j>JLA CxJlS JuflJ . L^-ajJ (j& (j-LL-JeTia l1*LlS Ju3 (3^-J (*J L^jT ^J CjJlxj 

ji I (jjlr j-i-uj! tj^ iiil jjj .(jjjIjljJI tlfVJ * & 'i! Jj^*^ t - J J 3e j J ""' ' "~J j "" ' "" 

.AJ-ul X_lL^ILujJ ^^ 6 ^jj O^ 1 *-^^^ '" ' <-JJjS ' 'ill ^ I I n"< I nlj ^j ga J '" 

JLpUlu ^Ij^l (j) Juia Sj o" i ii a «LiSLi ("im CjujjJI jj (Jj^j^-j ^^^-^ ."."tl 
I J A a (jaj iS^jJLl oJui !_j£ /ySI '^-^^1 ^1 (_^jfcjCLji L^j! .(_£_>^>-i ^jjt^i Sjj mi I 

CjJJl>-J ' ■ gSJI (^^Ij-ol ( _ T 3 Lul LJ33.I Jj" 1 " 1 I ""' (jl CjJ^ l I J^^ a /y^ 111 I II (jlS 

(j-jl i n i a j i V j («-Ij * 4_«_«L>Jl ^^ ^ ."■" i .. rt ^^ (j^_uLciuv^/1 ( j_u_uj )«_« I JlC^-a 

i^Jju ^ Echocardiogram ^ J lo1\ j t_AaiI Ijjj'^* i^IUj imJj^-V! JjJUelll 
il iLLjj_L IjW-^"' U^J • U^ L^uLj-al ^yfl dLi 3JUJ JLj^Vl jLixVI jjkj 
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(jl (j I r i a S-^iis 3jaj-3 iJ& I j il a (jl (_£ Ij . L*J-«-»- I j^j ui 4JI tixJ^eJ ' alalll 
3-JJJ Cj_iLSj .(_J^>-i A < ( ii (j^ i ii o a. SLljsJI (j-° 4_lSL<jj Jl>- ^1 |_£jJ9 I J JJ a 
■ I" I jSla (jlSLfl . La _a^cJ (_,lr I j'il ",%UI yS | ,, 1 1, 5^i,| Mill . Ij- l^K 4j1«J(J1 
1"ii nj$l.s (_>^>j-o J I ' ■ ilaJI ' -il hjju SjljLax L^jl L^J JjJSj . dllj Jju Jjsi L^JS 

. (Da Costa's Syndrome) 

. L^S^i. (_j.ll Lpi I (j_ir lj!i (J& (_J_L«J3j jJtie-J CjjjjI/j i3jJ,I ajjb (^ 4 'hi u 
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4J? j? (Multiple Sclerosis) jj «" U (_<JLalI! <_p>>a j_& <. , ,j,ntl (jl oilaj 
amiotrophic) (_ t jJL>JI ^ I ■ >■ » tl ^ j j «-iaJ I i . .1. v.tl (_>l3_s^ (j-a Ijj-uI ^(jyjii 
^jjljj (_>oj-II *-^ Ju inj 3 nir-ull (^Ij^s^l <j-a Lui^j (lateral sclerosis 

LtSl '^^ij_ ugi ""' (jl Cjj^JS dl!i u^£-$ • ' 1 3 '"* (_j-* tUlj^ LaSclijjil! L-jL^all 

2 j ■ i a » 1 1 (^^Ij^'i/I /_i 

4uu3ju3selus CjljLQi-lj i(__ P C.LJtlll (JjLtuJl (Jj-JJ '^"^'11 (_J_u-3jHjl CjL-uIj.} 
SjLcoVI J i r lj^j-5-^ I j" Ju»£ ^ip cy-*-" jlj-tl (j-o p^J (_>£■ < " ' t j 1 1 AjJ! (^ 

i (j_uL>Jl 41a i ulflj d * iliju 7c^ijLl /^jtlaiLd ^j^-^a L^J ^£js*- 1 /cj . ^JjLU,! t J tauj\ * 

CAT) _j a » aj i_2jijj(II jjij (Computerized axial tomography) (^j^jSLI^I 
(_^a-se-aJl q-a A j i ul mv jLjiui fl a a i a j Lii (_jxaj&nJl I JUfc (j^J • ( scan CAT 
CjLc UaS jj '^ (j^ CjL11,I Jal 2l]| dilii (_ r g.J"u ulj .pLoJiil SjjUJI (jji^l 3jlJuLi 
(jl—LjJ (^j^jSJV I in nL>JI I j i-U (_ iJJj joj id r\'-!e-a Cjuj" i na (__rl^. Tt-l! (__r3 
. I 1 jj^ «L<u^«j>JIj Tt^iil S^i-jJI <J- i ii t^U J U3&\ 3jjj-3J 7cjJJ <ilal£ 3jjj-3 
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. LaLaj d o jt i n 4 i i i ^ ♦ U 4_l>.LuI 
i_j_lJL<jiI ' • LaJl (__JjJ (jl i^jJJ (j^j joJj i«LlLs-«JI «L(j| (<sJjuj UjLa CxjlS 

t_jL^cVu i". i ii-vjj .p i n-a-ll 4j1>-!jJI cjLlU-«J! (__t3 (Jjuuil I Jl>- Sj_uS «Uj_>^. 

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SjoJLc IjjJ ui i2iJLdxu.nl Lgii ' fl-JlSjj| (j_o 2_jLU (_jJ3 (j-jj r^i t tl ( _ ? i».j i L^lo 

. (Conversion Hysteria) S-Jajjeitl 1^. r....jtl 

lS jjf (jlli JLtJ Cjj^JS 1 1 giila- (_y3 4 i^ajj L I j . ..I . ..^1 i ", , J Ltj 



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. (^L>J1 (^JS *Jjj 4_uLajj_ujS_u_u ^^S mi J^j?E_a (_ T J k_9 * 4j^_u_tai^J1 ^ uaiul ^ o i uJ 
HJjIjjJI aJlCJ 4i-jjJI (j-o L^jujjj j_l>-2! (j — j »i 1 1 j j acJ (jl O-j i n) L^-cSDj 

4_J! ("X" ililj . 3j^=_L>Jlj (jialj i—flj^l ujs _>>■! (j "*" **• * (_3-!| i^jjjii dl! jjj 

joJj . Loj^J I ,^.-»a ^j^.1 3j_a L$J (_fj->-L3 i(jjljjjl ^JlCJ «L>-jjJI Cjujj (j-o 

lOj" ' "(i^ j'j- 1 -^ 5-iLi-iio L#JI 3ji,l ojut (^ LgJ (Jj^j .7c-l^Ij (_>^=j-o t_gi j(jt^j 
(Meniere's disease) _>x<-y-« o^J- *^ <*j| jul! ^ Ijilaj i(vertigo hysterigue) 
(j_o Sj-Li-^l 4_cj_«^>J,l (j-SLIj iS^jl Mill u^\j^.^\ ;_)'"•* «U oj^ "^ c5^' 

. JUivV! Liilj CjJUjl<-ul CjljLpi-VI 
( _ 3 -3 j J ^"' Cu taj i(_£j^>-l Sj_a JjUHi-ViJ (j-oi>o yjLo CjI Jj j(j'"' Jjljj 

I jut Jjiiij cjIju jLa cxiL^j i«_L* 3_i^j ^& • ajL^tLi a^I < ~ . j 1 U j i^l^JI < .1U 

(jl <L_«_JI i". 1 i uj-t SjJ.1 tfjui (^ I J iSI Ij -^^jJI (^ CjIj-o SJlC *_Lu Ju3 S^SLj 
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jLL«J,I (j-o fjxui SjJU j> jufc (jl (j-ojl 4_lSLIj ij-oat Jji (^ ^J>JJ . L^jJI 4Jjj-oj 
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. a j j 1 1 ,1 L4JI |Vjlj La 'I 3JU. (_^a a_usLiSLLu/VI *,yxJA\ J^cjji^I e^p. 

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5-txtaJ I S'jjfjll 4_<JI cASJj i2j.sL>JLi jJai-l JiJS aL»J1 (jjijLai.1 L^j-uIs o^i 

2K 1S1XI Lx_Lu (jxiJ! 2-JLc. 2 ,>.jA" , ,.l I 2j ,Utl cjUej^I «lj->-l (_yS L^JLoj I j'^j 

Lai 1 1 j" 1 1 -»■ t 2 gjl .*:. ^ jj l^j I j . a I) c 1 j j k" (j? (^SLaj SjjLJI ( Jjji.'i/l 2 j .Ull 
j-iLJ ajj (_,-Aj (Pheochromocytoma) Laj " j i uj^aj^j-i^ ^ j'« (^j^l 2JL>J1 
(_,_& 2_uliUI 2JL>JI Lx-Lu i(Lij-ojjji /ojiujilll 2JLv jj-ij (j^JLijjj'^l Sjlc. (^ 
i^j-ll jjJLILj ^^"-^ a ^1 I^Ijtcj <_ajjji «U? (j^jj . (thyrotoxiicosis) (^jjJI 
' .'L? uaVI oJl-& (j-C L^*j 2J3Jij 1 j 1 a a aj la jj^al ojui ( _ T 3 ^^ ,^.^."j 

jl_^j>Jl_j ^j ^ j ^- * jtj I jl , ,^.j i_aj 1 M q «Ltx2l (^^ (_p3ljx.( (Va jS i"i" L^Jjj 

(Jl J 1 " »l CjLij_i /j 1 a SX) (_^>- (jJa-ill igjK i"i (_y3 ^j^ i^aicjj (_g JJI /- 1 la^JI 

^U-a^/l ^^3 ajj jjkj i(Carcinoid Syndrome) (jLLj_uJL> <J_h lUI aj>II (_h=j-« 
C-i-taJ l—l i_yzX£c a Sjl i"i"i 1 nl /- I c 4_ialjJ,l L4I0 i_JlL> 4_cSL!j . u^ojjji jj-ij 

2^j^L!l CjljLHi- VI tlj->-l (J& LoLx-i LaJoJLa u a: j I a JjJiJLi ^j ->" -» a jjLS_j 

LbLiitJl L^jjJjjf jl>.j4jSLJ .tiiVLals-VI J^ jjjlijjlj ij^VI^Jj JL^o-l J£U 

JjSjL>JI (Jx^o jLji>-! «lj->-j (j-« CjlcLji J'-JjI .-' i^a^JI Jju AjJI jS^lm ( _ t 3 
(j-Ij^fl j-Si 111 II 2 j 1 11 't i_ya\ a seJl ^ a 1 n* 2JU. (jjkj i(glucose tolerance test) 
«LjSLIj ij-ilai. jj-^> {£\ L4I ' ; ' j ' m* (jJ L4JI JLSj .(idiopathic hypoglycemia) 
UjLa ' " 1 2 a 1 j Ij_l>-Ij . 4K i"iU (j-o ' fl-taiealj 4_ol jJ>Jl *^l uaji] (jjmjj LiL^sjl 
/j_jLLi (j_o «LJe_cu_i Cj-J-LIa l*LI jj . 2jjjji j-;LC. ^Ljejjj I j . .. ^> ^^3 J^-> <j' (jr^! 
jl JiiJl (j-o LcjJ L$J (jLi J(j miJ La (JjIj^JI (j-o L^J(-o oj^i Lt-^" ' ^'jW-^*"' 

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(jl Llx^jX.J .^J^J^fljl JlcLlaiJ «Uj^L) i _ 7 _uojij i^T f I ii"ll,1 ^Jl^J^fljl L^IijLv /■ 1 n 



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fj^iz. Juju (j-aj i3-° ^ ,'! cr^ «Luii!l doLi^.1 jJsj i (atropine or belladonna) 

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La^.Sl-La^JI Sj_i Mill ^j-ulaj (belladonna) : Ljj.} ^L> 4-La-mTJI Cj^Lv Lufc(j-aj 

. (j^JjJLlI ( _ T 3 (j a I Sj 1 1 /y-IL*j 4-2j^LaJI oJl^JJ I i *"■_' 1 *L*-a2l ^IjjJI f-J-uJJ 

• ■ ■■*«t| < , ull i ^ v. ^- ^ Sjl i""n n u «UjL*JI i -ojIj cjJlcj jJs yjLa <-^jLsj 

. LgjIjLpi-l ^ JL> jj p^yiii j^taJ f*J I jj 
'"" '^V"" '"'"'^ S^ja (j-a ^*^J Uu-4-ulaJI CjIjI i""h nVl aJJt (_p Juu-i"< i n-vlj 
(_, I r (jLxjl Jj ""'_' («J-fl S«U (JJ13 (jl t_^c_j L^jLS . L^jJI «Lla'^l Lg-ajJs ( _ 7 jJI 

(_£jj Jj<Jj .f-jjlsjjiil r-LcJJVLi Ltjj » mi (j-o .jlj liili (jSU . «Gli .j^^- *~t| 

(J-ct^jjl (jSLa-s (_^>- 7* ^~* t*Qj| (j^agje uuJI (jjS_)^>.| I t^jje '"■" i _ :3 _i LHJ 1 ( -^ daJl 

.t_^,Lai e^*ji ^b*yi c^! ^^ 

(psychiatrist) ^ ... A ; II < _, U tl , ^niiu ^JJ !j_p-l c^jjfci L$j| jJsl^Jlj 
(ji2JI . -il ""- :3j_ui i\ o i nLi L$HlL>- ^1 j j i"ij ?-^L*JI jj j •"■ (J^L>- 4"n a i uj 
i« Hypochondriacs (__>i=j_l,l (s-&jj» Kihysteria Lij _.". ... jll« , (Anxiety neurosis) 
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, iKU.^I. ^Somatization JLu-oAJ J-ol^- £y (jJJj t-ilj-ta-JaU (((neurasthenia 
i".jIU f, . .. A * tt . .Ull ( ^ j^i-T I L^jje a (ji La£ <« Conversion disorder ^^so 
c^jaj Jju cAiLs j<u .«panic disorder * 1^11 i ^IjU.uL I ^"dLa- (_,adi «GjjJaA 
Jj^l ^ »i in .Psychologists ^^ ...^;tl ^ , ^",-^t I ( j_ a ^j-uSI Ifji^j-a £yj Jj^Is 
LaI a in'^ (jJlill Lai (Phobic neurosis 4uu^>jl\ <_3jL>JU ' ^ ■^"~ L^JLj l^'ILa. 
(j^La^/l ijm 3jj^iji,l i_ajL>J,l ji (Social phobia <LuiajJi,! ij^.Lila.VI (_2jL>J,l)) 
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7c_j_cai 4_JI-£Lul3jJ,l i_2jL>JLI (_JJL>-I jjjl"' JiJLJ- ( _ T ii3jJ,! jj-Sj La LaJLij 
j_j^.) <Lul ajnil (jlill S.'J-' 1 1 ft J**- 1 • (_3-l-5J 1 (j-° (jLaJjitja (jLcjj JiiLL>- /o^jjJ 
3_«^^*lI,I j I S II 3-jj-J "Lj-Lc j I La I2a ^yJliJI Loij .(Spontaneous) (3_t£^ll,l 

. (anticipatory) 
(«_L^J| j|) 4_uL2Jl<J! (Jlill 3-ijJ lt^ i(j^cj-iJl d)-t-> 3w>-^' ^ i_P-" r^-^J^J 
ij_&U") i , j 1 1, j_l»jj 'f^JJ OJ- 5 '3Lj*-3 (j-LiLM (_gj_cuj i(J^2 (j-9 Lti iiii^>j ct-'J' 
(J-alJtlij l tuS LaLx-l (J^jlJI cLJjJlJ (jl (J^ ^j-a ^ i h-kj1 (_ 7 i^. L^S 1 ' " ' *^~ 1 ' J^ 1 - 1 (*^ 
(ji (^Lj-Jl ^j_ujJ1 7c_L*a^JJ . 1 JL>- LtJ^j_u «OjUlu 3j)j j ^"t- 1 3 ?*-^ J-i-J (CJ , «L»_a 

(jJLSJI (^jlaj-^j (jj jl i^aJ lj .3jU,1 ( _ t 3 3jLo £yl ^ylc I ti U*j i ^tj «-flJ^3 SjuiJl 
Jju ( _ T 3 l^l>-J ja^jlSj Oj^ * '"'J '• *V OJL> * '"'J " J-* ' ." ^ ' ■' '* Ju * lj' OJ^J^ 
iaLojJI (jjj ? njij nJj-. L -L. t -j /<s_^_iij t t _ J t j i t-i Tl (_JJJ,I "rji^- 'Sjji^JI (j-o jj>.| 

.(jJJJ^UJ 

Tc-cbjj /<u-ujJl (^ 3jUI (^ 4jLa jj^a (j^Lcl !_gj"i i ii a (_yJI (ji^H *JjJ P>^J 



69 



.4jJlj2| L^JLi ouLxjIo a La I JJijJ (jjjLJS.} * i^aj Jju (__>^i2Luj (<u LuoL>- i_£jjx-o 

J - '""13 ^ n j ^ *- tl j i^^TI cjjJl>- (J^s jj-* ' ^V"* rt ^cr^ f~^9"* Ju^. tijjL^e-i 

S^SLflJIj . «CjJLxj liLo t_£j3» pj-i (j-a (jls 4JI 4 lii^j dJJi ^1 ( _ T iisjJ,l ^j^*.' 

