Panic disorder
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Panic Disorder Treatment
Prognostic: In panic disorder the prognostic of the sickness varies from patient to patients depending of patient’s adaptation to the treatment, choosing psychotherapy as well as the medicine and other supporting treatments. Panic disorders usually start during 16-25 but may start later. It is very rare panic disorders to start after 45 or during childhood. Panic disorder is repeatable and constant. (Kaplan ve Sadock 1995, 1998, 594-602). According to some researches, 25%-72&% of patients recover within the two years of the treatment, within five to ten years 10%-30% of the patents are fully recovered. (Altıntaş, 2006, s, 16).
Panic attacks ruin the life quality. Patience face many negative emotions and behaviours. This unpleased situation ruins patients’ financial situation, work, family relations and once the life quality ruins patience’s social functions ruins.
My Psychology, May 20/4
If there is depressions with panic attacks the sickness takes longer and with the anxiety; signs are more severe, more frequent phobic avoidances and more panic attacks happen. (Noyes, et al 1990, 809)
Patients diagnosed with panic disorder have severe anxiety because of psychical symptoms. They live with having cerebral haemorrhage fear because of increasing blood pressure, they fear of being a cardiac patient, because of having hypertension although they are young, and they have the fear of dying suddenly because of a heart attack during panic attacks.
Although after the treatment most of the patients recover later on tin life it is possible the disorder reoccurs. Some patients use medicine for the rest of their life. Differential Diagnoses: Before the patients diagnosed with panic disorders differential diagnoses needs to be done. Recent researches shows that some patients have panic attacks because of physical symptoms. (Kök- nel, 2004, s, 154). Panic disorder sometimes mistaken with below physical and mental sicknesses Physical Disorders Differential Diagnosis: • Withdrawal syndrome (alcohol, benzodiazepines, barbiturates) • Entoksikasyon (alkol, benzodiazepin, amfetamin, kafein,kokain) • Menopoz • Anemi
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If there is agoraphobia with panic disorder since there are avoidance behaviour, the sickness takes longer and more severe. Although avoidance behaviours happen because of agoraphobia decreases treatment speed and panic attacks continue.
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Developmental Hypothesis: Psychiatrist and Psychoanalyst John Bowlby developed a hypothesis. He takes the attention of instinctual motives while describing anxiety. The most instinct is addiction is attachment. Attachment and fear of loosing creates anxiety. Anxiety is a complex situation where fear exists within. (Kaya, 2010,110).
Endokrin hastalıklar: • Hipertiroidi • Hipoglisemi • Feokromositoma • Hipoparatiroidi • Cushing hastalığı
