Anxiety Disorders

Anxiety Disorders
Overall prevalence 7% to 9%. F:M, 2 to 3:1.
Panic Disorder
Recurrent, unexpected panic attacks (Table 160.1), accompanied by persistent concerns about repeated attacks or significant behavior change due to fear of repeated attacks. Onset often in young adulthood. Comorbid substance use (self-medication) common.
  • Treatment: cognitive behavioral therapy in combination with pharmacotherapy most helpful. Medications: include imipramine hydrochloride, benzodiazepines, selective serotonin reuptake inhibitors (SSRIs).
Table 160.1 Clinical Manifestations of Panic Attack
Panic attack: defined by abrupt development (peaking within  10 minutes) of at least 4 of the following symptoms:
 Palpitations, pounding heart, awareness of   markedly accelerated heart rate
  Sweating
  Trembling or shaking
  Sensations of shortness of breath, smothering
  Choking feelings
  Chest pain or discomfort
  Nausea or abdominal distress
  Feeling unsteady or faint, lightheaded
  De-realization  (feelings of unreality) or depersonalization (being detached from oneself)
  Fear of dying
  Fear of losing control or going crazy
  Paresthesias (numbness or tingling)
  Chills or hot flashes

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Jul 27, 2016 | Posted by in NEUROLOGY | Comments Off on Anxiety Disorders

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