Anxiety

Panic Disorder

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Panic Disorder, Panic Attack

  • Epidemiology
  1. Lifetime Prevalence: 7.0% in women, 3.3% in men
  2. Age of onset: 20 to 25 years old
  3. Women affected more often than men
  • Types
  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
  • Symptoms and Signs
  1. See Panic Symptoms
  2. Recurrent, unexpected Panic Attacks
  • Diagnosis
  1. See Panic Disorder Diagnosis
  2. Severity Measure for Panic Disorder - Adult
    1. http://www.psychiatry.org/File%20Library/Practice/DSM/DSM-5/SeverityMeasureForPanicDisorderAdult.pdf
  3. Question: "In the last 4 weeks, have you had an anxiety attack (sudden feeling of panic)?"
    1. Positive Likelihood Ratio: 4.2
    2. Negative Likelihood Ratio: 0.09
  • Associated Conditions
  • Differential Diagnosis
  • Comorbid conditions
  1. Major Depression
  2. Chemical Dependency
  3. Interpersonal conflict
  • Management
  • Prognosis
  1. Recurs in 30-90% of patients within 1 year