Panic Disorder

[Lorenzo]

Defined by the presence of recurrent periods of intense fear and discomfort peaking in 10 minutes with at least 4 of the following:

Palpitations, Paresthesias, Abdominal distress, Nausea, Intense fear of dying or losing control, Light-headedness, Chest pain, Chills, Choking, Disconnectedness, Sweating, Shaking, Shortness of breath

Patients with this condition have persistent fear of having another attack.

[Lorenzo]

Treatment of Panic Disorder:

1. Cognitive Behavioral Therapy / Psychodynamic Psychoanalysis

2. SSRI (Selective Serotonin Reuptake Inhibitor) eg, Fluoxetine, Citalopram "Xanax"

3. TCA (Tricyclic Anti-Depressants) eg, Imipramine, Amitriptyline

4. Benzodiazepines

[Lorenzo]

Note: The best form for panic disorders are behavioral therapy because of its long-term implications.