OX? * '"' ? ^ 1-^3-*-" "^ ' (j-uLjJi <j-« ^u£ j . SjLc a^j~L>* f^-i] *-^^>- d 'j^ ' ■■ ^ JjliiJl 
aLoI tiujijv ?L2JV 3-iLLaiJI ^ Lajji I j ' » i <aj (jl (J^lS »J3jjJi,I (jjlill (jjH »(_, r"i> 

jlj £" , ..VI sj^ ^j.a Jlj^_$j Ijjj* m) (jljVI i 1^31 1 o IS /o-Aj .(jjjLul (j_a ^_u^ x_<t>- 

(jj i n -tt-jj i/o^jJljI (Jj-'-JJ i^LjJ-3 /a^j^lJS CjLJS.} CjJjIjjj i/a^S^Lv i".ii-vj 
jjl^-^j I Jlj* J^J^J (<u . ^l-jia (a^JjiJi C-i-ajoj I LxjjJ . (O^JjIaj ( _ T 3 ' .'L- ' ,' 

. L^jj mitcj (_ylll 3ia3ell I i—ll^pSlj (JjLSjJI 
.py_jjJJLlLi JLjI^jj (ji2JI ljui ajjjj (jl 3 J'C i"i (_y3 (^LiaJI jojjijJI (j^-JJJ 




3 4 

Minutes ^j 



30 40 50 60 



xJi^Ulj J-S5IU.I j-lL (JJLoll 3 JSLi 



70 



S^S^aoJI e^jbjxJi ligliuJI iJujjIjJI 6JL?jjoJI 

4c.j-tuj (Ji2JI I jut 5Jjlj-l <=u^jlij (_g JJ1 i-a^jJl (j-a (-jj^JIj <—iLa- 1 n'tVI j^Ja^I 

Sjjjui ( _ > iolj^.i (j-o /_>! Sill I jjlaJI Cjujj ( _^ La 4-j3 (J-ujJ jjliLlI I JUfc (jl ^1 

j_uC Cju^ill (<i^3 ■" J IS i l 2 «Ujjj/2l (JjjLlII (2>SLI .3jLjJl>- 'iuuusj^a i_2jLje-a 
(_aJL>o ja_i-J LoJl^.j . 4jL3jiiJ,l CjujJJI ja^S UJ*. ' "..' I^M" L)lj 'SjlSjIXI 

l^lio jja ^^j^djJ,! J^>>J 3-*J3jiii,l cjLijjJIj 3-*J3^iil j-^ cjLijjJI (j-u cjIj^JI 



71 



Social Phobias 






3-3>L*J! pIUSM Jj^-SIjJ CjI j j^LLa C^Sj (^ 

i U J fl" (jl JiJ/3 2 L^JIj 1 1 (ji<ij-a (j^a J^c-J (_y3 s*U J J 

i lCj 4_i£.LiIL>.1 Cji 1 1 tiLLa Sjx. (^I Ajl ^ 13*1 '^ C (j£. 

a JJt jj<^>~»- (_3-!j f 1 tajj (jl^j . L4JJI L^jLi j ^^3 ajf 
jl (_,lr Slj^sJI I j 1 LtAJ ^& Jp<J («J L4JSL! n-lil 1 1 nUIl 

. liLti j^^' (j-C LaJjjlC (JL»H>-IJ LojJLo ojjitJ 
j < i"i"t ^fia> 4-LxLaJI AU 2I o^*j L&> j-4-i O-ilS jJL! 
C^lSj .JLu^l <j-a Jjjil *bf ajjUJ. jljuu^Vb 
*> j-tLaJI Uj-oLjl ( _ t 3 CjLajj/LJi,I ojui «_23 (jl J-aLj 
r-jljJ-JI (j_a 3-J-iLc 3JjJ (jJj^l 3-u-uLiII C^jl^j 
(jl J_La LjJSj .(j-UjJsJll 4jl£Jl^3| Q^*,' f-° »' mh It 



7S 



r-jLi. a LtlaJ I JjLij (_, ni-*3 cAja L&Jijvi ^& CLulSj JJS (^JjVI I j" J j ' LlxJKj 

I j i "■-" (_j-2j ( _ 7 H>-j . L^oLtla *L(j| (jjLLii-VI ij- "-d^ *•* i" ' u-i i— *^.jJI (jLs j'j-M 

» tia-aJ (ji L^-j-Lc (jLi (<s-J . 4_Ll»-o A mUi j_p 13 (j I VI » jU" , ,," jj&j j<sJ ilUi 
Jjljso ji I (jji I r (jLSj . l(j_iCq ^^3 jsJ^Li u-aj>o (ji*" 3>ll J-*J Sj-II abtlaJI 
. LgJLlseJj Lg^lscJ (jj^axi (jl <jS-«-! (_j^-" <— 2LJ2I Ji J < j" 1 n" (jlj LuJ ->! tlaJl 
(jjt-l 1 "~JJ gdajj aLtlaJI LgJjl " UJ - -'U" "I J ' ^ a . J ~" "J " U J 
(jl i-uzl\ (jja ClAzsj°i\ (^jfc Ijl (jJ^seJ C^JL^j . L4J 3j>J V aLtiaJI (jL? lil L*£. 
(-. -a- j ui] IJlSLa 2 ;.M uaJI JjJ-i abtlaJI jl£ Ijl Li£. ljj»l 1 11" /"I Ijfc^Mj 
( _ 7 i>- Ji!LLl>- J-oVI I feic Jujllj ijjjjLJI aLoI C-jIj-iSJIj a I » La 1 1 (JjLu ^ i'i-Wj 

.?-jL>JI !_^3 J£VI (j£. 5ial 1 n 1 J (JjjLlLoI 
(j^ <lUr <_,!£. 3jjL>- ^ji^. Jj Lasell Ll^jj ajl (jl£ (£>i-i 3-jjj/Llo ^ySj 
(Jjuso /_a I *~j j 1 a a. (j-° Jo Oil (jjjLlII (j-o JjJjlII L$j J i^~lj . 4jj_o_u SjjLo 
3jJ_1 (jj'v" 1 11 L^_ll p I «-3 Cj_lLi dJJi «_a L^-ISj . «U <Ll^[> 4_u-uLlo A j 1 naVI 
4jJ3lj-o 1— Jc-yTiJ (jl J-J^3 CxjLSj . fS-A^iiSV A 1 1 nilu 4-jj^c L^JI Lf^t>- aLilL&VI 
I Jui (J5-*J Cjj * 1*1 (ji Lkl3 L$J (_3 .' ' " J^9 (j~ (Vi • 3 '"* C i"'~ * L3 *J -1 (J-"" - ^' 

lIiI 1 1 nLcIl 3-& Jiu (_y3 jjijJLi (j-ai>o LxjJi^ c^Jl^ jl2J (Jj 1 L^nJLv 3jI jj (Jj^ 

ijjj^i. VI )«_o L^>-j^>.J I j"^ , ,,l , ,,^ S^Lj^j (jji^>o L4JL3 (jVI Lai . L^jJI 3j-"J 

(jj^ < '"'jj I 3 S I a (jjj-Ai i"h 1 11 (Jji i^_>3 • 1 3 "■ a '_' 1 3" "" (_yC.I JJ-i j < 1" "t (_5-*j 
jl «LtcVLs L>.jjt^ I'ijmi J « aj a L^oLoj <~.l^ . .. Jjkj si ^ , ,.a> ^^ L^jLuju 

SjI>JI ^1 jlji^^VI 
(ciiljl o'iiuVI) r-iL«-iJI ( _>ijU(_ 7 l£. ji(jmi~ (jl Igjl'' o^ tS^ljjJI p^jj-uVI ^j 

La^LUa^al fJ3j3 cluLS LiJLuj .(JjwiJI 4ijjl/ (_y3 ^jjiil "-jlj-i J->-' I J» a j (_j3JI 

J" Mil J . I j * J a J J ^_J_J_4-1 ^J I n*t1 (j_a TC-U-idI LflA_pe_) i7-J_Ltf3^J l_AJ_J i"'^'jI 

JlJ Vj .CjIj^ SJlC 3j>" Lt^ J-^ 5 ^ *^ •—■ iJ-»-" L4J1 J-*- (j-JJ (oJ-aJu L^SLt^al 
(_gl-4ial 1 hi t-tLoJ ,jSLj /<Jj . L^jJI (j j^ La ij AuiJ di!i lj^J-5l J^ iji> : *"^'' O' (j-° 
(j 11 *sj 3jL«JI (_y^ CjJL^ J-2-3 . j^e_(JI dJJi (_, I r Ltjj < ni (_,JI ^.JJ '.'."" 
J_«j L"^ t_!Ji (_y3 jJJju (ji Cjj^Sj .JjwiJI uS s^LajJI x_a aLl!l t-LujVLj 

.(—ialjil aJJt Jliloi i_k23 (ji (jc 
Cjjlj LxiS (j^jJI jj!>XJ L4J1 1 n"iSl (<uj «LlU3jJ\I i_2jL>JU (j^ I JJ^- o! f ^ 



7fl 



ft, - ;rln"?UI &_ui>joJI J^ljjJI :6uuuuolaJI 6JL?jjoJI 

|^Ia_ij_j (jl Lil se LaJl aLujj i«LuLiljJI f-l^JI CjLijj I Jj*> CjJi^o (_yJ-ll L-kaljU 
pjjjJI L-xJLso (JjJjLxj (j 1 -* - (*-*J - ' * a ljM (j-o J^"lj J-"' p'J^'J CjujjJI (j-u 
(_>iaj^il (jl (Jj . L#J 4JajjjJ,l <_a3ljJU (j£ (JjjIiLxjjj Q^LyTu ja-AJoo CjujJJIj 
( _ t jjiJej 4JI jl 1 *> La 1 ■ j" a jl ^ taj 1 aj ■ La a LiiaJ 4j^djj(3 (_ 7 j-!I L-ialjJJ i_£jLojj JiJS 

3_jjjJ a 1 ii-v j^^jju Sjuj /_a I j 1 1 n 4-La-j • ■■ • 1 1 ^ u<- I Laa.ll <_ialjJ,l (jjS3 (jl 

^ygglj-l fljl i " *-3j3 I Ci ^aljl I tiJJj ^a . I^H i_djj JiLo ^j i uj LaJ^JLcj . > Igll 
(j_o JljJl^v £j_i j j J la (_yJ! (_£jj\jj i U alj tl oj_<fc ( j_ a «L3ji- jl jGjIiU j-a^fl 

. 3_<-l£ijJ,I <_2jL>JU 
CjLijj/ l_Ltl <_jJoo (j-o .JJJJJ . 4_Lo I (_^L> LLo (jJ! (^jjajjjj i _.-»■ i nil La (jLc.jj.uj 

tixj^v ijjjjUJI (j-u SjLjSJI jl it_ilj_iiuJlj a I «JoJI (JjLij (J^LiS (j^a A-LcLaa^-VI 

dJ I "i <i a jj*j-3Jl»-jJ1 (J-Js-flj Ju9j . aLajji-^L! lj£j-a J' «Ua^v^UI Cjjso (JJ^Lj 
(Jj_£jj (O-^-J-Lc I JljjJU-o (jj^i-VI 4-Aj*_ua-> (jSLoil ^1 <1>-jjj>- (_ 7 JjC-4-aLaj 
.2 1-t-jJll aJJt ^yfl .U5a Luj^v Ij-al-J^tutJI 3_aLS 3JjjJ! Jbv (Jr !l-i_jLc- 1 jijVI 
j 1 lojJ I ( _ > i3ji3j tfjjjii't (j-o JJJJ (J* 3 ^ ' U . J * '"'-' ll) I *-<S>-CJ <__>JaJjJi. I tj^Jj 

I jjQ <_i I lqj (_jjJI ' ^alj 1 1 ,-d tal . .. , i- U ,"j j V 4j-iJajJ,l i_2jL>JU jj gla (jl 

l_jL£ iJj-^jVl 3Ia-jJ,l oLijIa i la 2ia ^Maht| «JL^Jt t-ibjoj ^^jll «Vjjk 

i_2jL>J,l uj i ii "t (jl (j^L«j-4_^3 Li 'La-JJ (_5-!l ^'ij i " idJjuZi SjJjILo 3_ljL2ILa 
lj-aj » I jtl Cjujj 3JL>- (_y3 ' La _■ i ia 1 1 j CjJir>o (_ylll sLSj^IaJI ^j i^aJb sLuiojJll 
*L<iC.VIj 4i-jjJI Cjujj sLlUojJ,! i_2jL>J,I ojui i _u i nl (jl «LcaL>- ^ ^'^.'7'^!^*^ 

(jl (_ T Xtf3j_l,1 j^" J J 1 * j .JjLjIi^-^l 1j •_^1^j1 t )1^ *"l ( nlj i(jj1jlijl aJlCJ (J JLlU 

(j£jj i(_p3ljj2.2l (jjj CjujjJI tfjjfc (_J LILaT jjjl-^ Jjlj CjI Jb duuusjW i_2jL>J,I 

(_,JI j-o'i/l I Jlj* l£J|j » I j II Ijljj L«_Lp-j ^ySI allJI > l^ll cjLi^j jj jk* iJj^ 

(Jj^j (jl «L«Lc «Li_c£iJ (jS-4-i «LiLb 4^(_ t jIj (j_a (j^-i ' o^ rt J .3jLc 4-L L a- t Jl 4l£.j-uj 
CjLijj jl i4-ul flloJI ( _ > l3ljj2.'2l Cjujj 4_j^ CjJl^o I ^U.^a ljJ-1^3 ijJLui (jl 

4_i_l^j_U i_ajLiJ.L3 .tdJj juu Li^lS 3j-l^jJ,I i_ajL>J.I j j t\~ ^j Vjf xJL^JI 
(jLjLs . I <\ (j /IK (_y3 jfjtM j^ jl (j^jJj^l (j^iL-vjJ.1 ijm Sjl>-Ij «L<jI j^tm 

j gja-i .-.I lei Ja a ^j'» 3_JLjJI (J^vljJ.1 Lai ,l_AII Lajfc jLjJjVl (jLiia-jJll 



75 



U^U^\ < I Mill ^UA\ 

Extensive phobic 
Avoidance (Agora phobia) 

4_Ljj-L> ZjSJ£ JlJLo LLui A-il (j£. LjjL« > n nil («J 

CjxiSio. (^llJI SjjKJJ L«JLa 0J53.J (jl^ LxJi£j i^jLaj 

^iSlj JluiJ JtJ^JI CJUJJ CjjLgoJ . ^ijjii LLaj L$£.jJ3j 
SjUJ^v 4jjj3j_a i_2jLje-o <■_ 1 1 i n"Sl (jl itjsl^jlj . LijL2j 
L^jjJ (jL£ J a-3 i3l_L^>. SjjjJs L^J 2 j 1 nillj 7t 1 h*i\ 

«LJLjJlj>iJ 1 ^_5 (j-^-J (G-j ' ^ *S. I . s-tjjjuj <_p (j_« M i<tj-a 
. L$3li (^ 4lxJ>«J U «Luiui ji (j^Lal (_£' (j-a 3-fljLi. 



