PSY 35000 Lecture Notes - Lecture 7: Panic Disorder, Exposure Therapy, Agoraphobia
15 Feb 2018
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Imagination therapy (exposure: if an anxiety is too difficult to expose the patient physically. Panic attack (not a disorder: overwhelming fear-period of discomfort (~10 mins, symptoms, racing heart, chest pain/pressure, suffocation/choking, sweating, de-realization, numbness (heart attack like symptoms) Panic disorder: recurrent, unexpected panic attacks, anxiety about future attacks, avoidance of anything panic-related, situational and interceptive, situational = avoid situations/places where panic attacks occurred. *there are not that many phobias of modern day objects. Animal: extreme fear in social/performance situations, any situation where others can judge negatively, everyone has a little bit of social anxiety (normal level, epidemiology, lifetime prevalence of ~12, chronic if left untreated, comorbidity, depression, substance use. *eating in public and writing can be a trigger for social anxiety. Email, video games: treatment, involves help from family/friends/etc, cbt (highly effective, cognitive restructuring, exposure, social skills training, medications (less effective, antidepressants, beta-blockers (prevents acute phobia, relapse is common.
