Case:
Dave is a 41-year-old male who was referred by his primary care physician
after presenting to the ER with difficulty breathing. Dave’s physician was
unable to find a medical explanation for his symptoms, which left Dave feeling
confused, stressed, and angry. Over the last 6 months, Dave has had several
instances where he felt an intense fear that would reach a peak within a few
minutes. During these instances, he would also experience sweating, heart
palpitations, chest pain and discomfort, and shortness of breath. At times,
Dave worried that might die. As a result, Dave has persistent worry about
having another attack. In addition, he has begun to avoid unfamiliar places and
people where it may be difficult to get help in the event of another panic
attack. The panic and associated avoidance are significantly impacting Dave’s
life as he has been turning down social invitations, making excuses to stay at
home whenever possible, and relying on his wife to drive their children to
their various activities. Although she was understanding at first, Dave’s wife
has grown frustrated with what she perceives as his irrational fear of panic
attacks.Symptoms
- Agoraphobia
- Anger
- Anxiety
- Panic
- Suicidal thoughts
- Worry
Diagnoses and Related Treatments
Panic Disorder
The following treatments have empirical support for individuals with Panic Disorder:- Applied Relaxation for Panic Disorder
- Cognitive Behavioral Therapy for Panic Disorder
- Psychoanalytic Treatment for Panic Disorder
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