77 



jl 3_ijJJI uj i uj (jl (jSL«j *(_yji (_g! i_JjLfljJ (jl l(jjlr (jl^ dlljjj .pjjl3jJ,l 
CjLJSjVI Jl^vI ^^3 LjjLo '"■ La>i jJsj /. ■ >■ a L«-i3 4-ij-lII ^1 ,_J.ji JL3 OJ^d 

«L<uL2JI (jl I juj . Lu^3_^a La^i. L^Litj <jjjI£ I'm i"i (j-uL»3j 4 i » a->. (j-o ^i 

Jjljj.uVI Jio «L«j>- JijJ, I (jiLoVI (_p (_JjLfljj (jVI Ccse_i.ua I _---v • J^>*J ' J i>* 

.<_<_-_- Lj^J I c_l j i nLLUj i(jjijLlSLI!j '7"j' ' "Uj iSj-u-CJI (JL>JU jl i4jjLj__JI 

a! JlJ-"ii ill (_-___ jJl2j di!ii Jl»j Jl*j joia i4_oL*JI Cj}L-_-IjJJ J-i (_, Miiej Ct-a-u-a i 
CjIjI j i nil SjiLlS /- I'l-iej Ct--^.iJ3 1 dll ji£s < " < I j I U 5 1 1 j JjL-oVlj (cji i in ijjjVI) 
I /j" .1 , ,-,? I jl 3_^oj-II »_.U" . .." Cjjjej ' a «j 1 1 ^Ir j La-; ■ ■■" till jj . l-jjjl ji u VI 
i i j i ii II /*_$. 7-j-i_j3j ijj-^-v^U jj--*j (jl (____ L_vj-»- J^i lZuLSj . J-I4II 3_ijj 
(jl (_ -.so (j-S-J f<sJ l-LI_i (j-C ^1 1 a '& j . Sjl j, in II (jjjiji l^jL-' ^J l-gj-i^-- ^^3 

.(jjjLul Jj '^" 
(j_c (JLj-«I 3 ' ni*»- (j-a JjljV Sjn i nil _ij__- (jl » jU" . .." jj2 joJ l_11_i *-«J 
,__. La fc---i _i)Lia> (j\£ il 5-»j^ 1 nil jj La 1 1 ,__. 3ol_iiill ,, uisej C_j-_j . I j"j J 
4_j| lJLj_&-I L^J 7"3-J O^J • A J * ' "* _>^-*_ ^-Jj-uiiJI J) Jj ' ^ ?*j ' M-^Jl ->lj-L~>VI 
La_iL_f 3_La-gcJJ j < i"i" l__jlS-- . >j 1 n" O-ilis LaiLp. »i a i nil (_f_4J-u <-L!LLd> (j-iLjJ 
( _ 7 Js 2 jl j 'N Jl (_y3 dl!LLa> ir-jL>JI (^ (_>iaj^j(JI r I JaaJI I j i aj a i jl dJLfujj 
J_A IjLji (jLS IjLji x_ OJ ^J J 2 * a J-;tC. J-O^ll (jl I-LIjJlJ dulSj »l 1 nil ^Lci 
A 1 nj"i-!e-a L^JLSj j » i""t Cjjl£ dJJji .4_iLlL>-I ^^3 i_*£.^3 CjjI£ ^Ij I j . ..I , ,.^l 
CxJL^ I J Jl (j_a /<sji.jJI (_, I r j . i-LJj Mill f^ I J^J^J.' jl i3 fllitXI (j^Lo'i/l (^ 
'j a '"' (jl (j_o /. i"i -ie-j (jVI L^J lil i LaJlJI^. ^JM Sxi " >l icj_b 3-""J j^Je-flJ 

(_^a 3-2_!-3j (j-II L^ls-U. ,j£. o^A-cVI ^ ^^^a L^Jl Jj i L^Lu ^ l ^nnii 
J^i o>^ I 3 S^L^ '3** U-° CJoa»a fo3 .i_2^J»J! I JJt 7tJL«3 (_^ (j£ . nil 
j I Lase iVI (j^ Jj3-° lS' Cr^t^ . j^> VI ^j a » ■ 1 1 (j-o L^Jj_Lo i_3^c. (_>A«J ( _^ L2ia 
. U , >■" c^jjtj I jl-i^ (j^a i_aLjtJ CjjLgo L^Ji jj CjJLaj liLaj 1 ) j i aJ (jl (jS^-i 

SjijjLjfo cjJL^ L^-lSU ij_oVI (_i j-iSLolII Jij^j c^Jl^ Loj S4_Lc /_liel!l ^1 

ji I xjj all (jja pl^jVI ojui J^ «ljl j < mi" <JliijLij .dili -i 1 t j~ . nl ^Ir j»j-«JI 
j o" i nl I oKj ' 3 m I 4jL^J jl Jaj Mill j^i-T tl*iij Jl3 L^Ji S-uIajJ,! i_2jL>JLI 
I JJLC l_.i i n'l'vj ol_blj «^jjJ,I J-;LC. £_3-LSJ 1 (j^ ^H^l '— 'V3- 1 SuL«-a u^Si i _y^jX\ 
Ju3 i ^ alj II ( j_a j-jSI I^Ji^. (jl J^JJ "-iiS^' _?' <= ^- L ^>^' i— 3jL>J,l (j^a j-j^I 



78 



&_u4jjcJI uSgliuJI i.i ■ in.' ijoludl i.iVy'ill :6uui^LuJI «Jb>_jxJI 

j i"i"i MJ i(J_L2JI JtJ_)-i IJlSL&j 3 .' * T~- a JtJSjjJtl (jlflJI ^1 (^Jp llcre-u-a I 

» I j j jJLl Jj .3.i uijSHI 3jj^>jJ.I i_ajL>J,l ^o^. jIjjI L^jjjl*. ^^a cjj"milj 

CjVL>JI (_JJL>-I (^^ CjJL>- JLSj ''Jj-'- <— 2j-C. (j-a 3Jl>.Ij 2i^c. ( _ T 3 ^ i ■ ■*' (jjioseJ 

i~i I r~)JJLS (jl JULJ I gUj * ^^5 Lai_4-1 *J |0 ' ^* SB ti C^S_U-otj I gj 1^ 3JlJJ_U Cj£j3 (jl 

i—iLasJJI (_^>- '.'."" lS^ ?t_J>*^^ (_, i'i-^cj CjjI£Ls .pj^il! cjujjJ oljjjji Sjlc 

dJJi /j I c j_o2l J ' ^'"''V («4j O'^' (J : *" Ju0 Ct^ (ajLaJI LaJlJ^j JjjJiJLco (j-IJ 
L^jf j ■» in "1 iTjfjiJ . 2_3jJ«_1I dJJj ^ liiliiVI <j-a SjoJj 2.Ua ^J^. Ojj-ala! 

(jL^j '(*>-i-!l 3-Sj-c. ^^Jj (_yll! 2x.L2JI 2_jl_$j (^ aLxj>JI jlSj • J^'j-^ j^^, 1 

2_jLjJ,l «Ljc_l"Li JLjIjJLa (j-J-Lis (j-a (_j-lL»3 LlulSj ) k" '"' <JJjl£Ls i_)Lfl>jJ! ( _ T 3 
SijX. ^1 (S-lJuj^s) ^Ir <il«jeJJ .-I 1 na J^ ^LiuaJI L^J j <*->-»•_» (jl£j .C^lJ! 

(jjJ^SLjj i3_i_ci5jJ,l i_ajL>J,l ( j_o lj-fj^ -SJLc (Jlj.i 1 m"^ j Lajti^. agoraphobic 
SjuJl^v 1 a a I j a 4-a ■*->.' V! (<s-^J fjG V "^jJ (_,-!l (JjJijJLo jl l^JI (j^Laij 
3_lSj^c.| 2 qK ^1 agoraphobia Lu^ajlj^-i 2 <iK Jj-oI jl^-^jj . L^la (j^aUej 
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jl J-i^- (j-a i-^-a-l J3-i^3 (_,-3 CjJlj>o La lj_uSLs 1 UjLa 3JL>- 3jui /_^ (jJJLl! 



85 



l^JLSJI yjbjA 

. L$-La ujLo Cj-iLc (_jjJI '"'' a^LuaXI (_p '.hi ""t (jl ^1 Lu! J jj tajj 
/_lc ua^-ufcj Ij^iu^ (jlojJtl (_£jjjc-a i_jJjjGj 4j.}L*J! (J!^>-2l (_y3j • (j ' '!*»■" 

"J J ' a .' U ^ * .' ^ iJl ^ (j *"' "'J "-^J • LiLp-^ <— ^^ J^j uLl>-I j" i'iij jJia 

La Ij-jiiS ' . i I <* »l (j-SLIj . (j-<_a-u jl jj j •"■ J I »_oL-ul 5^j£-*L>- Lo-«L<iia Lc 

o*J. aJl2h!I /yi -^^^ (j-° tJ*"l>*' '**"HJ '^^ L*j^ Aj-'i 

aL*JI OjLUI Ltij-aj (_gj-!! (J-lSJlII ->l t^'.tt LajI^ »_jjj V (_K>j-U (J^-lj-o (jl 
4j^sLi. cLaj^aj (JUJljso jja <_iLuV2l 4JL-vj-oj u^sjX\ (C-AjJ dJL-vj-o (jLa i LojL-u 

i Ac I (_5-3j .^ji-Li jl La «l2j^Lij Lt-Lo_-v > j i nil (J^-ljJJ (J^L>- aJl2hJI ^*-i 
JljIjjJ.! JIJj^VI ^\ i^jJj (jll! cijLijiJI jj* *-2j Lo Jjl (jl Jl^o oVUJI 

((Jii!l j^jlsj-a) 3JL>JI ojui ^j^.;"- lujj (_ij-3j (_y3 daljj I i .If I l_JuJ JiJSj 
5 ^ 1" ^- ^ SjjJlc CjL9jI (^ 3Jl»-I^JI S-lLwlII ojufc ^1 j tail I (j_a ^^jIoLU (^ 
41-LanLa (jjjLuu /_ n i n" (j-L»-a CjJ9j ^^3 2 ja Laill (JSLcuil C^jlSLs . (j-ojJI £yl 

* 11) la loj\ ! ( flXige a -n i ■■' L^J sc-u^al 4 o») ^ ^J^ (jl ^ a^uJJt Q ^J^^"^ .""11 ^j ^ 

aj laJiJI ' a iSiSj (JjL2i,l (_5-3j .^J-*^- ' . 'I J ta-ua I 3jLL*j «ll»-j_a JS CjjLS jj Lo 
4_L>-lj_a (J^Li- aJi2jj Jl>-Ij i—iljiajlol (j^-Lufc LLu Lai-jJjjLaJI (_J jJll (_,i^. 
(_y^ J l>> '^i (_^-<kj 1 Jj 17 « 11 (_yJI t_)J-^l (j-'kj iU 1 11 u Sj t^ill j>j-Aj .S^Jjilli,! 

.r->L«JI J '^'a ^ (^jj (_ajjj, Li£ 7t^»-Li JLta r^Lc- (^-IJ LoLijI 



86 



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sLul blae JaJLj ( _ > *aj^jj JiJS "Li^Lci^l CjjIjSLII (jl 
j^3 ,jiill L _y&j-a (jl dili .(_p=jj,l (ji^ 3 Cr^ ("fl.!* ' " 
J i " flj jl i4j i ni-»Jl SLpJI <_ijjej ji t a^JJI •" La sej 
.j-oJ-JI t_lj-ui fjl\ (_>AjuJ I *-3JJ JiJS <til Jj . 2_i(j lUI 

Lp-^i La-nal i_2jju La j-<kj) ^J-i-II (_y2 f. JjJI 2 'j« ua-l 
aLloJI dili ' -i a i aj Jl3 jl i(>SLl1,I jl (^JJuil (Jj^W 
i 3 " i " > 2i * )j-Laxia_a a^j <^e_uj (JjUi ' a < -~>" ' ^ ^^^JS 

ji 3x.L-u ^1 ^^jIojJ,! TrL^tJ jlsj . (.U , „j~l I 3j^0 

tilli q\£ £j±a~ i^±c lL>u L«_L!l ^ fljlij q\ ^\ j&] 
jjs /<s_Aj .(JjLuJI ujS (JjLs^ * i^aJ rfs^-Lo 3j *"' ' "J 

^j*. p j IS. I tjL^JJl jj^Lv i (jLiJIj i fljuiajlj cl)JL? * '"' ? 

t (ju,<aj| (j-a (JjJljcj AJ-ill J^ ' ' L7^- UJ ' " * 

t jj_j_L^j_ij jlj ^" i ■■ 21 aJuu l)JJ » '"' j rc-^J CjLcL_u 

J^>-i cijjLvl ^1 (jj« Q**l I ujj aLjj>JI (jJI (j^jjkjjj 

87 



■* j j a I U i— aj i" i ii j La-ilj n -i i iiseii Ijui /<s-a>j-uj 2j .(j-U£.L-u Jl 3-cL<-u JJtJ 
AJ-jJI (^ i -aL J^ 6 - 1 cr^- (S-^JuLLijj (jj i ^ ^ ij 2 /ca>Jij>o dDjJj ./a-aOj^-vj 

.^Ul 

j laj i 1 1 Jl£.jJ,I (JjJS J^-^' y- IxiaJ I (_yi aLlSJLi (Jj^' lj-° >*■ ' ?J^ t3^*-^i 

La LJLcj . IjjLj VI cjjjtj V i-jIj to <^Vl I j_a jL£ jjj i^jLcLjj j-^j 

(J1^c_j (_5-J-»- (*J-^t (_3-!J Sjjjdl (j£, JjxjlILi j5>-ji.l 7-Lu^aJI (^3 4-laJLj I U mj" 
jK ^" , ,.V1 aJuu t _ 7 i>- 1 _S jj * mi I ^ J 3» I ' ^ ) La Ij-uSj .j^lj-nJI (j_a ^paj^JJI Ji£.j_a 
JJOJ JJaJ ^J^- ^ (Ijjjj^s) l£j_»-a <jt£» : (J jisjJ,l Os-I JlJSj .^o^ULj 
aJl^ILj ^^^jIu^LLj /cj y"l i L^aJI CjLcL_u (_ 7 J3 tj^-ot jj + Mill ljufc (jjS_)j (« a 2 * jij 
i_xi«j ((_ySI J til Jjj^O (j " ' ""' ^"^ J^-A' y- Li^aJ I (^ 2 tx^^itl jjJLai (jl jl j ill 

