Which of the following statements regarding panic disorder is correct?
A. More common in men than in women B. Situationally bound, or cued, panic attacks are necessary for the diagnosis C. SSRIs and cognitive behavioral therapy are the current treatments of choice D. SSRIs are effective for rapid control of panic symptoms E. Typical age of onset is 50 to 55 years
Panic attacks are most unpleasant for the sufferer. They can occur without warning and will most probably be accompanied by various physical symptoms. Fast breathing, a feeling of being out of control, a fluttering heart and an inability to do anything about the attack, all these are common. The first option A is untrue. Panic attacks are far more common in women than men, especially in the younger age group. Therefore option E is also untrue.
SSRIs - selective serotonin reuptake inhibitors - are useful in treating panic attacks but the benefits are not experienced rapidly. therefore option D is untrue. When an individual presents with panic attacks as a mental health disorder, cognitive behaviour therapy is most likely to help in identifying the trigger, the underlying cause and the self-management in overcoming these attacks. Therefore option C is correct, while there is some disagreement between professionals about whether B is true.
Ssris and cognitive behavioral therapy are the current treatments of choice-the answer is c, ssrls and cognitive behavioral therapy are the current treatments of choice. panic disorder is characterized by recurrent, unexpected, brief episodes of intense anxiety or fear accompanied by various somatic symptoms. these episodes, referred to as panic attacks, can be situationally bound or cued but must occur spontaneously for a diagnosis of panic disorder to be made. women are two to three times more likely than men to develop panic disorder, and the age of onset is typically from late adolescence to the mid-30s. medical conditions such as hyperthyroidism, hypoglycemia, hypoxia, mi, and pheochromocytoma can present with anxiety as a predominant feature, highlighting the need to rule out medical causes before attributing symptoms to a panic attack. short-acting benzodiazepines such as alprazolam are efficacious for short-term treatment and should be considered when rapid control of panic symptoms is desired. however, the combination of selective serotonin reuptake inhibitors (ssris) and cognitive-behavioral therapy is the current treatment of choice and can typically be initiated in an outpatient setting. although efficacious, ssri treatment takes at least 4 weeks for most patients to notice significant benefit and is therefore not effective for rapid control of symptoms.(marx [rosens], 1751; tintinalli, 1826-1829)