Essay Panic

Submitted By suzwin
Words: 1107
Pages: 5
Open Document
Essay Notes - Module 2 – C : Anxiety Disoders – Panic Disorder
For an anxiety order of your choice outline the diagnostic category system, it’s presentation & evidence based LI intervention in line with published literature
Panic Disorder:
DSM1V: Recurrent/Unexplained panic attack with 4 more symptoms:
1. Palpitations,pounding heart or accelerated heart-rate
2. Sweating
3. Trembling or shaking
4. Sensation of shortness of breath
5. Feeling of chocking
6. Chest pain/discomfort
7. Nausea or abdominal distress
8. Feeling faint,unsteady,light-headed
9. Derealisation/Depersonalisation
10. Fear of losing control/going crazy
11. Fear of dying
12. Paresthesias ( numbness or tingling)
13. Chills/hot flushes

At least 1 of the attacks must have been followed by 1or more of
Persistent concerns about having additional attacks
Worry about implications
Significant change in behaviour

ICD 10
1. Sudden onset of palpitations
2. Chest pain
3. Choking sensations
4. Dizziness
5. Feelings of unreality ( depersonalisation/derealisation)
6. Fear of dying/going mad or losing control.

Panic Disorder characterised by fear ( cognitive theme) & somatic symptoms are related to fear or anticipatory fear ( if exposed to stimulus of fear) – often leading to avoidant behaviours – e.g avoiding places, people or images that remind patient of fears ( act as trigger) as an attempt to reduce threat or will escape quickly ( to neutralise threat) or engage in safety behaviours
With agoraphobia – avoidance or fear of open spaces

Fear/Anxiety affects approx 7 per 1000

Anxiety & fear have an evolutionary survival function.
Perceived threat – fight/flight/freeze – adrenalin response –
In this sense symptoms seem more normal - e.g body sweats to cool down/ pupils expand – greater peripheral vision to scan for threat, shallow breathing – taking in more oxygen – problem when these become catastrophically interpreted.
NICE guidelines ( 2011) recommend
Indiv non – facilitated self help
Or individual facilitated self help
Emphasis importance of shared decision making
Also importance of good information/ education family/ in clear accessible language carers about condition & possible treatments – inform them of self – help groups/support groups
NB co-morbidity with depression common 88 per 1000
Commonly panic disorder & agoraphobia – where people who have experienced panic attacks – e.g in shopping centres, busy places can avoid such places due to fear of effects etc. Firstly patients need to understand CBT principles – interaction of thoughts, behaviours, somatic symptoms – important that they are educated about bodies adrenalin response in order to normalise these. However for many symptoms will be severe or acute & so need for intervention to restore normalised functioning.
Exposure therapy – typically used as a brief low intensity intervention. Based on behavioural paradigm – need to act way out of unhelpful behaviours
Shown to be clinically effective for specific phobias, social phobia and those with panic & agoraphobia. Barlow et al 2005 endorses use of exposure Myles & Rushforth.
Exposure recommended if patient is avoiding something causing fear.
Puts patient in charge
Helps create a plan to confront fear in a graded way acceptable to patient with support from PWP

Myles & Rushforth outline graded exposure as this treatment helps patients to face fear and educates them to understand how avoidance is maintaining the vicious cycle. Explained in Chellingsworth & Farrand Exposure Guide taken from Reach Out Educator Materials – also Picus et al ( 2008) stress need for adolescents to understand where panic sensations come from – that they are normal & harmless as 1st step to break vicious circle. However value of understanding undone if person continues to avoid
Avoidance can give short –term relief more long term problems such as agoraphobia or reliance on safety behaviours – such
Show More

Related Documents: Essay Panic

Dustbowl Panic Essay

Allen Hilburn Mr. Vachon 3B 11/19/14 Dustbowl Panic The Dustbowl era was a challenging period in American history. Continuous drought led to the loss of crops causing a severe economic recession and impacting the lifestyles of those throughout the Dustbowl region. The dry, infertile earth forced farmers from their family homes and contributed to a spike in unemployment due to a lack of work. As a result, those relying on agricultural-based occupations were forced to look elsewhere to support…