<-jIx£VI (>3>oj j! t miUI (jl^b l-jIj^VL 3iaj>*JU 5-1UJI ^ Lfcljjjjl IhH^ 
2rijir ojy^s (_yij (endogenous depression or major depressive illness). j_u£LI I 
jl gjJI ^^3 (biochemical) 3-jj-j-». 3_jjl_ut-i£ v2jIj_l«3 L^a.1 '^" <_iLu£VI £yi 
L^VUsU^LAUI^bv 1 ^^ I Jut, ^->Lc (jSUjj ■ ^jil ^,^^1 

U^sj-a ( _ 3 _3 *jjW '^J- i (j-ij u-olj-dsl J" mi" jj^_>.j . ( _ T L>-ljJI (jiill 7?-IL*J 

.SjUll ^ cUa.1 uyj LojlIc LiLi£l (jLa Jjliill 
' r*v ija VI I Jl-^J lj-J-aj> JJ-^JJ I '-^_'' f^J-^W [j ' *~J si"" c^J-^ "-^Lu^J 
. (Pavor nocturnus (-y ^tail r-N U.^VI ^ 4 , u |j) (jylAJ! J-I4JI . nj La j_a>j 

jJsj pji 2JL>- fj^ SLjlS j se 1 a J aj tA_a_Lll (_y3 LsjJLLijLa (^iajjJJ (JjSj Jl^S 
3juj jl (j ■■■-'''II ^'»j 1 a a 2JL>JI 0J14J Jajjjj La lj_uij . x_L^J 1 «LlLc ^jjjj/I 
(jjijuljSLII CjJl^o JiJSj .CjjJ,Li jj*'"' I 3 .' "- 1 ""2 " LJLij ii . il2j| 2_cj_,j, ^3 
-t_JL«JI ^ jjSjLJ^yij-jLjfcLiim aJLfli^pajtj (jl . LiLp-l 3 iij^J.1 (Nightmares) 

.(_,ljltl > 1^11 CjLij^j Jajjjj J^ 
(JjSj 1 o3 . JjljJI Jaj^flJ,! j»J-iJI o3' a 3jljI Mill Sj-p.'i/l (»J-iJI SJSLuta Lai 

«L_La L-fl-d^&J 2l dJJii *_ aj ' r* ' J C * I J ' t_jLLJlj ' flJLiIajlj j 0" 1 n a jj * mi djLLa> 

f.\ j C * ' (j_a «ULje_J (jjj ^ mi \ /c_Aj (_pa1jX.^l1 i>jL^J (jjj Li-cii, 1 j Se ' a I ifl . aj_uI 

jo^jI (j j u ^ \t j j^j .(jilj^JI (^Jl Ijjjij £p->- LaLaj L^j I jj < mi (_yll Ls (-jjilil I j 

V (<s^-ajJ (jLSj i«LLlLII (_y3 4cLj< ^j 1S1C f-^jlj '"'■'•' I '"j iSig (j-U L«_i3 (j^aLb 
Ij_uSj 4-Ljt-uiaJI <lSjjJaJu Lgj^U'i nlj (is^Jj^ pLvjILjiU /a^al 1 n-va tt q i nj 



88 



l5j?l o lac Lao 

(8) • i 

fj^ ' J ' J*" "ljjj-^l f" 1 ^- ' J^d'" fLul JuljJI i_jjLUI I jui J!Lo ^Ir (j I Laj La 

«_<-uLi!! j>i!l (_y3 3j_u^i_xj^ L^a cllj~£ jJsj (neurasthenia) ( _ T ^LaJI "-N Laxazl 

. oj^Lsjj p(j i^-ij-a jjjji f. LSI 



(sexual anxiety) ^mmAJI $JiflJI 

(_a_ciilj_a ^^.3 LlxJl^ £rL3- (Nicole) Jj^Lj-i J_Lc (jIolj.c'iM CjLj^J CjIJj 

. ij-Jj mi *llj 4_LoLlII (joji (_y3 xJL^-I1 Cjujj L^ILiLuaij i L&jji£. (j-° CjLJJ^ mhII 

CjjLca »j i n" LgJLlLa. CjJl>-I LJl3 .4j i iii->JI LjjLusu 4jl1^uxi Lulj CjjISj 

I /ft S-l i2j| JLi /<u . L^jjJ !_gjl i nil Jjaj (_g JJI JljP-^JI f^yjjJI (_,_& 4j i ni-»Jl 4jilll 
jj^o x_a jLfcJjl (^^ L^-oLol JJtJJ cl^-llS (jl ) « J- J se i i jaj 4j i iii->JI L^jLj^- ( _ T 3 

j-Ji/lj I jjl^. j^\ cjujj-p-jj i nl (J^L>.-L^LiLual ^fia» LdJij-3jj^EjJlj (j^ i i nil 

4_Ljj-L> 4jLL«ja 4j i ni-»JI 4£^LtJI £y> ^"J- 1 Juu-^JLJ Cjli CjJ^vj . .jLuJJ (j_o 

jLulU (j^ jjSI 3^.j_ijij (j gATu cujIS L^JI i".t\-^.V D'"'-4^jt3 1-° o" 3 ^ Pj-^ 

L^jLuoI (<u ^ 12g3e a «1_l»-Lj/ L^JLi ji mi" Cud L^-Jlj < L*j_>-<-u 3^ 0^ 3 ~ a D'J 
(jo--3 j mi ' ~^JI SjLjVI (j_o CjLa^L*J! ojufc (ji SL^a <JjSj.il joj . jSj^. J}j-c 
*jj Laj 4-iLvu3 '"■ »ls- 1 j . ..A. /_lc I j"j laj i u (jx. (JjLu^J Lg-q-r iljJ (jLL«JI Jj I Laj 

(<sJj «i^Ji i iiu ^a (3d"* <-— > '^-j^ • j-W "vj- 1 o^'j^' r^j c?-'! 3^-^ ^ 

.(JjiAlu Cjj^j i_2jjji L^JI i " i i La j -f-LjJI I gaK: ^jjjjIj 1 1 j j 1 3 icj-<j/ ^ La jj 
• uLlu^/I ^3 3j_a Jiju S^a I glSc ( _ T 3 3jjjajJI ojui Jj»"m n"t JjSLu CjlkjJ 
SjU^Lj ufejj < mi JuiiitJ /- i n'i->JI «Lii!l l j f js 4-Ju 3j-o j_p /_3 CjjISj .sLlILlII 

I I j , ,.Ai ^yic I j~ * Laj i " JLaij (jl (j-a «LajL>- CulLi Jl2^ j£-y* Cj^j /_^ 4j mi'i-»J I 
, \l . ^. '/> ', * I -jll^ ^_)^» i (_^Sjj . Lolxj I j i nAil (jLUJI jj^-^l d>^ '— 'J-*^ 1 ^JJ jJj 

.« I J^i **•_'" u^*- ' L^" 4_JUj>JI Jaa> ^1 J i L^>-jL>- 
(j_o 4_ijJj 3_jI Jtj 4_j| /j I c 4j i iii->JI SjuVI (j^ J^*2 cP J '" "' CjIjljj 
CjIJj L4JI Jj . IJl>- Sj-u^CjL^jI mio ijJLuk Llul^ Jii! .» I(jtl 3_l^j j'\ ( _ > l3ljX. v /l 
SaLojJI 4_La cuialj iQjLi^sl «_L* 3-iJJ (jl ^1 Cijiju IjLoS < L^>-jj (_,i^. (_, uiiej 
.J^l 41tlo 1 " . -a- j 1 a I j .^ii^La^ii^l (_, 1 ni->JI Ja I mi i 11 (_gjLij ^J& I JJjIj CjI Jjj 



89 



. <_^>.1jJ1 (j_a 4 Ac ^J)~ I " * fyJAJtJl 9 I L^t^Jl (j_a LC^J d" I I n"%. J 

JJ3 (orgasm) 2_ujiJL>JI Sj^ m.11 ajji f^lij J-W 0' Jj^r!-^ £j-^>- lS jJlj 

*_a Jtl^JI 2jjj 3^3^. (_, i"iieJ dt-Te-Li-a I lixjjeJ I $ld£ ( _ T 3 lLdLujVI I i J Lu JijjIi! 

jljJjlj CjLijJJI (_jJl^vI Cjjjl>- ij-^-j . 4_u^iJL>JI nj^r.M «LlIu SjjJ £>Li <_p 

I J i " a I] 7t o i aj Vi JljP-jJ! TiLxbl^J! (Jr>JI (jl£j • L£3jUe-a ijj-ul oJUfc CjJ^I 

(jl (J_«IL>JU (j-a (j^Jj (»L2 lUI Ijufc (j* " '^*„' V ■ " 1 1 ' iaJ) 1 1 (j-a S^IiSjl (jl 
Jal mi ! II <_ij La i a J LoJl^. 4JI joj . i_2jju lx-« 1 j I u "i i 1 f-J-ujI ^K i"ill (JjSj 

(j-C j-^t-c ^yJI L^Jp (jl (j-^-SJ cH-" S-LSLiil aJJt £yi 2 omr ^ JU-jJI 
aLu-d>VI (jl j>j JjjJ£.j .j>jj>-G ji i_a JJLII 2x.jjj/ (_yi 3jLj_)-!I jl , A ,^",'.VI 

sLjejjj L-ajL^aJlj i _ > ^i3LuJI I i g-jL: l_>-Laj La (jLcjjjj (, i ni->JI *-3l jJlj g- i ni->JI 



Appetite 4nAaJt 
dJLlJL^ t_LjkJG LxJlj gj-a-U 2_pti^ Lffco^j 2 - i,,i;-»JI Su^AJI i_^&J3 V 

(JjJa (_yl^. (juiijLflUJI (j-u 7-jl^pj CjIj_l«j CjJi^o (jl (j£La-ij a I » La 1 1 4j(j ."ill 
(jj^i-VI Jl»J L«-Lu oj>"j ("(j'-ifl 1 "' O"^' (j^n; Jl 2A? -^i 'J^^ri '- <l Tt^ i^Jdl 

(J.LSJI JlJ^. I . -^ j . ^ -^ .»L*_LsJI fjJs {j^Sj i mj'^ (&4J 2jJl^3 al »UII JjLij (^ 

(JA i—SLJejj a I * La 1 1 -l L^LUi-l ^ niiej ^iLa UjLa CjjLS . ujj (jj'^i^ tiJJjJj 

(j-a (jl£j ij^'i/l 2_lUx. (_, uiiej LixJL? I j iS[ Ij LJLc p^>JLi (j^i^o cixJL^j t» LJI 

Jl^j . LajJLa_a (jjj-II (_5-3 ( _^ i a-SJLj| ^j a * i (jlSLfl al «Ull c-JcyTiJ (jl j-tuj^l 
Jl^j (J_i ^LujlII CjJl^c_i3 (jl_L>-2l (_paju (^3 'j^'j aLfcLaJI (j-a jjjii!l •» _■ 1 aj 

. ^ i _ 7 _aJI (j_a 3j^£JLa CjLjjj Cj Jl^o 
/— u^ajJI 3jflMitl (jl Jl2£ I4JI ^Ir I Laj. ^^jioji,! qjzjlj d V la. '"• '^-> ui J^J 

jj < ui II ' ta j "j j^ .(j-L-SJI (_P=>a (jc ' ajjjcj 2JL>- (_yjfcj (anorexia nervosa) 



90 



!_yj\ i n ■>■! jl (^jlajLS joJl CjJl^ejj 3jL«Ji,l (_yi f-ljjilLi (j^l i n->-u uLl>-I (jiilLi 
ijJLij L-o-J-3 j-C-\ mi U oJl-A ' fl-fl-Je-i (_p ^1 (jl JLaJ (jj/LLlI u a » J j . ^LtC^Li 

3jl^_C (j_« *Lf3_$3* ^> xu i n > Ju9 zJLIaxu jj * Mill ^j^^* (jj (jj . (j_ajJ1 J3>^ f-* 

Ljj-u. al itlaJb UjIj 1_.23i.JI iJUfc jljul g^a-j L-UjJj i*L»--.VL) ^jjl m-».Vl 

2_i(j Mill (j-o 2 «j U*. 1 1 jj ,^tl jui (Jljj (_-JI i_$->jj JLjl-lII r-^L*JI (jSLI . LlJLujij 

. 3JL>JI ijjj <jl ,Jj^ (jjj ,3jI mil 1J3 i'II (_-JI Sj^jlJIj 

(Alcohol and Drug Abuse) jMfLnlt$ J6.U t ^ic ^U*2I 

/-J. » I J II Ljl-_i_-3 (j-lj (j-° J_ ^*JI jl J-«->JI (_j^- (j^-i-OJ-HI 3 J "I t kljj 

\) - ' "^ 2JjLx-o (_i dJJij 1 Lj^2j 4 1 n<v ,j^ I Jl>-Ij u^sjX\ J-JJ-" (j-« L« <----> j 
(j-o lJ-jj--W_lII /_3 (JLjtS j-<j->JI ^j-^ (j' OjLH-"-^ ^"J ^J • (_p»l >^ * I (_-!-- 
j-4-i-JI (jl aJLL-JI tj__u (j-°J "*>i^J SjjjLJ J-."-/! (_t^- >-_4>^ l_ajji_*j 3uL*J,l 
C--3_aJI l _ J _£s I J j j jj 1 a i _ J _J_> l_2u_t <u '"«' Cj_--L--i » iJajJ *_£>Ll!l I jl-T* 4_5-jP 
c-JjL_-l1I (jji^ejj 4-l2-ul1 I ( _p3lj-_:'-f I (_-J- 3_Sj CjJ-s-j iLfc^jl (Jj3i LH^J d '"*' 
.c-ilj Mitl (jja 4i>il (j-IJ '^JJ (_g JJI j-o'./l «Ui&j 4-2la 3^Lj}j 
5) 1-^ 1 "'I 1 s*Jl ^j^Jj-iliJ LxjI (j^-LajJLI (j_a (ja 1 i n'ie-1 (j-4-« L_uUl L-JLlA (jl 
(J_-L» 7-L?e_Lj (^3^-1,1 1 Jl_A r"^L-_ /q_jJ (j-\_>-j 1 U^A /q-AJlI^. (JIajI (_paj_a (_ T 1^. 
Ljjjlj \j-a'\ d a-Lar»JI ( _ T 3 j^iiJI (jLa^l OJ^dLS • 1 - r ! 'j-^ L " Lt^I l53-^' ■*" 3 * a I v 
4lil 4 j mi'iIu Lse-i3e-La I Jui (J3^i ^_3 **~ ^ ''" " J 1 ^-' jl iJl^JI i_P=>i ' '^ ^ a 

j^iJI (_,lr (jLoj^fl SiSLioA jLiiUJl (^jlo Ljjjicl lil LiSLIj nj^lojdl (jo £yi 

.(jj/LiJI (jj« 3j-fJJ IjIJlC! (jjSj sllflJI Ojufc (jl UJl>-J 

(jl j-;tc (j-« «uL>JI i *-»l^>- (j-« ' '""->■" Lx-il ' - ) I a 1-^ I a I j -^ '^j' (_r^J «^-4^>JlS 

