Panic Disorder

Question 1

Define Panic disorder?

Answer 1

Recurrent panic attacks not 2ory substance misuse, medical condition or other psych disorder

Question 2

Define Episodic Panic Attacks? (3)

Answer 2

At least 4 specific symptoms of anxiety:
Reaches max within 10 minutes, lasting 20-30 mins.
4 panic attack in 4 weeks

Question 3

Key symptoms?

Answer 3

Palpitations, sweating, trembling or shaking, SOB, choking sensation, chest pain, dizziness
Derealisation or depersonalisation

Question 4

Co-morbidities? (2)

Answer 4

Can be secondary to depression

Agrophobia

Question 5

Psychosocial Mx? (2)

Answer 5

CBT

Self-help

Question 6

1st line Biological Mx?

Answer 6

SSRI’s

Question 7

2nd line Biological Mx?

Answer 7

TCA’s e.g. imipramine, clomipramine