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    DSM-IV Panic Disorder

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    The document discusses panic disorder and defines the criteria for diagnosing it according to the DSM-IV-TR. A panic attack is defined as experiencing 4 out of 13 physical and psychological symptoms within 10 minutes. Panic disorder is defined as recurrent unexpected panic attacks followed by at least one month of persistent concern about additional attacks or worry about implications of the attacks. The panic attacks must not be caused by substances, medical conditions, or other mental disorders. Treatment involves paroxetine and alprazolam.

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    DSM-IV Panic Disorder

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    113 views1 page
    The document discusses panic disorder and defines the criteria for diagnosing it according to the DSM-IV-TR. A panic attack is defined as experiencing 4 out of 13 physical and psychological symptoms within 10 minutes. Panic disorder is defined as recurrent unexpected panic attacks followed by at least one month of persistent concern about additional attacks or worry about implications of the attacks. The panic attacks must not be caused by substances, medical conditions, or other mental disorders. Treatment involves paroxetine and alprazolam.

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    DSM-IV panic disorder

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    The document discusses panic disorder and defines the criteria for diagnosing it according to the DSM-IV-TR. A panic attack is defined as experiencing 4 out of 13 physical and psychological symptoms within 10 minutes. Panic disorder is defined as recurrent unexpected panic attacks followed by at least one month of persistent concern about additional attacks or worry about implications of the attacks. The panic attacks must not be caused by substances, medical conditions, or other mental disorders. Treatment involves paroxetine and alprazolam.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as ODT, PDF, TXT or read online from Scribd
    Download as odt, pdf, or txt
    113 views1 page

    DSM-IV Panic Disorder

    Uploaded by

    decomposer
    The document discusses panic disorder and defines the criteria for diagnosing it according to the DSM-IV-TR. A panic attack is defined as experiencing 4 out of 13 physical and psychological symptoms within 10 minutes. Panic disorder is defined as recurrent unexpected panic attacks followed by at least one month of persistent concern about additional attacks or worry about implications of the attacks. The panic attacks must not be caused by substances, medical conditions, or other mental disorders. Treatment involves paroxetine and alprazolam.

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    Anxiety disorders-Panic disorder

    DSM-IV-TR Criteria for Panic Attack


    十分鐘內出現以下十三項中的四項：
    1. palpitations, pounding heart, or accelerated heart rate
    2. sweating
    3. trembling or shaking
    4. sensations of shortness of breath or smothering
    5. feeling of choking
    6. chest pain or discomfort
    7. nausea or abdominal distress
    8. feeling dizzy, unsteady, lightheaded, or faint
    9. derealization (feelings of unreality) or depersonalization (being detached from oneself)
    10.fear of losing control or going crazy
    11.fear of dying
    12.paresthesias (numbness or tingling sensations)
    13.chills or hot flushes

    可以分成四大系統來記，其中前兩個系統(身體部份)可以當成交感興奮的後果。
    1. Cardiovascular: chest pain、palpitation、SOB
    2. Metabolic: sweating、chills、nausea
    3. Neurology: trembling、dizziness、paresthesia
    4. Psychiatry: derealization、fear of losing control、fear of dying

    DSM-IV-TR Diagnostic Criteria for Panic Disorder without Agoraphobia


    1. Both (1) and (2):
    A. recurrent unexpected panic attacks
    B. at least one of the attacks has been followed by 1 month (or more) of one (or
    more) of the following:
    1. persistent concern about having additional attacks
    2. worry about the implications of the attack or its consequences (e.g., losing
    control, having a heart attack, going crazy)
    3. a significant change in behavior related to the attacks
    2. Absence of agoraphobia
    3. The panic attacks are not due to the direct physiological effects of a substance (e.g., a
    drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism).
    4. The panic attacks are not better accounted for by another mental disorder, such as
    social phobia (e.g., occurring on exposure to feared social situations), specific phobia
    (e.g., on exposure to a specific phobic situation), obsessive-compulsive disorder (e.g.,
    on exposure to dirt in someone with an obsession about contamination), posttraumatic
    stress disorder (e.g., in response to stimuli associated with a severe stressor), or
    separation anxiety disorder (e.g., in response to being away from home or close
    relatives).

    也就是說，沒有外在原因的不斷復發，且事後擔心害怕超過一個月，稱為 panic disorder。


    Rx: paroxetine + alprazolam

    中國醫藥大學附設醫院 張凱博

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