Psychology 2310A/B Lecture Notes - Lecture 5: Panic Attack, Panic Disorder, Agoraphobia

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4 of 13 symptoms must be present to be diagnosed - laboured breathing, heart palpitations, nausea, chest pain, feelings of choking and smothering, dizziness, sweating, trembling, feelings of impending doom, depersonalization, derealization, etc. Or worry about the implications of the attacks. Or significant change in behavior related to attacks. Isolated panic attacks are common- 50% of reg pop have symptoms of panic attack. Onset in early adult life (teens to 40) Bimodal: late teens, 30"s can start at two diff times, teens or 30s. Chronic course waxing and waning doesn"t go away by itself. Can get worse then be gone for some time. Comorbidity with agoraphobia, major depression 50-65%, gad, phobias, alcohol dependency, personality disorders. 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.

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