Panic disorder

Question 1

what are panic disorders?

Answer 1

recurrent
unexpected
panic attacks

Question 2

what is a panic attack?

Answer 2

abrupt surge of intense fear or intense discomfort that reaches a peak within minutes

Question 3

F:M ratio for panic attacks

Answer 3

2:1

Question 4

Onset of Panic disorders?

Answer 4

Adolescent

Question 5

Peak of Panic disorders?

Answer 5

Adult

Question 6

is having panic disorder with long remissions possible?

Answer 6

yes

Question 7

Main points on ICD 11 - regarding Panic disorders

Answer 7

• Reccurrent attacks
  -Some physical and autonomic sighs and symptoms
  -Out of the blue (at least some)
  -Fear of recurrence
  -Avoidance of activities or places out of fear of recurrence
  -Not due to anxiety or other mental states
  -Not caused by drugs or other medical conditions
  -Significant Impairment

Question 8

What physical symptoms can be accompany panic attacks

Answer 8

Palpitation
sweating
tinglings
numbing
SoB
Chest pain
Choking sensation
Dizziness
Flushes / chills
Fear of going mad
fear of death
others…

Question 9

difference between panic attacks and real life panics

Answer 9

the former is unexpected

Question 10

NICE recommendation for management of Panic disorder?

Answer 10

• Mild to moderate = self help
  -Severe= CBT or Antidepressants

Question 11

Antidepressants suggested for panic disorder?

Answer 11

SSRI
SNRI
TCAs

Question 12

1st line treatment in panic disorder (NICE)

Answer 12

SSRI or Venlafaxine

Question 13

SSRIs licenced for Panic disorder

Answer 13

Escitalopram
Citalopram
Sertraline
Fluoxetine
Paroxetine
Venlafaxine

Question 14

2nd line of treatment in panic disorder (NICE)

Answer 14

Clomipramine
Imipramine

Question 15

How long you should wait for SSRI effect before changing class?

Answer 15

12 weeks
change it to imi/clomi pramine