Panic Disorder
A type of anxiety disorder characterized by unexpected panic attacks that last minutes or, rarely, hours. Panic attacks begin with intense apprehension, fear or terror and, often, a feeling of impending doom. Symptoms experienced during a panic attack include dyspnea or sensations of being smothered; dizziness, loss of balance or faintness; choking sensations; palpitations or accelerated heart rate; shakiness; sweating; nausea or other form of abdominal distress; depersonalization or derealization; paresthesias; hot flashes or chills; chest discomfort or pain; fear of dying and fear of not being in control of oneself or going crazy. Agoraphobia may also develop. Similar to other anxiety disorders, it may be inherited as an autosomal dominant trait.
Phobic Disorders
Implosive Therapy
Psychiatric Status Rating Scales
Anticipation, Psychological
Diagnostic and Statistical Manual of Mental Disorders
Cognitive Therapy
A direct form of psychotherapy based on the interpretation of situations (cognitive structure of experiences) that determine how an individual feels and behaves. It is based on the premise that cognition, the process of acquiring knowledge and forming beliefs, is a primary determinant of mood and behavior. The therapy uses behavioral and verbal techniques to identify and correct negative thinking that is at the root of the aberrant behavior.
New England
Interview, Psychological
Comorbidity
The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.
Anxiety disorders in late life. (1/96)
OBJECTIVE: To review the epidemiology, clinical characteristics, and treatment of anxiety disorders in late life. QUALITY OF EVIDENCE: Epidemiologic and comorbidity data are derived from well designed random-sample community surveys. There are virtually no controlled data specific to treatment of anxiety in the elderly. Guidelines for treating anxiety disorders in late life, therefore, must be extrapolated from results of randomized controlled trials conducted in younger patients. MAIN MESSAGE: Generalized anxiety disorder and agoraphobia account for most cases of anxiety disorder in late life. Late-onset generalized anxiety is usually associated with depressive illness and, in this situation, the primary pharmacologic treatment is antidepressant medication. Most elderly people with agoraphobia do not give a history of panic attacks; exposure therapy is the preferred treatment for agoraphobia without panic. CONCLUSIONS: Physicians need to make more use of antidepressant medication and behavioural therapy and less use of benzodiazepines in treating anxiety disorders in late life. (+info)Phobic nature of social difficulty in facially disfigured people. (2/96)
BACKGROUND: Over 390,000 people in the UK are disfigured. Facial disfigurement distresses sufferers markedly but has been studied little. AIMS: To compare fearful avoidance of people with a facial disfigurement with that of a group of patients with phobia. METHOD: Comparison of Fear Questionnaire agoraphobia, social phobia and anxiety depression sub-scale scores of 112 facially disfigured people (who scored high on Fear Questionnaire problem severity in three survey studies) with those of 66 out-patients with agoraphobia and 68 out-patients with social phobia. RESULTS: Facially disfigured people and patients with social phobia had similar Fear Questionnaire scores. In contrast, facially disfigured people scored lower on the agoraphobia sub-score but higher on the social phobia sub-score than did patients with agoraphobia. CONCLUSIONS: Facially disfigured people with psychological difficulties resembled people with social phobia on Fear Questionnaire social phobia, agoraphobia and anxiety/depression sub-scores but were less agoraphobic and more socially phobic than were people with agoraphobia. Facially disfigured people thus appeared to be socially phobic and to deserve the cognitive--behavioural therapy that is effective for such phobias. (+info)Double-blind clonazepam vs placebo in panic disorder treatment. (3/96)
OBJECTIVE: To assess the effectiveness of clonazepam, in a fixed dose (2 mg/day), compared with placebo in the treatment of panic disorder patients. METHOD: 24 panic disorder patients with agoraphobia were randomly selected. The diagnosis was obtained using the structured clinical interview for DSM-IV. All twenty-four subjects were randomly assigned to either treatment with clonazepam (2 mg/day) or placebo, during 6 weeks. Efficacy assessments included: change from baseline in the number of panic attacks; CGI scores for panic disorder; Hamilton rating scale for anxiety; and panic associated symptoms scale. RESULTS: At the therapeutic endpoint, only one of 9 placebo patients (11.1%) were free of panic attacks, compared with 8 of 13 (61.5%) clonazepam patients (Fisher exact test; p=0,031). CONCLUSION: the results provide evidence for the efficacy of clonazepam in panic disorder patients. (+info)Reducing therapist contact in cognitive behaviour therapy for panic disorder and agoraphobia in primary care: global measures of outcome in a randomised controlled trial. (4/96)
