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Psychology 2310A/B
Rod Martin

Anxiety Disorders: Panic Disorder & Obsessive-Compulsive Disorder DSM-IV criteria for Panic Attack Period of intense fear or discomfort Develops abruptly, peaks within 10 minutes 4 of 13 symptoms - Laboured breathing, heart palpitations, nausea, chest pain, feelings of choking and smothering, dizziness, sweating, trembling, feelings of impending doom, depersonalization, derealization, etc. DSM-IV Diagnosis of Panic Disorder Recurrent unexpected panic attacks: aren’t nervous until the panic attack At least one month of: Persistent concern about having other attacks Or worry about the implications of the attacks (losing touch with reality) Or significant change in behavior related to attacks. (ex: may stop going out in severe cases) Panic Disorder (cont’d) Isolated panic attacks are common (everyone will probably have one panic attack in their lifetime) Lifetime prevalence: 3-5% of the population 2X as common in women as men Onset in early adult life (teens to 40) Bimodal: late teens, 30’s Chronic course – waxing and waning If agoraphobia develops, usually within 1 yr Comorbidity with agoraphobia, major depression, GAD, phobias, alcohol dependency, personality disorders. Agoraphobia Agora = marketplace (today: shopping malls) Anxiety about being in places where escape would be difficult E.g., away from home alone, shopping mall, in a crowd, on a bus, standing in line Usually involves fear of having a panic attack Person stays home to avoid these situations Clark’s Cognitive Model of Panic Trigger – perceived threat – apprehension – bodily sensations – catastrophic misinterpretation of sensations – back to perceived threat (vicious cycle) Obsessive-Compulsive Disorder (OCD) O
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