Evaluating A Guideline Panic Disorder
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The document discusses clinical practice guidelines for treating panic disorder and agoraphobia. It provides information on evaluating guidelines using levels of evidence and the Appraisal of Guidelines Research & Evaluation (AGREE) method. It also summarizes the Australian and New Zealand clinical practice guidelines for treating panic disorder and agoraphobia published in 2003.
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Panic disorder is characterized by unexpected panic attacks and fear of future attacks. Agoraphobia involves fear and avoidance of situations where escape may be difficult if a panic attack occurs. Common symptoms of panic attacks include shortness of breath, heart palpitations, and fear of losing control. Treatment involves medication like SSRIs or exposure-based psychotherapy to help patients face feared situations. Combined treatment of medication and psychotherapy is often most effective for reducing panic attacks and agoraphobic avoidance.
How To Overcome Agoraphobia
There is phobia that is linked to the experience of panic attacks, and that is agoraphobia. Agoraphobia is the fear of open spaces or of being in crowded, public places such as shopping markets. It is a fear associated with leaving a safe zone, such as the home.
Neurotransmitters
Neurotransmitters are chemical messengers that transmit signals between neurons. They are synthesized in the presynaptic neuron, stored in vesicles, released into the synaptic cleft upon an action potential, and bind to receptors on the postsynaptic neuron. Common neurotransmitters include acetylcholine, dopamine, GABA, glutamate, and serotonin. Neurotransmitters are involved in communication between neurons and play a role in diseases when their function is impaired.
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Evaluating A Guideline Panic Disorder
- 1. Evaluating a Guideline Treatment of panic disorder and Agoraphobia: clinical practice guideline (CPG)
- 2. What is EBM? Best Research Evidence Patient Values Clinical Expertise
- 4. National Health and Medical Research Council (NHMRC) levels of evidence I Evidence obtained from a systematic review of all relevant randomised controlled trials II Evidence obtained from at least one properly designed randomised controlled trial III - 1 Evidence obtained from well-designed pseudorandomised controlled trials (alternate allocation or some other method) III - 2 Evidence obtained from comparative studies (including systematic reviews of such studies) with concurrent controls and allocation not randomised, cohort studies, case-control studies, or interrupted time series with a control group III - 3 Evidence obtained from comparative studies with historical control, two or more single arm studies, or interrupted time series without a parallel group IV Evidence obtained from case series, either post-test or pretest/ post-test
- 7. Appraisal of Guidelines Research & Evaluation ( AGREE )
- 13. Clinical Practice Guidelines Depression Schizophrenia Bipolar Disorder Deliberate Self Harm Anorexia Nervosa Panic Disorder & Agoraphobia Clinician Consumer
- 14. System Application of nationally developed CPGs Systematic Review (Multi Disciplinary Panel) Draft CPG National Endorsement (AUS/ NZ) Decision to Diffuse, disseminate & develop implementation programs Local Adaptation Decision Support System CPD Community/ Media/ Consumer
- 15. Applying Guideline in Clinical Practice CPG to assess Current practice Local Problem Solving Provide Guide to pts
- 17. Applying Guideline in Clinical Practice PLAN MONITOR REVIEW ACT
- 18. Panic disorder and agoraphobia