DSM-5 Insanely Simplified: Unlocking the Spectrums within DSM-5 and ICD 10 by Steven Buser MD & Leonard Cruz MD

Author:Steven Buser, MD & Leonard Cruz, MD [Steven Buser, MD & Leonard Cruz, MD]
Language: eng
Format: epub
Publisher: innerQuest
Published: 2015-02-28T06:00:00+00:00

The well-balanced person is depicted as riding down the road in a convertible with the top down. The sun is shining, and though he is driving carefully, his care and caution is not hindering his enjoyment. He balances the risk of driving with the top down with the pleasure of driving a convertible. He has found himself in the sweet spot between appropriate concern or worry and a lack of hypervigilance that would rob life of lightness of being.

PANIC DISORDER

Panic disorder manifests with very intense anxiety that can be terrifying to patients. The initial episode of panic is frequently remembered in vivid detail. Panic Disorder is comprised of discrete episodes of panic, and frequently a significant component of anticipatory anxiety. During acute bouts of panic, the patient often worries they are having a heart attack or they are going to die. A host of physical symptoms may occur during a panic episode. Patients may present to their physician or to an emergency department for evaluation. After extensive testing that often reveals no clear cause, Panic Disorder may be diagnosed by default. This may be the point when referral to a mental health professional occurs. Cognitive behavior psychotherapy combined with low dose antidepressants is a common treatment strategy. Brief courses of anti-anxiety agents, often administered under the tongue for faster onset of action, can help restore a sense of control to patients, but whenever possible caution should be exercised in using anti-anxiety agents like benzodiazepines alone in patients with Panic Disorder.

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