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Lecture 4

PSYCH 2AP3 Lecture Notes - Lecture 4: Panic Attack, Generalized Anxiety Disorder, Panic Disorder

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Richard B Day

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DSM Criteria: Generalized Anxiety Disorder
Excessive anxiety “more days than not” for 6 months or
more, about several events or activities
Person finds it difficult to control the worry
Accompanied by at least 3 of the following 6 symptoms, more
days that not for the last 6 months
oRestlessness; feeling on edge
oEasily fatigued
oDifficulty concentrating
oMuscle tension
oDifficulty sleeping
Symptoms causes clinically significant distress or impairment
in social, occupational, or other important areas of functioning
Symptoms not due to the “physiological effects of a substance
or another medical condition”
Symptoms not explained by another mental disorder
Physical Symptoms
Motor tension problems
oTrembling, shaking
oMuscle aches
Autonomic hyperactivity
oTachycardia (rapid heartbeat), sweating, dizziness
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oNausea, GI complaints
Vigilance, scanning symptoms
oExaggerated startle response
Usually starts in 20s or 30s, high proportion in childhood or
Commonly among young
3% annual prevalence
lifetime prevalence = 5-6%
lifetime prevalence worldwide 2-11%
65% females
Panic Disorder
DSM Criteria
Recurring, unexpected panic attacks involving a sudden surge
of intense fear or discomfort during which at least 4 of the
following symptoms occur:
o(insert classic panic symptoms)
otachycardia, paresthesias
at least one attack has been followed by 1 month or more of
opersistent concern about another panic attack, or its
oa significant maladaptive change in behaviour related to
the attacks
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