![]() ![]() With treatment based on this understanding, further paroxysms were eliminated in 13 (62%) of 21 patients. Such emotions were related either to previous severe emotional trauma or to a general tendency to keep distressful emotions out of awareness. ![]() Nevertheless, with careful psychosocial interviewing, the disorder could be attributed to emotions patients were not aware of, and, therefore, unable to report. All 21 patients insisted that the paroxysms were not related to stress or emotional distress, initially discouraging consideration of a link to emotions. This case series, summarizing the course of 21 such patients, suggests a cause and an effective treatment approach. However, most patients with this disorder do not have this tumor and their condition remains undiagnosed and ineffectively treated. ![]() Severe, symptomatic paroxysmal hypertension always generates suspicion of a pheochromocytoma, a catecholamine-secreting tumor.
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