1 / 34

PSY 961

PSY 961. PANIC DISORDER / AGORAPHOBIA. PANIC ATTACK - DSM. DISCRETE PERIOD OF INTENSE FEAR OR DISCOMFORT WITH FOUR OF THE FOLLOWING SYMPTOMS, REACHING A PEAK IN 10 MINUTES. PALPITATIONS SWEATING TREMBLING/SHAKING BREATHLESSNESS CHOKING. CHEST PAIN ABDOMINAL DISTRESS DIZZY/FAINT

huey
Download Presentation

PSY 961

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. PSY 961 PANIC DISORDER / AGORAPHOBIA

  2. PANIC ATTACK - DSM DISCRETE PERIOD OF INTENSE FEAR OR DISCOMFORT WITH FOUR OF THE FOLLOWING SYMPTOMS, REACHING A PEAK IN 10 MINUTES. • PALPITATIONS • SWEATING • TREMBLING/SHAKING • BREATHLESSNESS • CHOKING

  3. CHEST PAIN • ABDOMINAL DISTRESS • DIZZY/FAINT • UNREALITY/DETACHMENT • FEAR OF LOSING CONTROL OR GOING CRAZY • FEAR OF DYING • PARAESTHESIAS • CHILLS OR HOT FLUSHES MAY BE UNEXPECTED (UNCUED) OR SITUATIONALLY BOUND (CUED)

  4. PD-W/O AG - DSM A. BOTH ·    RECURRENT UNEXPECTED PANIC ATTACKS ·  ONE MONTH OR MORE OF PERSISTENT CONCERN OVER FUTURE ATTACKS B. ABSENCE OF AGORAPHOBIA C. NOT DIRECTLY DUE TO SUBSTANCE.

  5. PD-W AG - DSM A. BOTH RECURRENT UNEXPECTED PANIC ATTACKS       ONE MONTH OR MORE OF PERSISTENT CONCERN OVER FUTURE ATTACKS  B. PRESENCE OF AGORAPHOBIA - ANXIETY ABOUT PLACES WHERE ESCAPE MAY BE DIFFICULT OR IN WHICH HELP MAY NOT BE AVAILABLE IN THE EVENT OF A PANIC ATTACK SITUATIONS ARE AVOIDED OR ENDURED WITH DISTRESS.

  6. FEATURES OF PANIC DISORDER • ATTACKS, SPELLS • OUT OF THE BLUE • PHYSICAL DISEASE FEAR • CASUALTY • MEDICAL SPECIALISTS • EXPLICIT MEMORY FOR ONSET

  7. HYPOCHONDRIASIS • FEAR OF DISEASE • BELIEF IN DISEASE • MISINTERPRETATION OF BENIGN SIGNS • RELUCTANCE TO BELIEVE GP • REASSURANCE SEEKING

  8. FEATURES OF HYPOCHONDRIASIS • EXAGGERATED ANXIETY RELATIVE TO DISEASE • DRAMATIC, ANXIOUS • OFTEN VERY OBSESSIONAL • FREQUENT DYSPHORIA • DEPENDENCE AND REASSURANCE • HISTORY OF PHYSICAL AILMENTS

  9. DEMOGRAPHICS AGE OF ONSET MID 20’S GENDER FEM – ESP FOR AG. COURSE FLUCTUATING IMPAIRMENT MOD TO HIGH COMORBIDITY HIGH PRESENTATION MEDICAL

  10. MEAN AGE OF ONSET REPORTED BY PHOBICS - ÖST (1987)

  11. SIGNIFICANT SYMPTOMS IN 6 MONTHS – FAVA ET AL. (1988) N OF SUBJECTS

  12. ANXIETY SENSITIVITY INDEX – REISS ET AL.(1986) • IT SCARES ME WHEN I FEEL SHAKY • IT SCARES ME WHEN I FEEL FAINT • IT SCARES ME WHEN MY HEART BEATS RAPIDLY • UNUSUAL BODY SENSATIONS SCARE ME • IT SCARES ME WHEN I FEEL SHORT OF BREATH

  13. ASI SCORES IN ANXIOUS INDIVIDUALS – TAYLOR ET AL (1992)

  14. THREE MAIN FACTORS IN ASI – ZINBARG ET AL, 1997. • PHYSICAL CONCERNS • IT SCARES ME WHEN MY HEART BEATS RAPIDLY • MENTAL INCAPACITATION CONCERNS • WHEN I AM NERVOUS I WORRY THAT I AM MENTALLY ILL • SOCIAL CONCERNS • IT IS IMPORTANT TO ME NOT TO APPEAR NERVOUS

  15. LEARNING HISTORY IN PEOPLE WITH PANIC DISORDER – EHLERS (1998)

  16. LEARNING HISTORY IN PEOPLE HIGH VS LOW ON ASI – WATT ET AL. (1998)

  17. LHQ NON-AROUSAL SXS .00 .39 .40 PANIC ATTACKS PHYSICAL CONCERN .13 .24 LHQ AROUSAL SXS MODEL OF LEARNING HISTORY, AS, AND PANIC ATTACKS – STEWART ET AL. (2001). .00

  18. PREDICTION OF ANXIETY DISORDERS (MALLER & REISS, 1992)

  19. PANIC ATTACKS BY ASI QUARTILES – SCHMIDT ET AL. (1997) NUMBER OF ATTACKS QUARTILE

  20. STRESS BEFORE ONSET – RAPEE ET AL. (1990)

  21. STRESS BEFORE ONSET – FARAVELLI (1985) N. OF EVENTS MONTHS

  22. IMPACT OF STRESS BEFORE ONSET – RAPEE ET AL. (1990)

  23. MAINTENANCE OF PANIC DISORDER RAPEE (1993). ADVANCES IN BEHAVIOUR RESEARCH AND THERAPY, 15, 85-102.

  24. ONSET OF PANIC DISORDER – BARLOW (2002)

  25. COLOUR-NAMING IN SOCIAL PHOBIA AND PANIC DISORDER - HOPE ET AL. (1991) WORD TYPE INTERFERENCE INDEX

  26. PROBE DETECTION LATENCY – ASMUNDSON ET AL (1992)

  27. THREAT INTERPRETATIONS – HARVEY ET AL. (1993)

  28. REACTION TIMES TO TARGET WORD – SCHNIERING & RAPEE (1997) MS

  29. PANIC ATTACK TO BIOLOGICAL CHALLENGE – RAPEE ET AL. (1992)

  30. INTENSITY OF PANIC TO CO2- RAPEE ET AL. (1986)

  31. PANIC TO CO2SANDERSON ET AL. (1990) PERCENT PANIC ATTACKS CONTROL NO CONTROL

  32. HYPERVENTILATION THEORY OF PANIC

  33. PD VS PDA – RAPEE & MURRELL (1988)

  34. PD VS PDA – TELCH ET AL. (1989)

More Related