(j_a t^j jS >^l ajuI i>Ju^ (J uija . «Li_L^>Jl iJ ^2 I fcu£ 5j 1-^^ lujI (j_a £J-X\ (jS-4-i 
i (Librium) ajj^jJJIj (Valium) ajJLL!! Jio (tranquilizers) 5-»jI Mill CjLjJl^II 
jjc SjijLiuJI CjLo^1«II (j^j . 3_oj_iJ,l cj^l^JIj 1 (barbiturates) dilj^jiujLJIj 

oJlj* (JILo (jl d-i^sLi- L^-ijJa LjLLj (jJJJI tJr ^jX\ J-c£.J (jl JaJLl (_y3 *tjji»JI 

(j^ »(_, uu LJLc. (jjj « '"'j (j-^jl' o^ d>^J "f-W' •—■ 'Wj- 1 <— i-Sjj j _ ^*^ 



91 



(jj-2j| ( _ 3 _L^I^O JJX. JOO L*Dj (_t^-J . xJL^J! *— 'Wj- 1 ■""3*'* (* ' a 'J _>^' "^J^ 

oJl^j jjjljJ j^al (3^-ij itjLoVI (j-o Lcjj Ijui (jjjLJI t_y2j-i jl«j jjaj . 3uL*Ji,l 



92 



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I 3) .^»".tl 5x.jjj, l—xjvj" , n't 3_LJ^ sLuiol LujJI (_y3 
lLsj i "jtl >j i ..^~tl (JjiJj . <_ojL>JI J^t-ll . U j ^ (JlLa 
i_3j^>J! ,jjj jlLuaJI iLoJl ^yfl 2Lc.jJ! jl jji diljd 
4_u-uL-u2l *-3ljjJI (j-o Jl>-Ij (jj^sJIj fjjillj pj^jJIj 
jj^a 2 \l 1 U llj S.jj^Jlj jj_a2l (jjj^JJ SLpJI /_^ 
4-jLjLjla jl J a La 1 1 tl_i£. (jLa .3jLc Sjj i njll jj^'i/l 

J— L- lS -]1 ^-11 3 La ' ) J-jJLcoJ 1 . 7-J_L*3jjl JUJlJu j-al 

t JJLLj (jl » ^Laj i ■■ * u^aie-Lu J I t«Lj_aj>o 3jj9 0jLdi£.Li 

. L$_La (j«aljeuj| eLcSLxJJ i La j iuJaj I <>Juk (_^£. 
$LLaj_a (jla (JnlaJI i_2ji- (jl jj CjJjcj IjLo (jSL!j 
jjaju JljJlJI^. JuiuljJI (jl . j_&LLi j-j£. JaJLiaJI (jlSj 
. «L^»j_*Ij (j^. (J^LaJI j\jsejlj LaSL_3jj>Jl cUlj-Js f0^3 (j^. 
(jj a-g-d-i V 4_i (j-\-La-ij>JU (jLa <l»-j_<I< (Jj^* - ^' _J^J 

dllj^j^l (jl^ lilj . (JjiLoJI Jj-aljlII ^jj-u i_*j-cuj 
dJ I <ii V J a La 1 1 j SSJlX.1 1 n t,l (_, \r (jjjjJL i— ojSLs 



O-m-uj 4uiij (jg I j 'j ■»_' iJUl jj <-^Jl jl Ol aiSJI 
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Mechanism 4 :<WUtjlt iiiiJUal! <|f gJljJI pjgJjtfgH 
(Civil War Within The Body) («mAJ I J»l A ^ 4m1A2 I Wjail 

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i_ajL>J,l i La iii Li jl tij-*-jj (jl <jSLa-i SjLajj^VI oju* u^\ jl jJjVI jl ( _ > ^>jSLlIIj 
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oj L-j i " ___>_i ' .'^J to ■ '-- *l (JIaJ (_^>- ,/-"-> I *^*J^ 3jjL_L~ CjLcj-v _-J-- aLL-JLi 

.3jj3 

__.Lc I J Lu (j-~ jLli-VI ft---->l 'JJ^jj L»-i_) i3JL__ Sjj.j'-'l tfjufc i__j_i Ltj 
(jjjL-oi (j-Lcj ' I J 1 1 -»"_' (jl (__>iaJ^J,l jj'-^J _---1 4_u-ll_>JI jOV I (j-o (JjjLj/1 (_5^Lc 

C3-^ llH ;e - 1 J •L> 3 >^' (j^ °J - ' "^ lj^"' (j -0 ^5^1 J - ^ 1 *- 1 L7-^' SjiJI j-L-a (j^ 

«Lj_uL>- JLJL) I i .a "»■ i ^» ^ ^1j^ jLL?e_J (jA->- 5^JI ^j^* > ^ i n'ieJ (JLl>- 2l ^j-a ^-J^J 

x_a Sjl i h-^JIj 7=_|J-II (j^-J SJjl>l' (j-2 j^p-^l (J*JI (j_J^J (j' '-7^2 l*U jjj .(J^l 

. Jjlj j-JlC jua] jj i im!,I J^ i nil T^jjJI (jLi ynjl i n"tl 

(Drug Sequence) 

jLjis-VI (jl JL>o ijjJliJI Sjjjilj LlA Sr^L»JI "^ IjUJ «lj^ J'^'ai jjk La 



54 



l^^lg^j ii^A :JgUI li^QJI 



/- I c *lj.3 J j i a a " 3j.3j_i!l i_2jjJiJI j^jloj^j jJia . *" j i " Ij-ai (j-ujJ 
CjI jLJujVlj Ji£.ljJi]l UJL>-j 3JjJl>- 2jJ.il Cjj^Iij JjJoJI cilcre-Jl aJl2j I oKj 
pl_Ljl (jj LlJj-2 J 4_jjVI a'j-A, !_^S /n-La-CJl ^1 L?=1J JlSj . aIjjJI (_,lr _>JJ>JJ 
0J-& (j_a i_3Jl^JIj . jVI (_yaL>JI (, Lj l ia flj j ft (9) J S, ui ( _ T 3 ajj-ujJ.1 jl i nU 
' ■ 'J ' '" ' !j •(*"JI r I d iSJI (_jJI (J i-Q 'p"' - *" 7T^i-*J1 (_y^ j o~" ui (jl J-A 4_i5ejjI^jj-uVI 
aIJlJ-"ii iiL dlljj 1 1 mi ill (_,l-»-lj (j^ jj-^?- ^W 4jJL>. O-i-aic-iSi (__>iajjj, ^Lla 
l_ySJiSc "."tl I Jl^J 3_aj^L!l j_i^51_l«JI (_p «_a j djj 4JI L»S i(5) JSLji ( _ T 3 Qji I j rt t, 1 
aVjijIjJI jLiUj<t>.^Lc I JUJ (jl (j£Uj (_>iaJjJ,l I j-&J!La .(6) JSLi^yS Sjj^jJi,! 

(J-Ljjjbjjijjj i_jL£j_a £yi oj-lc. (j£. i aJoiej jl ajJI I j_& (jl dlli . (alprazolam) 
<tJ (jl (^ (Librium) ajj; x- tlJl_g i(Valium) aj_JLLII (Jiu benzodiazepines 
(_,JI Lxjj^v j_ljLL1I I Jlj* ?->-j^ J^J 3-iSI aJgJI f-L^JI CjLijjJ I \l <>■« Ij-jjLj 
La !j_&j ^jLijSLII 4jj^j3 (_y3 (extra triazolo ring) 4_lsL^I ^JjJLjI^ 2Sl-»- 

-J-I4JI CjljLiiiA (jrU (j-a jjfc-^2j|jljjJi (jl La£ . Sjjgjttl CjLjJl^J.1 (j£, oj-J-aj 

JSLJj .toxicity 2 j o m I j LSlj (_*-cLlal! SjLil l^fiij 2_<JLl3 j-lsLojiJI fj-<-ul 

La-ila UJ Licoj Lfcjjjijlj (J I «n"n nVI (_y3 LLal Lfc^iiii 4J| jJljJ i—jLuji^I ojuk 

. c_»j ilill A 1 1 iiilu 4juLLaj 

(j-a (_fj^l 'VJJL* ''" . 03^ * ^ J-*J 4_n i mi <li-ua-l dUij *Vj»^" £>_<_u?j LLal 
4-11 m'n nl i_aLSj! ^Lla (jSLaj V j j "» i^fjLuiil (j-a Ljj^j jl L Jjji.'^l Sjjj'i/I 
<LL*Jj . Cj La- i mi "1 1 I jLUa_a jLa£. 4JI ti»;L>- i_^g.i inll q^sjju1\ 4_uik>- 3Ljt£ 
4_jl /a3 . ^IjjJI 3.x.j^>J r-jJJLl.1 (_>^L3 JVI J (_^.bJ,l ojui (j^ J^L^^I (j^Laj 
(j^ Sj^Ll jl (j\£,jj 1 nl Jjlj .- 1 a iSJI ^Laj i_^>- ^j^jiLU! 3x.j^>JI ^jJuSj (j^Laj 
JjLlj (_^ ( _ > ii_jj_I,l jlj o"T 1 ill JLjJlJI^. (jSLal J-I4JI <JljLj_a_i i " . ii ^jj jLa .r-^L»JI 
.«_uLcul Aa-Jaj (J^L>- j^jjJijJLi ^IjjJI L&Jjlj fjj^i scj iSJijJl^. Ijj J •"■ ^IjjJI 
(_ T I^L»J jj^ (^pal^x. I ^_jJu I j ' la I jl 4ja2 2-3 1 i>JLA JlJ^. (_ T xi3^JL1 ^j^* I » ^ a -' ' " L5 

j»2fjjl^jJI (Jl o<"i nl (j^a 4_u-ul_La 3JjLa-a Jl»j 1 t-Sa Lujjj. «Li<iuJI jli jl Lai 

' . .j.Utl jLiiejj .TtjjjaJLi 4cj^>JI ^j^j^"'"" ; '"^jj ^LioLa r-^L«JI jLp^.1 t_^»-j 

2Lu>liJI aJSLtll jl iSjt^JII SjjLvVl CjLlwVI CjbLtixa (j-a I Jia-lj tiiti JUu 



55 



l^JLSJI yjbjA 



(Management Strategy for endegenous abxiety) 



JWj jJi 



(Alprazolam) ^jijjJl 



I I 






s^u-vi ob^i owir - 

Maprotiline 
Trazodoue 






t 



*lj tLLi 



^yj. j, ^ 






56 



l^^lg^j ii^A :JgUI ti-i^JI 

3_LjL«J! jl i(Triazolopyridine) ^ju^-j-ijJjjLjIjJi jl i(tricyclic) 3-^jIjJI 

.(tetracyclic) Su^ljJI 4-j^LjJ! 

*.i ulAsj ^yzJj^a (JjJ ^ i i n (lu (_£JSjJ3 (jjjL_ul (_ t 1^ jl_jIL>- 2(1 (j i n-v ^Sj^jj 

(^ Lkjj-I t_xJ*i-J ^ylll 3j-uL>JI jiSVIj 3-u-uii!l blj-U (j-o (j^L-ul ^yi^: (_£? 
. jLlo-V! dllj^uS 3JjcL»la11 Lhfi>23 }LJj (10) JSL<i Lula^j Jl3j.(jLxji^J! 
j_u13 ^ JUi^VI 5j^ (j-"^ 1 " (jt4^ ( l0 ) (_£-"' (jt^ Sjj^J-11 f^J^' ^ 
,^j^>*2\ )-££ 1 3 * J I ) *Qjjl_iL« J_t£. UoLdJ j '"■*" (j_« Q ' _^ ^ * J*-^- cP^ (j^-*-* 

j_Lc j-ljIiI! dll i cjjo^. ^ JLci^-VI jlj (jjLlII,! ^ ^jjjjlll jlj I oKj 
nj-\_*_o ^^.j-iL*- j_ljLj «lI I jULc jjl Ljjl>.j jjLa n^^i-al j .tal qjJLi iQjjULo 

jjij JLjlS jLo£. ^1 JLaljVI ^1 ia-UJI ^Jj jJlS O^ISLMI < j^r».".'.""jj 

Suj-a^ 3-sLjj (jJI j-o^l r-L^-l 1^1 L°l -cr^' ct^ 1 '- : ? l " j^H^' ^^ ' u - J^i 

4-t-j-i^aJ J-J^J jj>.| jLa^. (_jJI J aj '< i (jl *J3Ll1I JujiU (j-a jLi-o ?-^L*U sLcaL>- 

.j_uQj| di!i <j-o 
(j-uj (j^ (phenelzine) ^Ij 1 j i j'q jL-2-c Jlj-J V «ul JjJiJ 3-oLc ctAiajj 
(jXJ .(j^l ^Zs>- 4-JLt3 jjSLUI ji£l Sj-oiTjll 4j.ib-Vl i_jLLloV| oLtjlfT 
Lcjj < . , I U" j 4J|j «L^cjJ,l «LujL>JI juVI (_>^utj «Lt (jl Djji (j- ^) a "~ '.' '-*- a 
.(tyramine) <ji-alj-uJI SjLo ^,' a ^oaAll «lJJLll (j-o 
I jl 3JVj I j Vj » a " CjJl^sj (jl jjaj ^^lsLojlII aJJt (jl 3-oL»JI Sji^LUIj 
cLt_i_ul_La «Lc^>- (^iaJ^J,! (_ 7 1dIju (j|J3 . *_uu_ut Cj^i3 (j£. (JJ2J 3 JuL L_iaJL>"<< nl iJr Jb 

j-jjjj "-j^-j jiia SjiSLs (jj^ j«_uLjiI «LuLu ^1 j«_uLjii «CLji jj^ jGju S^lil 

I Jut -"jj"' jojj (<u .«Laj^3jJ,l j jal ^.11 CjMjlc 4-L-gL-u ^^ 4_iL La ^1 jLaaJI 
sG^Lii (_JJ-a i^j-iJ 'LuLu ^1 )«_uLjiI sCLoj (j^ Jilx-i S^j£ Jju JljJu>JI jLi«JI 
-j i u VI pip! (_yJI ^£. Jj 9 J*v ni (^ S^ajisjJi,! 5-ija-ijlj"ii nVlj . pi a iSJI i_ xi». (^ 

(Dose Adjustment) 
1_J (J^ej 4jjj^Li r-^L«JI J^>- lO^*"' 5-°^ SJ^-LS ^1 Jjj^a^JI ' ' '^;j 
SJLtaJI 4jjj^I ojuk (j^ Jl>-Ij (_gi f^ Icjjti! t-^**- i^all JjJ^tll! (jl J>aJ (jl 



57 



13-L&JI \J6jo 



•J^JJ aiUajs a-bJJ- «i»jAl *.^jU~aj Llj^ > • J5w> 



Depressed 
mood 



10 



Confidence 



Motivation 



Phenelzine 



Tranylcypromine 



Alprazolam 



Imip rami nc 



Maprotilii 



Trazodone 



Phciiclzinc 


Tranylcypromine 




Alprazolam 






Imipraminc 




Maprotilinc 




Trazodone 





Phenelzine 


Tranylcypromine 




Alprazolam 






Imipraiiiine 




Maprotilinc 




Trazodone 





Imp rami nc 
Tofranil J^'yy 



Maprotilinc 

Ludiomil \#>ji*^ 

150 - 300 



Trazodone 

Desyrel J^j,* 

150- 600 



200 - 250 



200 



2M) 






58 



l^^lg^j ii^A :JgUI ti-i^JI 



Figure 10 Merits and disadvantages of several anti - panic srugs 



II) 



«JAI ^j\jy 


Phenelzine 


JiM* 




Panic 


Tranylcypromine 


Jy 


jjm^* J^Lh 




attacks 


Alprazolam f^jj'jJ 1 






Imipramine 


jy'j^! 






