Panic Disorder
Definition
Criteria for Panic Disorder (≥ 4)
STUDENTS FEAR the 3 C's
S weating
T rembling
U nsteadiness, dizziness
D epersonalization, Derealization
E xcessive heart rate, palpitations
N ausea
T ingling
S hortness of breath
Fear of dying, losing control, going crazy
3 C's: Chest pain, Chills, Choking
Epidemiology
Treatment
Non-Pharmacological
effects, explain symptoms to expect prior to initiation
Source
Toronto Notes 2012
Criteria for Panic Disorder (≥ 4)
STUDENTS FEAR the 3 C's
S weating
T rembling
U nsteadiness, dizziness
D epersonalization, Derealization
E xcessive heart rate, palpitations
N ausea
T ingling
S hortness of breath
Fear of dying, losing control, going crazy
3 C's: Chest pain, Chills, Choking
Epidemiology
- Prevalence: 1.5-5% (one of the top five most common reasons to see a family doctor); M:F = 1:2-3
- Onset: average late 20's, familial pattern
Treatment
Non-Pharmacological
- Relaxation techniques (visualization, box-breathing)
- CBT
- SSRis: fluoxetine, citalopram, paroxetine, fluvoxamine, sertraline
- SNRI: venlafaxine
effects, explain symptoms to expect prior to initiation
- Other antidepressants (TCAs, mirtazapine, MAO Is)
- Consider avoiding bupropion due to stimulating effects
- Benzodiazepines (short term, low dose, regular schedule, long half-life, no prn)
Source
Toronto Notes 2012