Anxiety Disorders 1 Flashcards
What is the definition of a panic attack?
A sudden, discrete episode of intense fear or discomfort
What is the usual timeline of a panic attack?
Usually peaks within ten mins, most end within 20-30 and rarely over an hour (but patients may feel anxious for hours after)
What is the hallmark sign of a panic attack?
Sense of impending fear or doom
What is the diagnostic criteria of a panic attack?
At least four of the following symptoms of sympathetic system overdrive
-Dizziness
-Trembling
-Choking feeling
-Parasthesias
-Sweating
-SOB
-CP/discomfort
-Chills or hot flashes
-Fear of losing control
-Fear of dying
-Palpitations / tachy
-Nausea or abd distress
-Depersonalization or derealization
Define depersonalization
Feeling detached from onself
Define derealization
Feeling of unreality
What is first line for panic attacks?
Benzos
What must you do in work up of panic attacks?
Rule out life threatening conditions (MI, thyrotoxicosis, etc)
Are panic attacks an anxiety disorder?
Not on their own, but are a feature of many anxiety disorders
What is the average age of onset of panic disorder?
Early to mid 20s
What adds to the risk of panic disorder
1st degree relative diagnosed
> 60% of patients with panic disorder also have ______
major depression
Panic disorder is more common in (gender)
Females
What are the diagnostic criteria for panic disorder?
- At least 2 recurrent, unexpected panic attacks (may or may not be related to a trigger)
- At least one of the following for at least one month:
-Panic attacks are followed by concern about future attacks
-Persistent worry about the implications of the attacks (loss of control)
-Significant maladaptive behavior related to the attacks - Symptoms are not due to substance use, medical condition or another mental disorder
Diagnostic criteria for panic disorder:
- At least ______________ (may or may not be related to a trigger)
- At least one of the following for at least one month:
-Panic attacks are followed by concern about future attacks
-Persistent worry about the implications of the attacks (loss of control)
-Significant maladaptive behavior related to the attacks - Symptoms are not due to substance use, medical condition or another mental disorder
2 recurrent, unexpected panic attack
Diagnostic criteria for panic disorder:
- At least 2 recurrent, unexpected panic attacks ____________________
- At least one of the following for at least one month:
-Panic attacks are followed by concern about future attacks
-Persistent worry about the implications of the attacks (loss of control)
-Significant maladaptive behavior related to the attacks - Symptoms are not due to substance use, medical condition or another mental disorder
(may or may not be related to a trigger)
Diagnostic criteria for panic disorder:
- At least 2 recurrent, unexpected panic attacks (may or may not be related to a trigger)
- At least ___ of the following for at least _____:
-Panic attacks are followed by concern about future attacks
-Persistent worry about the implications of the attacks (loss of control)
-Significant maladaptive behavior related to the attacks - Symptoms are not due to substance use, medical condition or another mental disorder
One, one month
Diagnostic criteria for panic disorder:
- At least 2 recurrent, unexpected panic attacks (may or may not be related to a trigger)
- At least one of the following for at least one month:
-___________________
-Persistent worry about the implications of the attacks (loss of control)
-Significant maladaptive behavior related to the attacks - Symptoms are not due to substance use, medical condition or another mental disorder
Panic attacks are followed by concern about future attacks
Diagnostic criteria for panic disorder:
- At least 2 recurrent, unexpected panic attacks (may or may not be related to a trigger)
- At least one of the following for at least one month:
-Panic attacks are followed by concern about future attacks
-___________
-Significant maladaptive behavior related to the attacks - Symptoms are not due to substance use, medical condition or another mental disorder
Persistent worry about the implications of the attacks (loss of control)
Diagnostic criteria for panic disorder:
- At least 2 recurrent, unexpected panic attacks (may or may not be related to a trigger)
- At least one of the following for at least one month:
-Panic attacks are followed by concern about future attacks
-Persistent worry about the implications of the attacks (loss of control)
-_________ - Symptoms are not due to substance use, medical condition or another mental disorder
Significant maladaptive behavior related to the attacks
Diagnostic criteria for panic disorder:
- At least 2 recurrent, unexpected panic attacks (may or may not be related to a trigger)
- At least one of the following for at least one month:
-Panic attacks are followed by concern about future attacks
-Persistent worry about the implications of the attacks (loss of control)
-Significant maladaptive behavior related to the attacks - ____________________
Symptoms are not due to substance use, medical condition or another mental disorder
What medical conditions could cause panic attack-like presentation?
Thyroid
Hypoglycemia
Cardiac