Maprotiline j^jjjt. 






Trazodone t 


J*ijty 





/tiju.1 jfJJiJl 


Phenelzine 




^l^i y 


Tranylcypromine 






Anticipatory 


Alprazolam 


Anxiety 


Imipramine 






Maprotiline 






Trazodone 





Phobias 



Phenelzine 


Tranylcypromine 






Alprazolam 




Imipramine 




Maprotiline 




Trazodone 





Effective dosage 
range, mg/d. 



Phenelzine 

Nardil J^ 

45 - 90 



Tranylcypromine Alprazolam 

parnate ^> xanax ^uij 



20 - 80 



2-9 



Average daily 
dose. mg. 



(><> 



40 



4-6 



Sheehan David v., Current Views an the Treatment of panic and - 
Phobic Disorders (Drug Therapy, September 1982) 



59 



CJ\£-jir\ j>W XS- A_JbUl OtjjJta!' "t • j£i ^tt 



I3JLKJI \jbj£> 



1 2 



4 5 6 7 8 9 



Phenelzine 


i*AJl !»kj 


Tranylcypromine 


Increased appetite 


Imipraniine 




Maprotiline 




Trazodone 







Phenelzine 



j^i>*i 



Tranylcypromine 



Imipraniine 



Maprotiline 



Trazodone 



Phenelz: 



Tranylcypromine 



Phenelzine 



Tranylcypromine 



Alprazolam 



Imipraniine 



Maprotiline 



Trazodone 



Tranylcypromine 



Imipraniine 
Maprotiline 



Orgasmic dysfunction 



Phenelzine 


Tranylcypromine 






Imipraniine 






Maprotiline 




Trazodone 



Energizing &£o* oijub 

ettects 



1(1 



Hypertensive reaction with tyramine 



Subjectively unpleasant side 
effects (overall) 

pju-i u^j u^i ^jj 



Seizure inducing effect 



160 



l^^lg^j ii^A :JgUI ti-i^JI 



Figure 10 side effects at effective doses 



12 3 4 5 6 7 8 9 10 



Phenelzine 


v:>W 










Trai 


ylcypromi 


n C /^-»jjuL_ J^'y 


Alprazolam 


WJ 




Imipramine 


J^'jh^i 


Sedation yj^Jb jy^\ 


Maprotiline 


*!*,> 




Trazodone 


djajjlj* 





Alprazola 



Headache * u^aJi 



Tranylcypromine 



Alprazolam 



Imipramine 



Maprotiline 



Trazodone 



Constipation •JL—.'Vl 



Tachycardia wlsJi «#,. 



Tranylcypromine 



Imipramine 



Maprotiline 



Phenelzine 


Tranylcypromine 




^J 


Imipramine 


Ipostu 


Maprotiline 




Trazodone 









Phenelzine 






Tranylcy 


bromine 


Imipramine 


Maprotiline 




Trazodone 







Antichol ojIj^L" 
lengric £>Wa> 
effects jW^J 



61 



JLseJ La lj_uSLs . J ml i ii 1,1 ^IjjJI f-jj (j-o ?-^L*JI «La_uJ <^-±>- (j-o 4_ujjil J^\ 

jujulILi (j_aj>JL*j Ijlk ( _ T iis^a ' . 'Ij^ .'-.VI I jut /_i ^r* ■ '•*" ~- 1 1 >Ltls'^! ^1 

.(jlalj-C^I (j-o QJ *•> '"i J Ui-"j-i * f d'^lj 4-4jLiII (j-3 Sj^j-ll 4jjJ2| (j-a 
3jLc LaJlJ^j^ i<1c.jj»U (JjjJSjJI JiJji^tlll (_,lr 4-&LpJl (j -->" -- 1 1 3^->i J^J-^-J 
(Jj£ (j-o CjJlxj (ji (__>!= j^^jLI! (j-o (jLS (_g JJ! (j i n-a-"i1l (jjJLxj ( _ 7 i L$-La jnii u ji 

.<uJI rl^=ej La J^^ SL12JI cjbLjJ! (jj£i La LJLLj .<^ili 

( _ T lc ^yij^J.! L^j J (n acJ ^ylll icj^sJI (ji ^yji (_£>*"' 5-°^ SJlcLs aj 
3.jLL*_1! «LujL>JI ju2 I (j-aJLjj L^j(-o j < luJ (_ T lII 4cj^>J! ( _ T ji (Jjji^o 1. 1 mil 

(JjSjJI jaji^tlll (»a SjL^-ll o-<& L*Jjj • SioKJI SjijLall (j-uisdi 3-cj-»- J -v-ai 

jLjVI (j_a I JL>. j-j-j-^ jJ^ 3 Cj! J-^-j (jj-i 5i I SI a II (j '^ai jl , ^"<- V 4^.jjjtil 

.4-luUJI 
' a_i^aj ^yi (alprazolam) aVjjIj-jJI jl 2 » 1 3jLl»J,I 3_ljJljII <Lcj^>JIj 

. «Lj-^-J (_LS (j_a -I j" ' *l JlJLJ d_Cj^>JI Jii-JjJ . Lj-ojJ ^-"'j- iiM3 (^Ij^r!-^ 

(jl Lai I La j| ^IjjJI (_ysl taj "I U>^-i 1 * I "^-V < ^J"^>»JI J->j3 (j^»-J 
3_loJL>JI jLiVI jjj^ (JjflJ (jl 3j*-ujJlj . f LjjjVI 3-aJs *_Lj V AjJI (_y3 alj" 1 11 a 
(_yj| (J^isl 5^11^ (- 5-ii Jl3 <ic^j>JI jL)l (jlj 1- (jjjL«JJu jj< i"i1I I . aj 1 a a-j - 

. La JLv 
(j^ajj SjJ, Lj-ajJ Cjlj-a Cj^Lj Aljjjtjla cd-Laj ( _ > iajjJLl (JjLij Jju - (j£Lajj 
«LCij^>JI 1 a I ia3j i(j^_a^j Ji j»lj^a_i_La i_a_La-i jJJljlxj 3^.j^>JI ^Ij3 (ji - 

.iUSLaJI iTjLzj^JI ^JL».J ^yJJ 4j£Lb^l 

7-jljJLia ?-^L«JI (_y3 3-^L> "-^Ij-jjLj (_,lr J j , ^ ^- 1 1 3^j^LII 3x.j^>JI Lai 

«_cJ, 4_aj^L)l 4_Cj^>JI 1 La 1 "j j a ^-LjJ • Ll°JJ >— 'L '^^ 1 ^^^-^ " ' ' "~J ^J^J (j^-J 
J'^" (j-L^-J . LxajJ CjLalj^ijla «Qjj/ (jVI (_^>- CjLcoljjJI (_y3 x_L^-1 1 Cjujj 
4_j£ui3VI CjLcjjsJI ' aLjaj Llaoj CjIj^ CjMj (j^aljj»jLa J Jjla (_jJ1 3^j^>JI 

diLuJI j»J-cj i(jjjL«jJI (_ t j* 4 i «yijl\ <t;UjL>JI ju^lj -(»j-iJI JlJ.c 3^Lc 4^-i^aj 
t_cS^SLa r-lj-° LiLp-ij i(slurring of speech) a^LSLJI ^ JJaLpJIj 1(J m.U ji^. 
ct^I Ui^?-^ 5 ^ -^ ct-^J-^'j . (lack of motivation) SjjlsIjJI ^ ^y^ajj rLl^-a 

162 



l^^lg^j ii^A :JgUI li^QJI 

SJsLio^l jl J_4^eJL!I J^>-Ij_o (jjijLLa_j /<s_aj 3Ji^Lj jl (j\-j_j_u-u^ (^ jjt>^' 
f j will (j-u 7-jl^pj 5^o£ Jju J.v.'aVI <Lcj^>JI ^1 ljJ"i<j_) jl (_yJ! (tolerance) 

SjoJLsJI juVI - ~ . a aj" Ijl <Lcj^>JI SjLj) (_yJI j-a'iM rLixj JuSj .jluL! Sj^Ijj 
. 4_S-iL^u 4_!L«-£> At-j->- '/**-' ' -""' C-i-il£ (_ T J-tl SjijLill O-aJuul » 
jl <j-!C._4Jj-uf SjJ, aVjJjijjJI (Jj9 JjiiS'i/l 3jCjj>JI f_jl£. ^yzJjW (Jib I jLs 
(j-o 3_l3l£ 3-»-J J (_yJI (J-^J -^ (j^ jl J "^ O' ' , '^■k'tl ^\r- jjl^ »_uL-ul 4j^lj 

. (9 JSLi jJai!) *LLSJI 
7-jljJu 3 j_o ^IjjJI (_yl£- 3 ' ajj " ' . ■^jt->tl /j axi i "^ i Lou »Lfl.ifU I (jLs (jLa 
j>_a1 J'"n hLi (__>iaj^J,l (jjt>-l lil (_^>- •l£>*'' L> <3 '"' J ' ' lfl u-^'J JJ<3 '"' 'LLu (j-u 
(j-u 7-jl^pj (Jjjlaj jiJaaJ <icj^>J! i". ,'^'*'~^ SjL^JJI ^^3 sljjJI (j^. »l iVn n^LI 

a jiir"i i n_t *ljj (_gl i_aL2jl (_5-«-j-y V 4JLs -pj." "I i_p (^'j^*^- ^ <*l>? 1 ^' a ' ^"^" 

t£.5>J J-Lfl ,JL»-3 j_j-C (jl£_aJj tp 3 - '(J^UsVI ty l£. sL*i (Jilll r^Lc ,j£ 
jLa*JI (j-o l_jLe-uijVI jl"'T jjjU ^J jf 4^ u 3JUJI iU,, 1 !," S^Lji} ^1 lillj 

15 (_,_& 3jjJljII <1c.jj>JI jLa phenelzine (jjljJ_Lii3 sljjJ 3 j millj Lofj 

• ^-VJ' J' (*y 3j^Ij (_p aIjjxjJLo I 5 J Jjlaj <iCj^>JI jl Jl_p (<u . Llojj Aljja_iLa 
p-jj i ni (_)S jlji^j Lj-ojJ CjIj-o Cj^Lj aIjjjl-lLo I 5 ^1 3j£j^>JI J LaJ (jl J-*JJ 
i4-t-la-« t-ll 4_*jLSJI 4_ujL>JI juV I ^j^*.' J J k~ (jl (_,-!l Aljja-jlo I 5 Jjjlaj 
(jl 3-oL»JI SjLcLlILa iSj-Ja 3jjl-lu ^\ l£JJJ ^-J-^ Cj-'! (_>^i>^' J i^aj LoJlJI£.j 
3-A5 ajJI >U . , >. i cGjjLLa _lUi) i_iJ3l » 3-A5 ^ils oJJx. aJl!I Jajt-Lla i la j jj 

n_2j^jJI JlJ-CJ (jjjj_L->JI Jj^. AjJI 1 U » < '-- jj^LlSj yc i a '" c-u-uJI IjL^Jj 
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(jiaj-i jalaJi^L^I (_^a 5 2 .-ll cjI jLVjVI ,j£. dilj^j ^^LSLuJI r>L»JI 
3jj_j|jdt iuMiJI ^-jL^VI oIjLUm Jiu ^uLxJI Lijulj (^>i.Vl SjjjVI 
. (i_jL£L!I js±~\ u£ 3"nU S^aL^VI jju-all jl oUlj^JI S^SLs (j-o 
^jjijjus j^l Sjjjal jut «_ut>- /^ «l»jLiSl!I «LujL>JI jLiVI (_>ii*j -^>-j ol 
SjL^J.! jl Laii ,IluUI <Lcj^>JI (_,JI (jiaj^J,! Jjj-oj jl iM 3jL»JI (^ 



163 



(j-\J 7=_Jj_a (J.3'J"* Cr* UJ-^J - " jLu-"l-"i (J V"^' L^^^H*^' (J J '^ ul -"'J 4-j5LjJLu£V I 

e^M jt^lj UjJU 

( _ 7 J& i . j j U llj (_)iaJ^Ji,! (j_o }J-£ (ji (_gi .^_jLUl1! (j in-»»I (jJI Jjj-aji! LoLu 
4_iSLx-« 3x.jj>- i i i n ti J-Aj <— SJl^JI jij^'j (ji (jJ! SjjQUj j^juaj I ^1 «L»-Lv 

(Educating The Patient) 

Lx-AJ * xlajl > L^AxaJ £)] » ^1-^" ■ ■■ * i uaia (_£l (jl tc-l^c-c^ ■ Jj .?" I I o a-p L^JjLtJ 

fjjJs ^j* • a " -» " i-dl i it (ji i_3jjlJ (ji - JL^. J^ (_,lr - 2 ',j\l UII ^J| j^jj 
(psychopharm acologists) 2 j ■ •■ a ' II j_lJ3L2-»J! ^ -j* uzlic « (jj o . uj c-JaJI 
3ibJij>JI CiljjtVill Q^juLLij iSjjj'i/l oJL^j {^jusjW r-^^-C (^ (Ofl"^J ,J^. (jjiiiiij 
j j a I ^ . II ^_a ^ j . ^ ". -^ 1 1 ^ ^ ~ ~» _^ r' uaAJ i "I (J ^ L^jjlijtjjj njljaJ.1 ^^3 
*s_flsj i(_gj^j_l,l (^j-j-La-aJI jl^jsJI ji J?<ll f_j\r ^pj3 (_ylll Sjjj'i/Lj 2_; i ..^ill 
/. ... A I II . , Ull ^3 Vjl Ij-La-Ltaaej tjJJJi *lalaal <j-o i_jj^2l!l (_jl^. L*-lq.>- 

.j_j3LHjlILj r^L«JLi Jju Li^ IjU'mit ^3 i (psychiatry) 
pLjl ^.^."^-11 «Vjjk Sj_l>- jj-a 3 'I au . ..VI o_3' J, i>i j2>jJiJI ^^j^ojJll (_yl^.j 
t_j-taJI as_cu2 (jLSLo J**- 3 " f«-J 't_Ja_LI 3_jK t-J>s! o^-° -*' JL >- '•(jr'^" p^'^ 

Sj^lll ^LV^J! (> t_J=J! <^LK c_J£l) 3.^1 3_jKJ! .iiJj Jib ,,i^.11 

SJijJl^. 4-ulaLv 4-uuLlj Cjljii uu i na ( _ 7 3 5j^->-_a-a ^ i ...A'tl . . . U 1 1 ^| , ,,^1 I jja 

lil Lai '■" j • iLajl j 3jL£.Ltuil O^ajJL JiSj . CjIji-i mi" i ii 1,1 cdJj Ji-b 2j , ..A'.ll 
/a_Lc (^^ ?(_iS (Jj-oj (_yJ! (_>iaJ^Jll (j^LpeJ i— 2j i n^ I Jl>- Jljju (jl^la ( _ T 3 IjJli 

Ijlx»- LjjjJj Q^jjJLo (jVI (psychiatrists) ^r» ^ . .. A ; TI S LL S '^! ^ Ijjj^ (jl 



