Panic disorderEssenceRecurrentpanicattacks.whicharenottosubstancemisuse,medicalconditions,oranother psychiatricdisorder.Frequencyofoccurrencemayvaryfrommanyattacksadaytoonlyafewayear.Usually apersistent worryabouthavinganotherattackorconsequencesof theattackand significantbehavioural changesrelatedto attack
Panic disorder ⚫ Essence Recurrent panic attacks, which are n ot to substance misuse, medical con ditions, or another psychiatric disord er. Frequency of occurrence may vary from many attacks a day to only a few a year. Usually a persistent worry abo ut having another attack or conseque nces of the attack and significant beh avioural changes related to attack
Panic disorderlivinginacityBdivorced,limitedAseparatededucationriskfactors.CearlyphysicalorEparentalsexual abuseloss
Panic disorder risk factors B E C D A living in a city divorced, separated limited education early parental loss physical or sexual abuse
Panic disorder.Symptoms-Physicalsymptoms/signsrelatedtoautonomicarousal.-Concernsof deathfromcardiacorrespiratoryproblemsmaybeamajorfocus,leadingtopatientspresenting(oftenrepeatedly)toemergencymedicalservices.Thoughtsof suicide(orhomicide)shouldbeelicited;acuteanxiety(particularlywhenrecurrent)canleadtoimpulsiveacts (usuallydirectedtowards self).Note:riskofattempted suicide substantiallyraised where comorbid depression,or alcoholorsubstancemisuse
Panic disorder • Symptoms – Physical symptoms/signs related to autonomic arousal. – Concerns of death from cardiac or respiratory problems may be a major focus, leading to patients presenting (often repea tedly) to emergency medical services. – Thoughts of suicide (or homicide) should be elicited; acute a nxiety (particularly when recurrent) can lead to impulsive act s (usually directed towards self). Note: risk of attempted suic ide substantially raised where comorbid depression, or alcoh ol or substance misuse
Panic disordersignsTheirbreathing becomes rapidand shallow.They blowoffcarbon dioxide,Hyperventilationdevelping hypocapnia.Feeling of airhunger,sensationsofsuffocation and audiblegasping
Panic disorder Hyperventilation Their breathing becomes rapid and shallow. Feeling of air hunger, sensations of suffocation and audible gaspi ng. They blow off carbon dioxide, develping hypocapnia. signs
Panic disorderPanicdisordermaybeundiagnosed in patients withunexplained medicalsymptoms.車江脖報ischaemiccardiacpainheart diseasechestpain
Panic disorder ◆Panic disorder may be undiagnosed in patients with unexplained medical symptoms. ◆ischaemic cardiac pain ◆heart disease ◆chest pain