BACKGROUND: Panic disorder, with and without agoraphobia, is a prevalent condition presenting in general practice. Psychological treatments are effective but are limited by restricted availability. Interest has grown in methods by which the efficiency and thus availability of psychological treatments can be improved, with particular emphasis on reduced therapist contact formats. AIM: To evaluate the relative efficacy in a primary care setting of a cognitive behaviour therapy (CBT) delivered at three levels of therapist contact: standard contact, minimum contact, and bibliotherapy. METHOD: A total of 104 patients were randomly allocated to receive standard therapist contact, minimum therapist contact or bibliotherapy, with 91 patients completing treatment. All patients received an identical treatment manual and were seen by the same psychologist therapist. Outcome was reported in terms of brief global ratings of severity of illness, change in symptoms, and levels of social disruption. These brief measures were chosen to be suitable for use in general practice and were used at treatment entry and endpoint. RESULTS: The standard therapist contact group had the strongest and most comprehensive treatment response, showing significant differences from the bibliotherapy group on all, and the minimum therapist contact group on some, endpoint measures. Some reduction in efficacy was therefore found for the reduced therapist contact groups. CONCLUSION: The standard therapist contact group showed the greatest treatment efficacy in the present study. As it was of notably shorter duration than many other current formulations of CBT, it represents a useful and efficient treatment for panic disorder and agoraphobia in primary care. (+info)Self-exposure therapy for panic disorder with agoraphobia: randomised controlled study of external v. interoceptive self-exposure. (5/96)
BACKGROUND: Exposure to external phobic cues is an effective therapy for panic/agoraphobia but the value of exposure to interoceptive cues is unclear. AIMS: Randomised controlled comparison in panic/agoraphobia of the effects of (a) external, (b) interceptive or (c) combined external and interoceptive self-exposure to (d) control subjects. METHOD: Eighty out-patients were randomised to a control group or to one of three forms of self-exposure treatment (external, interoceptive, or combined). Each treatment included seven sessions over 10 weeks and daily self-exposure homework. Assessments were at pre- and post-treatment and up to 1 year post-entry. Assessors remained blind during treatment. RESULTS: The three self-exposure groups improved significantly and similarly at post-treatment and up to 1-year followup, and significantly more than did the control subjects. Rates of improvement on main outcome measures averaged 60% at post-treatment and 77% at follow-up. CONCLUSIONS: The three methods of self-exposure were equally effective in reducing panic and agoraphobic symptoms in the short- and long-term. (+info)Neurobiological correlates of panic disorder and agoraphobia. (6/96)
Panic Disorder and agoraphobia offer considerable diagnostic and management challenges, particularly in general practice. We describe a typical case of panic disorder in a young adult. The recent advances in our understanding of brain functions can be used to explain to a certain extent the biologic basis of panic disorder. A hypothetical model integrating current views on panic disorder and agoraphobia has been proposed. The management principles including the role of cognitive therapy and pharmacotherapy have been discussed. (+info)Smoking modulates neuroendocrine responses to ipsapirone in patients with panic disorder. (7/96)
Reduced 5-HT1A-receptor responsiveness has been reported in patients with panic disorder(PD) and/or agoraphobia (PDA). Although many of these patients are regular smokers, it has not been examined whether psychological or neurobiological effects induced by the selective 5-HT1A-receptor agonist, ipsapirone, are affected by the smoking status of the patients. In order to clarify this question neuroendocrine challenges with oral doses of ipsapirone (0.3 mg/kg) and placebo were performed in 39 patients with PDA, and results were compared between patients who smoked (>10 cigarettes per day, n = 17) and patients who had been non-smokers for at least two years (n = 22). Patients who were smokers (but did not smoke during the challenge procedure) had significantly reduced baseline concentrations of cortisol and a significantly lower body temperature. In comparison to placebo, administration of ipsapirone was associated with significant increases of various psychological symptoms and plasma cortisol concentrations. The subgroup of PD patients who were smokers showed significantly higher cortisol responses to ipsapirone than non-smokers. In conclusion, smoking status has to be taken into account when assessing the responsiveness of 5-HT1A receptors in patients with psychiatric disorders. The prevention of smoking during challenge sessions might not be the ideal approach in heavy smokers, since sudden abstinence from smoking is likely to affect neurobiological and possibly psychological responses to ipsapirone. (+info)Respiratory panic disorder subtype and sensitivity to the carbon dioxide challenge test. (8/96)
