NURS 3016 Lecture Notes - Lecture 13: Panic Disorder, Anxiety Disorder, Panic Attack
22 Oct 2016
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Anxiety caused by consciously recognized and realistic danger. Terror, emotional paralysis: hallucinations/delusions, muteness, severe withdrawal. Defenses against anxiety: manage conflict and affect. Lifetime prevalence of anxiety and phobic disorders is 17. 5% Incidence of panic attacks is 10% of general population. Lifetime prevalence of ocd is 2 - 3% and is consistent across cultures. Epidemiology: anxiety disorders and gender: women 2 x more likely to have an anxiety disorder than men. 10-27% of primary care patients have anxiety derived complaints. Excessive anxiety or worry for 6 months associated with: Cardiac chf, mi, angina, mitral valve prolapse. 10 - 40% of patients with panic disorder have mitral valve prolapse. Etoh use significant contributor to symptoms of anxiety. Nursing assessment psychological domain: anxiety disorders: history. Situational reactions self-limiting: mental status exam. Discrete period of intense fear in which the following symptoms develop abruptly and peak within 10 minutes. Dsm-v note: culture specific symptoms should not count as symptoms of panic disorder.
