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Western University
Psychology 2310A/B
Rod Martin

Anxiety Disorders: Panic Disorder & Obsessive-Compulsive Disorder DSM-IV criteria for PanicAttack • Period of intense fear or discomfort • Develops abruptly, peaks within 10 minutes • 4 of 13 symptoms - Labored 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 • At least one month of: o Persistent concern about having other attacks o Or worry about the implications of the attacks o Or significant change in behavior related to attacks Panic Disorder (cont’d) • Isolated panic attacks are common • Lifetime prevalence: 3-5% of the population • 2X as common in women as men • Onset in early adult life (teens to 40) o 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 Obsessive-Compulsive Disorder (OCD) Obsessions • Recurring, persistent thoughts, images, or impulses • Experienced as intrusive, inappropriate, cause marked distress or anxiety (“ego-dyston
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