Words 491 - Pages 2

Controlled Panic Essay

Running head: Controlled Panic Controlled Panic Monise Edwards-Williams Westwood College Controlled Panic Dark clouds howling winds. Wind can be refreshing as a gentle summer’s breeze or wrathful and destructive as a hurricane; wind has no shape until it becomes a tornado. Its cone shape has no direction and its only purpose is destruction. The family depicted in John Steuart’s 1929 oil canvas “Tornado Over Kansas” (Wyrick, 2011) has faced this uncomfortable and unforgiving wind before…

Words 589 - Pages 3

Speech on Panic Attacks Essay

Panic Attacks Today, I am going to talk to you about something that has greatly influenced my life. Panic Attacks. First of all for those of you who do not know what a panic attack is, it is a moment of intense fear and overwhelming anxiety that can last from a couple of minutes to many hours. A panic attack can strike at any moment, and usually reaches its peak within 10 minutes. Some things that you may be feeling during a panic attack would be a fear of dying, experiencing a heart attack, feeling…

Words 322 - Pages 2

Panic disorder Essay example

Abstract A panic attack is a sudden episode of intense fear that triggers severe physical reactions when there is no real danger or apparent cause. Panic attacks can be very frightening. When panic attacks occur, you might think you're losing control, having a heart attack or even dying. A panic attack begins suddenly, and most often peaks within 10 - 20 minutes. Some symptoms may continue for an hour or more. A panic attack may be mistaken for a heart attack. Panic attacks may include anxiety about…

Words 1185 - Pages 5

panic attack disorder Essay

A person suffering from panic disorder constantly suffers from panic attacks. A panic attack is a sudden episode of intense fear that triggers severe physical reactions when there is no real danger or apparent cause. Panic attacks can be very frightening. Many people can suffer from just one or two panic attacks in their life but if a person suffers reoccurring panic attacks they have an anxiety problem called Panic Disorder. Panic disorder symptoms are as followed: Sense of impending doom or…

Words 387 - Pages 2

Panic Disorder and Online CBT Essay

Panic Disorder and Online Cognitive Behavioural Therapy T. Wragg Counselling Methodologies: Behavioural and Cognitive Modalities Panic Disorder and Online Cognitive Behavioural Therapy Anxiety disorders (AD) are the most prevalent of mental health illnesses in contemporary Canadian society, and currently affect approximately one in ten individuals (Health Canada, 2009). In 2006, panic disorder (PD) was listed by the World Health Organization as a major cause of “years of life lived with disability”…

Words 4205 - Pages 17

Sociology and Moral Panics Essay

disorder evolved into something that can be considered as a ‘moral panic’, a term coined by sociologist Stanley Cohen (1973, p. 9). This moral panic is a collective of behaviour, people or condition that is viewed as a direct threat to society. Note that Hall et al. see society or the British State as the most powerful and influential group with its interests held in common by those living in it. Using the springboard of moral panics, Cohen’s (1972) work brought to prominence concepts such as ‘folk…

Words 1641 - Pages 7

Essay on Panic Attack and Heart Rate

Acrophobia PSY/211 March 31, 2014 Acrophobia is the fear of heights. In reality, there is nothing wrong with having a fear of heights. It is a natural defense so that we do not walk off of a roof or a cliff. It becomes unhealthy when it is more of a phobia than a fear. This type of fear can be consuming and debilitating. Many people suffer from acrophobia and there are different levels of fear associated with acrophobia. Climbing a ladder, being…

Words 777 - Pages 4

Moral Panic And Nasty Girl Essay

Katelynn Vanderwerff IDC4U Mr.Milne May 2015 Moral Panic and the Nasty Girl Sugar and spice and everything nice, the stereotypical idea of what girls should be. For centuries, a painted picture has been given to us to show what is acceptable growing up in today’s society. Recently, feminism, the ideology of equality in woman has been a huge topic, but has it been taken too literally? Are we entering an era of The Nasty Girl, or is it just moral panic? Today, girls are viewed as increasingly nasty…

Words 703 - Pages 3

Moral Panics SOCIOLOGY Essay

and Moral Panics Moral panics was introduced by sociologist Stanley Cohen studying the youth culture in the 60s. Cohen looked at the media reaction to the fights between the mods and rockers at various seaside resorts in Britain in the mid-60s. His term ‘moral panic’ came to mean ‘a mass response to a group, a person or an attitude that becomes defined as a threat to society’. (Media studies; The Essential Introduction 2001 ed) Cohen described moral panics as cultural politics. Moral panics are considered…

Words 1048 - Pages 5