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SUSHEEL DAYALWANSI
Panic anxiety disorder is characterized by Anxiety
, which is intermittent and unrelated to particular
circumstances & situation. The lifetime
prevalence of panic disorder is 1.5 to 2 percent. it
is seen 2 to 3 times more often in females.
ETILOGY:-
A. Genetic disorder -15 to 20% affected by genetic
but in monozygotic twins, it will be reach 80
percent.
B. Alteration in GABA.
C. Repression failure.
D. Painful stimulus.
E. Negative automatic thoughts.
• Shortness of breath
• Rapid Heart beat
• Chocking, chest discomfort or pain
• Sweating, Dizziness
• Palpitation & Faintness
• Nausea or abdominal discomfort
• Numbness or chills
• Trembling and shaking
• Fear of dying or having a heart attack
• Agoraphobia & depression
More than 95% of those diagnosis with
agoraphobia have an accompanying diagnosis of
panic disorder.
DIAGNOSIS:-
a. Drug effects checkup
b. History collection
c. Serum glucose measurement to rule out
hypoglycemia
d. Thyroid function test to rule out
hyperthyroidism
e. Urine and serum toxicology test to rule out
presence of psychoactive substances such
PHARMACOTHERAPY:-
• Benzodiazepines for ex. Alprazolam, clonazepam
• Antidepressants
• Beta blockers to control severe palpitation
BEHAVIORAL THERAPY:-
• Relaxation techniques (For coping)
• Deep breathing exercise, which also reduce the
risk of hyperventilation.
• Progressive relaxation therapy
• Positive verbalization & imagery guided
(purposeful changement & promoting feelings of
relaxation )
• Listening calming Music
Panic anxiety related to real or
perceived to biological integrity or self
concept, evidenced by various physical
and psychological manifestation.
Powerlessness related to impaired
cognition , evidenced by verbal
expression of lack of control over life
situation and not participation in
decision making.
Teaches the patient to replace negative
thoughts with more realistic , positive
ways of viewing the attacks.
Help the patient to identify possible
triggers for the panic attacks , such as a
particular thought or situation.
Help the patient to identify and evaluate
the thoughts that precede anxiety and
then restructures them to gain a more
realistic perception.
Panic anxiety disorder

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Panic anxiety disorder

  • 2. Panic anxiety disorder is characterized by Anxiety , which is intermittent and unrelated to particular circumstances & situation. The lifetime prevalence of panic disorder is 1.5 to 2 percent. it is seen 2 to 3 times more often in females. ETILOGY:- A. Genetic disorder -15 to 20% affected by genetic but in monozygotic twins, it will be reach 80 percent. B. Alteration in GABA. C. Repression failure. D. Painful stimulus. E. Negative automatic thoughts.
  • 3. • Shortness of breath • Rapid Heart beat • Chocking, chest discomfort or pain • Sweating, Dizziness • Palpitation & Faintness • Nausea or abdominal discomfort • Numbness or chills • Trembling and shaking • Fear of dying or having a heart attack • Agoraphobia & depression
  • 4. More than 95% of those diagnosis with agoraphobia have an accompanying diagnosis of panic disorder. DIAGNOSIS:- a. Drug effects checkup b. History collection c. Serum glucose measurement to rule out hypoglycemia d. Thyroid function test to rule out hyperthyroidism e. Urine and serum toxicology test to rule out presence of psychoactive substances such
  • 5. PHARMACOTHERAPY:- • Benzodiazepines for ex. Alprazolam, clonazepam • Antidepressants • Beta blockers to control severe palpitation BEHAVIORAL THERAPY:- • Relaxation techniques (For coping) • Deep breathing exercise, which also reduce the risk of hyperventilation. • Progressive relaxation therapy • Positive verbalization & imagery guided (purposeful changement & promoting feelings of relaxation ) • Listening calming Music
  • 6. Panic anxiety related to real or perceived to biological integrity or self concept, evidenced by various physical and psychological manifestation. Powerlessness related to impaired cognition , evidenced by verbal expression of lack of control over life situation and not participation in decision making.
  • 7. Teaches the patient to replace negative thoughts with more realistic , positive ways of viewing the attacks. Help the patient to identify possible triggers for the panic attacks , such as a particular thought or situation. Help the patient to identify and evaluate the thoughts that precede anxiety and then restructures them to gain a more realistic perception.