The aim of the present study was to verify the sensitivity to the carbon dioxide (CO2) challenge test of panic disorder (PD) patients with respiratory and nonrespiratory subtypes of the disorder. Our hypothesis is that the respiratory subtype is more sensitive to 35% CO2. Twenty-seven PD subjects with or without agoraphobia were classified into respiratory and nonrespiratory subtypes on the basis of the presence of respiratory symptoms during their panic attacks. The tests were carried out in a double-blind manner using two mixtures: 1) 35% CO2 and 65% O2, and 2) 100% atmospheric compressed air, 20 min apart. The tests were repeated after 2 weeks during which the participants in the study did not receive any psychotropic drugs. At least 15 of 16 (93.7%) respiratory PD subtype patients and 5 of 11 (43.4%) nonrespiratory PD patients had a panic attack during one of two CO2 challenges (P = 0.009, Fisher exact test). Respiratory PD subtype patients were more sensitive to the CO2 challenge test. There was agreement between the severity of PD measured by the Clinical Global Impression (CGI) Scale and the subtype of PD. Higher CGI scores in the respiratory PD subtype could reflect a greater sensitivity to the CO2 challenge due to a greater severity of PD. Carbon dioxide challenges in PD may define PD subtypes and their underlying mechanisms. (+info)
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Agoraphobia
... occurs about twice as commonly among women as it does in men. Panic disorder with or without agoraphobia affects ... "Agoraphobia". betterhealth.vic.gov.au. Archived from the original on 22 March 2017. Retrieved 21 March 2017. "Agoraphobia ... It is uncommon to have agoraphobia without panic attacks, with only 0.17% of people with agoraphobia not presenting panic ... Most people who present to mental health specialists develop agoraphobia after the onset of panic disorder. Agoraphobia is best ...
Panic and Agoraphobia Scale
The Panic and Agoraphobia Scale (PAS) is a rating scale developed for measuring severity of agoraphobia with or without panic ... Assessing the efficacy of treatments for panic disorder and agoraphobia. II. The Panic and Agoraphobia Scale. Int Clin ... The Panic and Agoraphobia Scale (PAS) is primarily used for monitoring the efficacy of both medication and psychotherapy ... The use of the Panic and Agoraphobia Scale (P & A) in a controlled clinical trial. Pharmacopsychiatry 2000 Sep,33(5):174-81 ...
Agoraphobia without history of panic disorder
Panic disorder Agoraphobia Barlow, D. H. & Waddell, M. T. (1985) Agoraphobia. Ch 1 in Barlow, D. H. (Ed) Clinical handbook of ... Agoraphobia typically develops as a result of having panic disorder. In a small minority of cases, however, agoraphobia can ... Agoraphobia without a history of panic disorder (also called primary agoraphobia) is an anxiety disorder where the individual ... Agoraphobia can be caused by traumatic experiences, such as bullying or abuse. Historically, there has been debate over whether ...
Compass (1965 TV program)
"Agoraphobia". Library and Archives Canada. Retrieved 2 January 2015. Item# 13919. "Sunday's TV Previews". The Gazette. Montreal ...
Safety behaviors (anxiety)
People with agoraphobia then attribute the lack of feared symptoms to the safety behaviors instead of to the lack of danger ... A common safety behavior is when a person with agoraphobia attempts to entirely avoid a crowded place such as a mall or a ... The "safety perspective" hypothesis states that people with agoraphobia act in ways they believe will increase or maintain ... doi:10.1016/j.janxdis.2009.05.002 Rachman, S. (1984). Agoraphobia-A safety-signal perspective. Behaviour Research and Therapy, ...
Natasha Sajé
"Agoraphobia". Virginia Quarterly Review: 673-674. Autumn 1994. "VQR » Natasha Saje". Archived from the original on 2009-02-25. ...
Margaret McCartney
"BBC Radio 4 - Inside Health, Inside Health: The Virus, Longest Stay Covid-19 Patient; Health Inequalities; Agoraphobia; Covid- ...
Panic attack
... s are commonly linked to agoraphobia. People with severe agoraphobia may become confined to their homes, ... Agoraphobia is an anxiety disorder that primarily consists of the fear of experiencing a difficult or embarrassing situation ... "Agoraphobia". MayoClinic.com. 21 April 2011. Archived from the original on 24 June 2012. Retrieved 2012-06-15. Bowker, Julie C ... In Japan, people who exhibit extreme agoraphobia to the point of becoming unwilling or unable to leave their homes are referred ...
So B. It
She has agoraphobia. Alexander "Zander": An older boy who lives in Heidi's apartment building. Though gruff, Heidi enjoys his ...
Tired Lion
"Tired Lion - Agoraphobia". YouTube. 6 October 2016. Retrieved 9 September 2017. "Tired Lion - Cinderella Dracula". YouTube. 2 ...
List of mental disorders in film
"Abnormal Psychology - Agoraphobia". GRIN. Retrieved 6 September 2022. "The Aviator Howard Hughes OCD And Bipolar Research Paper ...
