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Panic Disorder Without Agoraphobia

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Updated 2011-06-15 09:52

Summary

Panic Disorder Without Agoraphobia, and related terms.

Symptoms

Question Answer
Must haveRecurrent unexpected panic attacks
An Attack followed by 1/3 for >1mthPersistent concerns about having additional attacks
An Attack followed by 1/3 for >1mthWorry about the attacks consequences ( Heart attack, losing control, going crazy)
An Attack followed by 1/3 for >1mthSignificant change in behaviour
Absences ofAgoraphobia
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Panic Attack Symptoms

Acronym: STUDENTS FEAR the 3 C's
Question Answer
SSweating
TTrembling
UUnsteadyness/dizziness
DDerealization/depersonalization
EElevated HR
NNausea
TTingling
SSOB
Fear ofdying, losing control, going crazy
CChocking
CChest Pain
CChills
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Other Anxiety Disorders

Question Answer
Panic Disorder With AgoraphobiaPanic Disorder and Morbid Fear of places (Esp Leaving the home, Open spaces, crowded places)
Agoraphobia Without Panic disorderMorbid Fear of places (Esp Leaving the home, Open spaces, croweded places)
Generalized Anxiety DisorderExcessive worry about everyday life circumstances and events. > 6mnths
Specific PhobiaSpecific objects or situations causes intense anxiety or distress. Recognises fear is excessive and unreasonable
Social PhobiaSocial performance causes intense anxiety or distress. Recognises fear is excessive and unreasonable
Obsessive CompulsiveRecurrent thoughts or impulses with repetitive behaviours. Obsessions or compulsions cause marked distress and occupy >1hr/day. Recognises obsessions or compulsions as unreasonable.
Post Traumatic Stress DisorderAnxiety produced by an extrodinarily stressful event. The event is commonly relived in dreams or waking thoughts. Avoidance, hyper arousal >1mnth
Acute Stress disorderPTSD < 1mnth
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DDx

Question Answer
Depression30% may coexist with anxiety
SchizophreniaAnxiety common in addition to or prior to hallucination or delusion (also in other psychotic disorders)
Bipolar IAnxiety common during mania
Adjustment Disorderpsychosocial stressor 3mnths prior to onset.
MedicalHyperthyroid, MI
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Tx

Question Answer
Benzodiazapinesalprazolam, diazepam (Window for psychological Tx, longer acting)
psychologicalBehavioural activation esp, CBT, group
Behavioural TherapyHabituation of exposure - regular, systematic, prolonged
AntidepressantsSSRI, MAOI, TCA (not very effective)
SymptomaticB-blockers
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