16^1 



l^^lg^j ii^A :JgUI li^QJI 

(jj/jjj^JlSLi SjL^Ju r&^JjJ u-"^ (psychologists) q^j ...AMI jj^ajjj I Lol 
(jj_iLiII 7-juuzj X dlljjj 'LT^j ' "AMI sLilaal JlLa ( _ T ji3 <_jJjJj jl I -JoJI ( _ y J3 

- IjlsLj r^L*JI (j-a pjjjl IJL4 (jjSL; La LJLcj .^^LuJI r^L«-" ^r^ o^p-^' 

^ 1 c ^IjJlJI 5j laj i ■■ /clij (jl Jjlj I ' aj ' -~* 3»q - ^jjJLUI J <^* II (^jS (_£j_L*_u LiS 
^^3 - I j Aj i aj (jl ( _ 7 $jl i nil r-^Ltll f_j£ (jj i aj -- 1 1 » jU" , ..j^ . 5-Ul allll CjujjJI 

» flJLj •" J J J II I "I (jl l_<0 l(_>ilJ^Jll (j-CU^O (_jJI Lj^Lxbl IjiJLJ - Sj_uS (jl_L>-l 

(j-o jjiiS (Jjiajj .4_Li^J,l i_2jL>JU jl Lujji!l (_5-l^. <— <-UTlI1 (_y3 <Ll^[> cLaxaj 
.(Jj^ai ;j« j i iiAill sLJa^l x_a (jVI (j\juuiiji\ £j* i a] -- 1 1 
Jl^.Luij Lx-Lo • I ffJt-iLija sUL-jtJjl 'Lj»j^ I ^ i ..A ',11 ' . c-uiajl ' a_iaj .LuJl-Ui a 
t -*- c -- 3 (j! i£j-*-^ i-aljufcV! /7^-C (j-a J-j_)_ll •« ■ J S3 (_j-3 ^ i ..AMI ^ ^". ^ 1 1 
4_3^_t_a (^gJ (j-* l^Lsb g Jj-^-aJl IJl_A (JILa (J o ili t (jl 7c^>-I^jI (j-«J .«L>-L>JI 
.^js>-x\ ' — 1 1 . a . a -»". 1 1 (—iLaj^si Jti^. SjjiJI CjVLa^j (_yCjj 
(^iaJjJL (j\J^ i n t 2f1 ' A ,^>j ^^^C (JJ-Ajl j_^j-« /y£ >q£l OJu\ ' A , ^> j i ^1"> i 2lj 

(jij j_uSL!l IjjiLijj (jl (jij'C i nil J^jJI i\ .s ( _ T ^3j-a (_,U'^ .(^j'C i nil J^jJI *l.s 

5j La j . .■ (J-iJa-al ,j I c IjJ-La acj (_ji ,_, . ^ t3i>^-" f -0 '-^tHJ LjjLjlJ IjjjlaIj 

. (_gjS i ill I (J^jJ I * I JiJ f^(ji<->j-o (_,i^. «LcSL«-a 
Ojui (j^ Ll^J (_p (_y3 3^.j^>JIj 'f'^J-II * l— <J I (j\Jj i ntVu (ji>JI CjLSjI (jl 

Sjisljpl (^^itu^j - dili^yJI 3^L^I - 4jLl«JI (jyij-cJJ .3j5LiCjljLl£:l dJLUjI 

.(JSIjjjJI (j^ 4_j£l£LII cj Lui£L! I i_jjjIij 

«_a (JjLjLLIIj i*ljjJJ-3_LajJ,l Q^\j^a^\ i .lr I (^-^j^. I^J I SjtjLllI OJl^S 
«L^_j_j_j jl ^ la . --j". ^ «L?t_uJ (j^_l Jjj'-AJ' (jjl\ (_5^J3 (_ T ^Ji (_ 3 -A juullluui (_^)iaJj-a 
. I JL»- «LiLSla j^a] (jiSJI j^jla^o T^Lcj .r"^L«JJ jjjh 

<l! r^Ltil (jr'j^' J 3 -!^' (jr^ '.'^.■^ ll J-o 0^i>^' d - ' a \' l£^' CjSjJI (jl 
r-^L«JI 4_L5tjjl^pjjil ( _ > ii3Lijj al«JI jLla^l ' , .jjl-tl JJLaj (_2jjj, j| .< nh >lj^- 

£^c 3_i^lSLo cjIjLJujI (jj-oJlJL tLiLjal (j^ Ij-j^j (jl u^^- . »IjjJI jLpi-lj 
3_Lflj^(j^. 2<~jjU« cjLayL*_o ^1 S^Lia^Lj i L^jjLjjj "tcj^JLi ^IjjbVI SjAj^ 



165 



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<j£L! iS-iaJLv jIjT f>sj JUl>.! liJjJj j! j-aVl ^jLj ^ ?.jX\ j-^Jj •& ^ 

(j_a (JJ^-J jLj2| oj-ifc (_gl (_>iiJ^Ji.l foJ-«JJ (ji-iilli (j-a f<S-C.jJI ( _ 7 1^.-J(j i nil (j-o 
(JJ^-J I g-llj i <t-Lo j-Lli. I I 3_ J 2 •>;-> LaJI <tCj^>JI ^Ir 3jLuuJI (JSVjJI 

.L*C>i 
(JLiufujVI i kfliej 2 jj_a2l oJui^^S ( _ > iajjj,lj ' , ^ -ktl 4JL1JJ (_gjj| CjjSjJI (jl 
*LSj_<Ij (_>iaj^_l,lj t_j-j-ilaj| (J-t^J 4_cSL!j n^i u3c^ (JjjLaJI (_£JlII (_ji^ (jiillj 

• £>L*JI ^ (j^JjUio 
( _ T 3j ' . '^. dljLijJ pLul (_5-3 (__>iaJ^xJL! «L>-Lil,l (^^a^ill (j-° ^i>? Ijuij 

j»_5-S-J (jl J j li t, I (j-° ljLI ?i (j-° lt*^/*' (J-°J •0^ a i>*^ ' .'.!.' ktl (^4^ (j-° ^i>i 
•/T^ » I I (0-^31 i nl-v «L(j| (Jj-»- i ."ill j<-£>- j I i a a» I J (_yi>- jl iCjljijJ.1 SjLjSLj 
CjJS^JI j^j3 4JLjj_Lijj 4£JlJ Cj Lo-lICJ I r.M n/i»1 ( Jj- 1 nj (jl 4Jl_Ju (j-o ljuij 

JjjUtl ^jj.1 ^^L. S^UJI ^ SjllIo I^-v^Lcj 3JL>JLi 3^jjJ,I S^Ljj (jl 

■*" 3" a J * * -il-i>J l^-*- .*" i '** * '^JjLJ-'y ^ c'^'' (1)-° LiLp»i ct^wA' ^^i "-^J 
La£ . L^jj_^c (_yi-c 1j-j-5-£ 7=-^-j-J £"^-»JI (j-° fljjzl aJJt Ljlj-o (jl (Jj^jJj 
. jjj i^TI (j_a ^^"jL^>- (_ 7 i^. (jj '<*>JJ->- (C-A^LlLsI (jl (j-« (jJ^SLij 
(_jjl3jj,l -— 1 1 . — . ^ 4jL^>. jJc - (_jjLlIu - aj-Sj ^IjjJIj si JjLII 3jl.il (jl Lji 
(_jlr *-»-Ijjj 1 1 j a i a j 2 j lij'Cj Sjj^'i/I J^ jj^* **•'** (^ (J^JJ L4JI ij '3 j**- i^aJI 
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. 5 ) j jS j LLi>- 1 

(jl 1 aj^-r-^ «JJ Sjuj^I i_aljui'^l (jx. j Mif «_il 1 nil J LtaAJI (^-Lblj JiSj 
Ij-uS (jjJj • 4_>-^Lcj (^LSJI ^ysj^a (j^. >LjjLa^3 J^iSI CjLa^l»_a (jx. CUJtJ Ajl 
. l_Cj_l Cjl_ojjL«Ji,l J'^»i (j^. li^ja-jJI 2 tjj "■ (_JJlA (J^SjJj 2 ( _ r ju3jX\ (j-o 
jjiuiJI (_yJI CjLjjSUI ^LloI jj^ (J-LJjJlII (j-a Jl»-Ij «_a (jjljuJI (^JjJ La LJLcj 
l _ r JusjX\ < la jj ' VI "-j^-J lilljllj . 3JjL*J! jl (__>iaJjJll Ji-LflJ Sjji^ CjLoj1»-o u^C- 
(j^iitjtj La LJLcj £yi '^"-^1 Ij ^LJa^U 3^vLll,l «^vljJ,lj <Jli^L>J,l 3*lj^ (jx. 
.Sjjjiuill ti^ijUtl ayA.\ (j-a j-uSlII 4juLLo ( _ 7 1^- (S^JjJ^ i^Jla (jj 1 <_i (j^>- (jjiLUI 



166 



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(j ii j lj-Cjl_aj I < U (j_o Sjjj (»^ (Jj-2- 1 ^ jl-CjLajUU j Lac ^^3 (J "'J* t Lijl 
( _ 3 _L^ij_ll j » i"ij JL3j . 5-Sj I mi 1 1 (j_o (_g^L«JI jLvu-lVI «_La-l '.'."" lj-° '-^'-'ji 
(Jr lj>- jl *ljVI JJju (j^-LjLp-I *->-ljJi,l aJJti JliLol 3«l_>3 J_t£.-(j^aVI 3-Jji=-J 
*j^- I Jui jl jjijjij La jLcj_<-u ^ (j A \ . pj-iiaa-a (_gl Jajv <— 2^tl>- VI (_£J-a (j-a 
j la ' /j " J a.J (J1_J jojIj plj—ca i 'II *j* .djaUII tLSj^iaJI j| -q_L*JI jy-$-La (j_a 
(Jj-3jl]| («JJJ iSjiJJoJI jlSLaVI (Jjia^l (JjjIaJI (_£JiI,l (j^- (j S jj (<sJ nj-UjiojLjLLa 
<±<_-a_Ljj j i mrTij Lajl-i jj LajJ «LlLjj>JI (jSJj •l£L>" (_y-^- '^J'^" p"-**"l L^\ 

.Jjji^iJIj 4J3jJI (j-a -^ij^ (!>£■ jl > i~" "V 
JiJSj . <La.}L2JI CjIj ! i nil /^ ojLJujIj (__>iajjj,l (ajJjLJ 4_La-&l jljijj (_2aj-uj 
J ,^"aij i _, U 1 1 ji (j-^J ill 5^-mlllj toiaj. »/_iji <13jj<Ji,l (j-a ^LilJS (jl ,J-l3 
r" 3 _ .'"'"' (j-° Vjj Cj LajLtJi, I (jja «_ij2lj JJ>1' (a->J^2j J-A ^JSLiiil oJl^J r"^Lc 

. JjVI J^dl ^ I^-lLc JjjLajJI ,j£. 

wlMrU^I^ 4riU«al2t <UUL* 

(Monitoring Response And complications) 

1 i j 1 1 m-i jLj.}Lc jVlj_<-u (jljui «S(JiLiLA i^JLui (J-&»j « jiiDLv <_ i-p» 

2 I j j m-i (jl i ii iVl I i j j I c J-*- 1 'S-^jLi. 3 jj i a J jl La-j i uj La-<fcj ' . '^j'-'tl 
(J a LajJ I jlj LaiSj i^LiLi LcJ>j"h na jLxjjy (j-dlj\cu]l (JJJlj* (jSL! . La^l&LxILij 
jljjl idiLaj I < II (j_a ^J j LaaU, I -ilj I o K j i4-aJ^ j^iSlj *— <a_(T <IjLajl*-a ( _ T i^. 
^_j"l j 2 a (_,JI 4-^-L>- (_j-3 (j^e_L3 liD jjj .(—i-ila 7-^Lc (^l Jj-cajJI JLao^-l 

i-il Aj~ I ,>.l lj 4_ujL>JI jLjVI 4_i «_jjjjj (__>iajjj,l 3JLv 4_i jjjijJLi JJiJtA tcl^Ij 



(Monitoring Overall improvement) 

j I n^"!' ^LC jjjjLlOA . a! Jl^"i ( nl ^_A j I n'r"!! jjjjLlS iJ ^ «L^Jjia ' la I '■ ** jl 

/ojJl2j /ojjj . I I JSLJo ^ jijjvjII (J^LloII J!La (Global Improvement Scale) 
<La taj p|_LaAi| Jjlj J^j i aj joj . (3 i laj ' a CjIjj£ (_t^- jl) pjj ' "I (Jj ^l-^JJ 
.(12) (C^j (JSLiJI ( _ T 3 (j^-J-a j-A LaS (_5-iLu Jai- (_,ig. (aj\>II f*-"^ ^Sh 1 ^- ' 
ja-^J.1 (j-SUj t«l S j ? -»o /oj La (_JJ^ (_gjj ji-Sj^vlj «L>J, ^^a-J ^ mi l (Jjjj 



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J , >. "aij dlxx. ^^JLjJj (_£J-1I La 4J3Jij (jl^Jcajj S^LJi,! ajjb ^Ir I i j "I i" ftl 

(_j|jj>JI J£ r-Ll^o LxJlj • L^K 3JUJI <Gl£j JL>-Ij (_>3>c (jlc aLaIaVI J£ 

Jl_lAJ,I (j_o 51 J i uljja >t^i_L)1 (j-o OJ^i Ct-^' ' .'L-' *^ a ^'l L r* J l> : ?' L3-* ^*^ 
7-Lj>o ^J-a (_£j-i (_3-J-*- ' ** LuaALa I J i uuJ3 (3^-* J (j-^JI '-r*- 1 '^?^' L ^-^ U^-""^" 



169 






*!jjJL j->Ul] 4_luUJI jlSVl - 
(Monitoring Symptoms) ytoljfiHI <WwL# 

|j_jj_23 I IjU.ya (J^LlSII I JlA (jjj JjVl «j-^JI Lai (7 J< mi jJaJl) . 4j|jJ 
Li-ila «_' (jl (j£L«-i3 (^Oll «j^>JI Lolj iaI lalulj Cjji^o (_yJ.ll <__*= I j-C 2 1 CjujjJ 

dJJij 2 1 nj'ijJI 3_ijl3jJi,l i_ajL>JU jl Luj^II pl^J! (j-o JSLI I a I" -» a I^jjJjj 

(jl jjfc i_2Jl^J!j . L4I0 JL>-lj j_p ( _ T 3 tj/JzJijW «LuL«j (_g JJ! jjlaJI jl jJLa i.^ni'v 
(__-]| Lt-L<t.-v i_2jL>JU J I Lujjill plj-il ■ la • j" (_yi>-^JjL2jJI (_paqAsej (_^ j 0" 1 n" 
. dJtaJLv (_^ (j 1 ii-r"ll (_£Jla (j£. (JjjLl2^j ijjjji^j I Juij . 4_Lo LjJ>^ Jl J fl-LaJI 

(Monitoring Attacks) yLjJ I <UWL« 

(_J3 (jl_jj,l 3_lJ_iJI (J-J-Sj J-J a! JlJt"i iiU (Jlfljlj xJL^-11 CjUJJ jjjiLlS (jSL«-! 