The Star of Kazan
She suffers from agoraphobia. The professors are all siblings and have lived in the same house all their lives. None of them ...
Social learning theory
doi:10.1016/0272-7358(91)90093-a. Mathews, A., Gelder, M. & Johnston, D. (1981). Agoraphobia: Xature L3 Treatment. New York: ...
Jay Ward
He then developed agoraphobia.: 181-182 Ward moved into the young mass medium of television with the help of his childhood ...
Panic disorder
There are two types, one with and one without agoraphobia. Diagnosis is excluded by attacks due to a drug or medical condition ... Tobacco smoking increases the risk of developing panic disorder with or without agoraphobia and panic attacks; smoking started ... February 1997). "Panic disorder and agoraphobia in consecutively referred children and adolescents". Journal of the American ... American Psychiatric Association (2000). "Panic Disorder without Agoraphobia". Diagnostic and Statistical Manual of Mental ...
Depersonalization
Djenderedjian, A.; R. Tashjian (1982). "Agoraphobia following amphetamine withdrawal". The Journal of Clinical Psychiatry. 43 ( ...
Marion Cunningham (author)
She was afflicted with agoraphobia. She also overcame a drinking problem and then avoided alcohol entirely. In 1972, when she ...
McG
... told people he suffered from fear of flying despite the issue being persistent agoraphobia. "It was easier to say it was a ... McG has suffered from agoraphobia. He was unable to board a plane going to Australia to shoot Superman: Flyby and dropped from ...
Children of the Rune
He has a slight agoraphobia. Winterbottom Kit A piece of plate armor and a bastard sword. They are magical items of the Jineman ...
List of people with an anxiety disorder
She has struggled with agoraphobia. Johnny Depp (born 1963), American actor (Pirates of the Caribbean, 21 Jump Street, Edward ... Heller, Corinne (2 December 2015). "Colton Haynes Talks About Battling Anxiety and Agoraphobia". E! Online. Retrieved 5 April ...
Clonazepam
Panic disorder with or without agoraphobia. Clonazepam has also been found effective in treating other anxiety disorders, such ... Clonazepam is prescribed for short term management of epilepsy, anxiety, and panic disorder with or without agoraphobia. ...
1999 New Year Honours
For services to sufferers of Agoraphobia. Francis Jephcott. For services to the community in Sutton Coldfield and the West ...
Phobia
Agoraphobia affects about 1.7% of people. Women are affected by phobias about twice as often as men. The typical onset of a ... Agoraphobia: a generalized fear of leaving home or a small familiar 'safe' area and of possible panic attacks that might follow ... Agoraphobia is a fear of a situation due to perceived difficulty or inability to escape. It is recommended that specific ... Social phobia and agoraphobia may be treated with counseling, medications, or a combination of both. Medications used include ...
The Strong Arms of the Ma
Hibbert diagnoses Marge with agoraphobia. Homer and the kids try their best over the next few days to encourage her to go ... In the episode, Marge develops agoraphobia in response to a traumatic mugging and overcomes the fear through exercise and ... Agoraphobia in fiction, Female bodybuilding, Rape in television, Television episodes about mental health, Television episodes ...
Stanley Falkow
He was later diagnosed with agoraphobia. He avoided movie theaters and crowded places between 1955 and 1983 and dropped out of ...
Health of Charles Darwin
Colp5 disputes a diagnosis of agoraphobia, because Darwin dutifully attended 16 meetings of the Council of the Royal Society ... ISBN 978-0-306-45784-5. Queendom.com : Mental Health Articles: Panic Disorder and Agoraphobia - Etiology of panic disorder ... Colp5 concluded that Darwin's illness consisted most probably of panic disorder without agoraphobia, psychosomatic skin ... sex-role stereotyping and agoraphobia". Behav Res Ther. 24 (2): 231-35. doi:10.1016/0005-7967(86)90098-7. PMID 3964189. ^4 Bean ...
Clomipramine
Panic disorder with or without agoraphobia. Body dysmorphic disorder Cataplexy associated with narcolepsy. Which is a TGA and ...
A Crow Left of the Murder...
". "Agoraphobia" was released as a promo single. Early pressings of the album list track 12 "Smile Lines" as "Suite Lines" on ...
David H. Barlow
Social reinforcement in the modification of agoraphobia. Archives of General Psychiatry, 19, 423-427. doi:10.1001/archpsyc. ...
Risk of Rain
Tach, Dave (August 23, 2013). "Risk of Rain hands-on: Retro agoraphobia". Polygon. Archived from the original on January 23, ...