Flashcards in Panic Disorder Deck (16):
What kind of emotions accompany a panic attack?
A sense of imminent danger/impending doom and an urge to escape.
What are the somatic symptoms of a panic attack?
Palpitations, dizziness, feeling of choking, dry mouth, derealisation, numbness/tingling (parathesis), chills or hot flushes
What are the cognitive symptoms of a panic attack?
Fear of dying/suffocating/losing control and going crazy
When can panic attacks occur?
In other anxiety disorders
When can panic DISORDER be diagnosed?
When panic attacks occur recurrently and sometimes unexpectedly (i.e. not always in a phobic situation).
When the main fear is of having a panic attack
What is often co-morbid with panic disorder (and can therefore be diagnosed as panic disorder with/without...)?
How many possible somatic and cognitive symptoms of panic attacks are there and how many are necessary of a diagnosis?
What are the prevalence rates of panic disorder?
Up to 28% of the population will have a panic attack
3-5% go on to develop panic disorder
What mediates whether a first panic attack leads to panic disorder?
The tendency to catastrophically interpret the first experience.
Family history or responses of others to panic attacks.
Who's is the model of panic?
Clark (1986) modified by Wells (1997)
Outline Clark's model of panic (1986).
A certain situation triggers a panic attack
This leads to a catastrophic misinterpretation of the bodily sensations
The sensations are usually those involved in anxiety responses
What are useful assessment questions for panic disorder?
If you had not done (safety behaviour) what is the worst thing that could have happened?
What's so bad about that?
What would it mean to you if that had happened?
What must you check in panic disorder?
What are the possible organic factors in panic disorder?
Coffee or amphetamine or hypothyrodism
What are the maintaining factors in Clark and Wells' (1997) model of panic?
Selective attention to bodily cues
Subtle forms of avoidance and safety behaviours