^LijJJI jrt_i LoJ-j-uiiU >LJj sLolaitl^l .jS-a^s 18 j£L<i Lafj . 13 j£L<i 

*_o (^jtj (jlll oLijiJ! liJjL^k:! (^ JLi-tj (jl liLk: (I) «j^>JI ^-aS . 3-flJiiJ.I 
3Jj^A_j Lg-La. LxaJ (_ T J-!I CjuaJLlI (J^- 1 n"j . SjlTii ul j-J-ij jl SjlTn nVI (j-a (JtJ^2 

j-j-c. « I it cjLjjJ L^Ji (_yi^- 1 2 ■ ■■"* 3-*J3^aJI (_y3 L«-o JiiJl^o ^i^l jl (__>i>!jx.i 

Jljj (_,-^-2 p i n^JI (_y3 (jJj ■'•"•' jl lj uac cuLflS cy-*-" CjujjJI Loij . 4jL2aio 

.4-Lut 4 l-ij i f ' 4_uUilj Cjujj 
l-o^Ij^j iU -~ »~ (_ylll (jlaJI Cjujj Jj-a- i n"l (_^a i^A» ^ _4^9 ("-j-O *>>■ Lolj 
(_ 7 Jal j"u nVl (jiill CjujJ)) (j-a-cis < -j i ii •>"^ . L&jLajjj L&LcuJej aJJca^ «Lajialj 
L-iJalj^ (_y3 J^i-jJI J-\p3 (jlaJI I Jj'« Jjl^lj ct-^' tliljJl! JJLc (((jjiSjlJ! jl 

(jj£i <j^->- ii-iJ^>«j ct-'J' ?-W (j-° <: ^>-'-^' cjL>-jJ,I Laij . LijLfljjj L&LliJtj 
. (situational) 3_LoJ3j_a > lit vIjLi^J L^Ji (_,lr l^lj-a- . n" (jjSLi i ^j-> a i ^ Qj a ^^ 
JljIjjJ,! (3-L2JLj o-u^j J-5.a 3_a^-^)J.I Jljjjial (jh^ 1 ^ ^- a ^-^ l^la 



70 



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dSiiJLcji uij *_L* 3-jj-i (_ T JHjL^3i ^J cjjLaj liLo)) : (Jsl i m"j L4I0 <_j^L23 Cj-iIj 

La LJLcj ^ j a 3 j a *_L* Sjj-1 iiJLl3 cULS xJL^JI jj-a 4l>-uLa <1>-j^ (jjjLa.} » JaJ 

tjjal runVI jjliill ^yJ! (Situational panic attacks) <JUa5^JU » 1^11 ^Li^J (-aLiaj 

. (anticipatory anxiety) ^yjLSjil! ji 
oJlj* (j-o 4 La 1 "j" " 3-JJ-i (_p L$\> *~ 1 n"t (_jjJI SjJ,! Jj-a- 1 n"t ^^3 i_tC^3 jiaj 

jj£! <_,-& 3jJl«JI Q^^j ■*! (10) ^-J^W L&L-aJsl ^ 5j Mill jJl23j . Oj_l*3 

.aLjJI »La-j" 1 nVI ^ j ■» (JjjLl2Ji,1 ljui ^Ir j flj a 1 I 3-»-J-5 Lai . 3-cSLa^a S^vjJ 
Imi'i (JjijjLSJ.1 (_p ( _ t 3 CjL>-jJiJI ijjjiajijtjl i?"^L»JI *_o dJbJL>- <"< i i n-sj I nKj 
. I iajl (_5-iLu Jai- (_5-l^. CjLvjjJI ojui («-<-"_) " ili-t-i.-y I (jl - »^'^" i ujj i I'm mi^ 



(Panic and Anxiety Attack Scale) 






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t ijiSjll *JUl Obji * 

(Situational Panic Attacks) 



171 



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(Limited Symptom Attacks) 

4-jji^il oij-^il jj^l^NI ^LijJ 

Situational limited symptom) 
(attacks 

C^= j^ y u^ j**- "j-A^= iJL=T*3 c-jIj^j 

Ct^/ j' cy 3 -^ ioj-A^ ^JL^sj djljjj 
*_-— ~! 01 ^j^- ^y j>£ ^Jz*y J OjSsJ 

(ijjl 



72 



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(Monitoring Phobias) Ulj^t triglot "ttjU 

( _ T 3 cTV^' 3 " J^ " <» 1 JI-*jjj/ u *luuu3j\\ i_2jL>J,I jl Lujjill (Jj/LlS (3^-4-1 

^yjJI 3_lx^jJ.I i_2jL>JL! j I LojiJI f!>il (j^LloII I Juk J o uug . (14) J£L<i 

jQJej (jl dl!l_tuj (I) (<s-J9j JlJ-jJIj .(Jii!l (_p3^XJ u^jusjXI (_£jJ I^^J^J "-^J-* 
(al 'I ■->""' (_gjjl »(_, mi II jl i a Qj 1 1 jl) (j nj^JI l _ r JusjX\ <— 2^J»JI jl LojjUI 
^^-l^j-II i_2_j^>JI (_, ii j 1 j j_o2l I jui p^jjji J£ (^ jJ^2j f<u . <l».^Lc. JJjJJ 
jjj LUC ^1 J lilrO (j-O 'L^j-i (Jj^ ' •l***Ji C7^ J^^J 'O^*' '' jLjk (_7^ 4mjj 
(JJ-a (JjLjjI ^^-Lc L<k^jLj>oj J'C mi II ^^i^.' (_y3 Ji^vjII (JjLlSILj LjJ^'iina 
Sj-ftC al ^^3 3j-uiuLj » ■ >>" j<u I ^ aj 1 1 dlti ^^3 (_L!.J^vj <tjJI (_£-JJJ i^JJI jl"H 
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«_L<t>- (J-23 (jl (j i n-»-"ill J-oj (j-ajJI JJ>-*JJ t T t ^'>" (j-°J • ' (jlo**-a (_,-3 i_Llj_t£. 

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. ?-}L*JI Cj}Lx-a (j-o (JL>JU J I «Ll>-L(JI eJJb ^2k-1 Jl^jsJI j_p^3 dJ njt-i (_,i^.J 



(Phobia Scale) W jAI (J^Wl §\ LrijiH </<M* I 4 J&ti 

(J^>- S^jl^ f«-^"j' (_3-ILlI' ' : ^!- c ' ^ >^' •— 2jL>«JU (jjjl-LLa ( _ T 3 CjuLlJI ^L«j (_^J 
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^JJ j^>^ ^j.a aL9j^/1 Jl>.| (J^>- 5j_j1 J ^j-uj1j i^j^-*-* ' ^* a J A tj-* ti^b^>- SJljIu 
i j «j 1 1 L*LI!i (_j_L>o (. I r dJL-3j^>- (_JJl^ (j^-jll (_j\n i nil ' a uaJI ^^ 4jujI 

.^^LijV JJj^ 4JLlJI u^uLSlI ^Jiel^lj 

S3_JLlII Sjj^jJ,! 1 j Ja I j 1 1 (j^ liia^i. Sjui ^Jla jj* La 
10 98 7 654 32 10 



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SI jj uil ->■" jl 3_JLl!l Sj^jiil 1 a S I j 1 1 '-7*-'^ (_jlf dJLoaj^v j-ij-o Lo 
4 3 2 10 



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. jujlxjJLi aj£'±\ 1 1 jo^j fjjusjXl i_a^>JI jl LujjUI 

10 98765432 I :^^J! Sjui 

4 3 2 1 :(_gjliaJI (_£JL« 

JjJijtilLj tf^i il i2 jcJSj ( _jj^3jJ,l i_2^>J! jl Lu^iil 

10 98765432 I :^^J! Sjui 

4 3 2 1 '.(^.jLfljJI (_JJLa 
. Jjji^tllu tf^Sj! i3 joJSj ( _ T xisjJ,l i_2_ji»JI jl Lujjiil 

10 98765432 I :^^J! Sjui 

4 3 2 1 '.(^.jLfljJI (JJLa 

10 98765432 I :^^J! Sjui 

4 3 2 1 :(_gjlijj| i_JJLa 

:lLIjl>.j OJlj Jj-UI (jc jLjlIiVI -2 
10 98765432 I :^^J! Sjui 

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ilaJi ila £Ljc_lj_i CjJljso j I ^ 1 1 j *_L$J! (j-o 4jl3jILo j_lC «LuL?t£ Cjujj -3 

10 98765432 I :^^J! Sjui 
4 3 2 1 :(_gjUjJI ^jLa 

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10 98765432 I :^^J! Sj^i, 

4 3 2 1 '.(^.jLfljJI (_JJLa 

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10 98765432 I -.eis^J! Sjui 

4 3 2 1 -.^jLilll ^JLa 

.^jlaXI Sjl^IjJI (j^LaVl -6 



171 



i^^lg^j iiij» :JgUI li^JI 

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10 98765432 I :^^JI Sj^i 

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. IJ43.J <_djjj jjf -8 
10 98765432 I :^^J! Sjui 

4 3 2 1 -.^^Lilll ,_JJLa 

.4-UjiJI 4jLus^I ^ jjSLilJI -9 

10 98765432 I :^^J! Sjui 
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. I J '"* 3«ljJL!l j I (jlalj^^l ji 3-i3e uaJI CjLc.jj^jJ.1 j I j -»- f pi o < u - 10 

10 98765432 I :^^J! Sj^i, 

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.iaUJI <j£UVl <y3 Sjb£l j? lj^AJIj J^Vl -II 
10 98765432 I :^^JI Sjui 

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10 98765432 I :^^J! Sjui 

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.r>^el!l j! «.LpJ! jujLji dliV (jj^i-VI x_o cita^-j -13 
10 98765432 I :^^J! Sjui 

4 3 2 1 I^jLill! i_JJLa 

10 98765432 I :^^JI Sjui 

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j loJl) Living with Fear «i_a^>J I ^ ( jljbLlJI))<_jLj^3jL».lj^ ( _ T L-3'^l d^jtaJLi 



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5jj i n j a cL^j^Lij ^jjejuI 1 JLA ( I 5) ^J S mi iJ7 ^2 (j\-*S\ j^ju] (j^jLuLa ^j ajua la 
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(Monitoring Side Effects) <bMllaJI jUliil 4MU» 

JlJ^. I Jlj* ^jJl23 (^SLxjj .2JL>JI a'jjt ^^a 2 ii 1" -^J, I 2tl .^.tl 2jjj'i/l < . ^ I . ^" 



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/<u ir-}L*JI ,j-o (jJjVI 2 LjJ-SJ I «_uLj/'^I ^i CjLvjjJI (JjSj La ^Ir ij .(j-ojJ! 
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78 



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Side-effects Checklist for anti-panic, anti-anxiety and anti-panic medications 

(jlaljx.'^l (j-o u^ojc (_gU 1". 1 11 1 n-»-l jjs l2*J& (jl ^J3 (jl «LvjJI :CjLxi«3 
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4 3 2 10 

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4 3 2 10 

4 3 2 10 

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4 3 2 10 

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4 3 2 10 

4 3 2 10 

4 3 2 10 

4 3 2 10 

4 3 2 10 

4 3 2 10 



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jlj flj i ■■' aJLcj Tr'-j-'k -5 

d taj . aj /"il .*:.! «"jl -6 

. Cj La- 'i i"i~ -7 

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.j^JI <y3 ail£) -23 

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180 



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.(J-uUtlllj jJlJJu JJ< Mill -30 

.Jaj-ill JoLiiJI -31 

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.tLuio^l tjl j i nt -33 

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(j5£] jl ^Ijx.! 4j>Ij) Panic attack j-l^JI 3-ijJ 

(Situational Type I) (Jj^l £><J0 q^j" j-L<k -I 
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181 



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(Anticipatory Anxiety) ^yjtSjill jl ^^Jal uuiVI jlH! 

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210 



The Phases of Recovery 



Phase 1 Doubt 



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,3ii ctljJLl I & * ' <■> 1 j-a ^^3 3 nl**c^J,l *1jVl 

Farm, W. E.; Karacan, I.; Porkony. A. D.; and Williams; R. L. Phenomenology and Treatment of 
Anxiety. New York: Springer Medical Scientific Books, 1979. 

Klein, D. F.; Gittleman, R.; Quitkin, F.; and Rifkin, A. Diagnosis and Drug Treatment of Psychiatric 
Disorders: Adults and Children. Baltimore: Williams Wilkins, 1980. This is a classic in modern 
psychiatry. Written for psychiatrists, it is a gold mine of information on the range of drug treatments 
available in modern psychiatry and how to use them correctly. The first Author is a pioneer in 
medical psychiatry. 

, and Rabkin, J. G., eds. Anxiety: New Research and Changing Concepts. New York: Raven Press, 

1981. This is a valuable collection of papers by experts, reflecting the changing concepts on 
anxiety and anticipating future trends. Written for psychiatrists, it contains the best of the biological 
viewpoint. 

Lader, M. H., and Marks, I. M. Clinical Anxiety. London Heinemann Medical, 1971. 

Marks, I. M. Fears and Phobias. New York: Academic Press 1969. This was the principal reference 
book on the diagnosis-and classification, and the behavioral and psychological treat ments. Of 
fears and phobias during the 1 970s. It was a very influential book that set the stage for much of the 
subsequent research in this area. 

, Living with Fear. New York: McGraw-Hill, 1978. 

, Cure and Care of the Neuroses: the Theory and Practice of Behavioral Psychotherapy. New York: 

Wiley, 1981. Living with Fear (above) was written for a lay audience, while this is the more 
technical version of the same ideas written for experts. Marks has been a pioneer in the behavioral 
approaches to phobias and his work embodies the best of the behavioral. Views on anxiety and 
phobia. 

Mathews, A. M.: Gelder, M. G.; and Johnton, D. W. Agora, phobia: Nature and Treatment. New York 



232 



jzpljoJI 



Guilford Press 1981. A technical overview of behavior therapies for agoraphobia. 
Mavisakalian, M.; and Barlow, D. Phobia: Psychological and Pharmacological Treatment. New York: 

Guilford Press 1981. An overview of psychological and drug treatments for agoraphobia. The 

biological and drug treatments are under represented. 
Sheehan. D. V. 'Panic Attacks and Phobias'. New England Journal of Medicine 307 (1982): 156-58. 

This is a brief overview of some basic assumptions about this disorder and how to treat it, using a 

medical illness model. 
, 'Current Perspectives in the Treatment of Panic and Phobia Disorders'. Drug Therapy (September 

1982). A succinct overview of treatment strategies for anxiety and phobic disorders with special 

reference to the newer psychotropic drugs. 
, and Claycomb, J. B. 'The Use of MAO inhibitors in Clinical Practice'. In Psychiatric Medicine 

Update, edited by J. C. Manschreck. Holland: Elsevier, 1 984. A cookbook guide on how to use the 

MAO inhibitors. These are among the most effective drugs for this disorder, although troublesome 

to use correctly. 
Weeks, C. Peace from Nervous Suffering. New York: Hawthorn, Books 1972. 
Simple and Effective Treatment of Agoraphobia. New York: Hawthorn Books, 1976. This and Peace 

from Nervous Suffering (above) are clear, simply written books on agoraphobia for a lay audience. 

The most easily read of all the books Listed, they are reassuring. The treatment sections are some 

what outdated. 
Wender, P. H., and Klein, D. F. Mind, Mood and Medicine New York: Farrar, Straus, Giroux, 1981. 

This may be the best and most current presentation of the biological and medical orientation to 

psychiatric disorders for the lay audience. It embodies the best of what modern psychiatry has to 

offer victims of these diseases. 
Wolpe. J. The Practice of Behavior Therapy. New York: Pergamon Press, 1969. One of the first good 

books on how to do behavior therapy by an early pioneer in those treatments. Much of what is 

considered novel today in behavior therapies was described or anticipated by Wolpe in the 1950s 

and 1960s. 



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