Panic Disorder Flashcards
What is a panic attack?
Intense feat that something bad is going to happen
Period of uncontrollable anxiety of sudden onset
How many panic attacks per month is diagnostic?
4 panic attacks per month
What is not enough for the diagnosis of panic disorder?
A single panic attack
What are the possible symptoms of panic disorder ?
Shortness of breath • Dizziness or light-headedness • Palpitations • Shaking / tremor • Sweating • Numbness or tingling int he hands and feet (parasthesia) • Hot flushes or chills • Chest pain • Fear of dying
What do patients having a panic attack have the fear of?
Dying
Something bad happening
How many symptoms does a person need to have for it to be classed as a panic attack?
4 of the symptoms
What are the requirements for the diagnosis of a panic attack?
4 symptoms
Acute onset
Panic attack peaks within 10 minutes
With which conditions can a panic attack occur?
Depression
PTSD
Substance abuse disorder
What other fear and anxiety disorders are panic attacks associated with?
Agoraphobia
What can develop due to recurrent panic attacks?
Agoraphobia
What is the first line management of panic attacks?
CBT
What is the second line management of panic attacks?
Drug management
SSRI- Sertraline
What would you give if the drug treatment is contraindicated or there is no response in 12 weeks?
Imipramine or clomipramine