INTRODUCTION:
• PANIC DISORDERSARE A TYPE OF ANXIETY DISORDER CHARACTERIZED BY
RECURRING AND UNEXPECTED PANIC ATTACKS.
• THIS PRESENTATION WILL EXPLORE THE:
• NATURE OF PANIC ATTACKS, TYPES OF PANIC DISORDERS, SYMPTOMS, CAUSES,
DIAGNOSTIC CRITERIA, AND TREATMENT OPTIONS.
3.
WHAT IS APANIC ATTACK?
• A PANIC ATTACK IS SUDDEN, TEMPORARY FEELINGS OF FEAR WHICH CAUSES STRONG PHYSICAL
REACTIONS IN RESPONSE TO ORDINARY OR NONTHREATENING SITUATIONS.
4.
SYMPTOMS OF PANICATTACK:
• 6 MAIN PHYSICAL SYMPTOMS:
• 3 C’S ( CHEST PAIN(WHICH CAN BE CONFUSED WITH ANGINA) ,
CHILLS(OR HOT FLASHES), CHOKING ( OR SHORTNESS OF BREATH)
• PALPITATIONS
• DIAPHORESIS (EXCESSIVE SWEATING),
• TREMORS(OR SHAKING)
• PSYCHOLOGICAL SYMPTOMS:
• DEREALIZATION (ITEMS IN ROOM LOOK FOGGY, UNREAL; FEEL LIKE
IN A FOREIGN PLACE DESPITE BEING AT HOME)
• DEPERSONALIZATION ("OUT OF BODY" EXPERIENCE, DETACHED,
LOOKING AT SELF FROM ABOVE).
5.
DIAGNOSTIC CRITERIA FOR
PANICDISORDER
• A COMBINATION OF THESE SYMPTOMS, OCCURRING REPEATEDLY AND
UNEXPECTEDLY, MAY INDICATE PANIC DISORDER
6.
MANAGEMENT OF PANICATTACK:
• THE 54321 (OR 5, 4, 3, 2, 1) METHOD
• A grounding exercise designed to manage acute stress and reduce anxiety
which are causing panic attack. It involves:
• Identifying 5 things you can see, 4 things you can touch, 3 things you can
hear, 2 things you can smell, and 1 thing you can taste.
8.
CAUSES OF PANICATTACK
• No known definitive cause for
panic disorder has been identified.
• Sometimes runs in families,
suggesting a genetic component
• Researchers have found that
several parts of the brain are
involved in fear and anxiety.
• Researchers are looking into how
stress and environmental factors
may play a role
9.
TYPES OF PANICATTACKS
UNEXPECTED PANIC ATTACKS
THESE ATTACKS OCCUR "OUT OF THE BLUE" WITH NO APPARENT TRIGGER.
SITUATIONAL PANIC ATTACKS
THESE ATTACKS ARE CAUSED BY A SPECIFIC TRIGGER OR SITUATION.
SITUATIONALLY PREDISPOSED PANIC ATTACKS
SIMILAR TO SITUATIONAL PANIC ATTACKS, BUT DO NOT NECESSARILY OCCUR
IMMEDIATELY AFTER THE EXPOSURE OR TRIGGER.
10.
TREATMENT FOR PANICDISORDER
• COGNITIVE-BEHAVIORAL THERAPY
• THIS THERAPY TEACHES A PERSON DIFFERENT WAYS OF THINKING, BEHAVING, AND REACTING TO SITUATIONS WHERE
THEY FEEL ANXIOUS AND FEARFUL.
• MEDICATION
• MANY PEOPLE BECOME FREE OF PANIC ATTACKS BECAUSE OF TAKING MEDICATION.
• ANTIDEPRESSANT
• SSRI (SUCH AS FLUOXETINE,PAROXETINE)ARE COMMONLY PRESCRIBED, WITH FEW SIDE EFFECTS AND RAPID ONSET OF
ACTION)
• MAOI
• TRICYCLICS
• BENZODIAZEPINES
• ALPRAZOLAM, LORAZEPAM
