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Lecture 5 Chapter 6 part 2

Lecture 5 Chapter 6 part 2 - 4 Panic Disorder Panic...

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4. Panic Disorder Panic Disorder • Occurrence of panic a2acks seems to come “out of the blue” • Recurrent, unexpected a2acks • Persistent worry about [email protected] a2acks • Change in behavior and associated impairment • Panic a2acks: 4 of 13 possible physical and [email protected] symptoms
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[email protected] [email protected] Trembling or shaking Shortness of breath or smothering feeling Feelings of choking Chest pain or discomfort Nausea Dizziness Chills or heat [email protected] Numbness or @ngling [email protected] or [email protected] Fear of losing control or going crazy Fear of dying
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Prevalence, Age of Onset, and Gender Differences
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Timing of a First Panic Attack First a2ack frequently follows feelings of distress or highly stressful life circumstance Many adults who experience single panic a2ack do not develop panic disorder
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Biological Causal Factors [email protected] Biochemical agents Neural regions 33-43% of variance in liability due to genetics Amygdala- involved in the regulation of fear- central area of fear network Decreased Serotonin, GABA and increased noradrenergic activity
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Psychological Causal Factors Causal Factors Anxiety [email protected] [email protected] theory of panic-­‐ catastrophize symptoms Safety behaviors allow panic to persist
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The Panic Circle
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Panic video
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5. Agoraphobia Two or more 1. Using public transportation 2. Being in open spaces 3. Being in enclosed places 4. Standing in line or being in a crowd 5. Being outside of the home alone
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