Mental Health Book

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Panic Disorder

Aka: Panic Disorder, Panic Attack
  1. Epidemiology
    1. Lifetime Prevalence: 1 to 3%
    2. Age of onset: 20 to 25 years old
    3. Women affected more often than men
  2. Types of Panic Attack
    1. Avoidance behaviors
      1. Panic Disorder with Agoraphobia
      2. Panic Disorder without Agoraphobia
    2. Trigger
      1. Spontaneous Panic Attack
        1. Unidentifiable trigger
      2. Situational Panic Attack
        1. Social Phobia
        2. Fear of flying
        3. Stage fright
        4. Fear of animals, insects or snakes
  3. Diagnosis of Panic Disorder
    1. See Panic Disorder Diagnosis
  4. Symptoms and Signs
    1. See Panic Symptoms
  5. Associated Symptoms and Conditions
    1. Headache
    2. Diarrhea
    3. Insomnia
    4. Hand coldness
    5. Chronic Fatigue
    6. Suicidal Ideation
    7. Alcohol Abuse or Drug Abuse
  6. Differential Diagnosis
    1. See Anxiety Secondary Causes
  7. Comorbid conditions
    1. Major Depression
    2. Interpersonal conflict
  8. Management
    1. See Panic Management
  9. Prognosis
    1. Recurs in 30-90% of patients within 1 year
  10. References
    1. APA (1994) DSM IV, APA, p. 395
    2. Starr (November, 1998) Patient Care
    3. Katerndahl (1997) Postgrad Med, 101(1): 147-66
    4. Katerndahl (1996) J Fam Pract, 43(3): 275-82
    5. Rubin (1996) Phys Sportsmed, 24(12):54-65
    6. Saeed (1998) Am Fam Physician, 57(10):2405-12
    7. Weinstein (1995) Am Fam Physician, 52(7):2055-63

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