A 20 years old young female presented with acute onset dyspnea in emergency department. She is feeling restless and has feeling' of impending doom. On asking further about history, she mentioned that she has examinations coming up and is feared about it. What is the most likely diagnosis?
B. Anxiety
C. Schizophrenia
D. OCD
Ans.
B. Anxiety
Panic disorder runs a chronic course
and intermittent multiple panic attacks are experienced.
Anxiety is more likely diagnosis in
this case.
PANIC DISORDER: Recurrent unexpected attacks of Intense Anxiety that include
marked physical symptoms, such as Tachycardia,Hyperventilation, Dizziness&
Sweating. Associated with separations during childhood & interpersonal loss
in adulthood.Occur in response to "Panicogens" i.e. Lactate, C02,
Caffeine&Yohimbine.
Associated
problems
Agoraphobia, Depression, Generalized
Anxiety & Substance Abuse
Treatment
Short term Treatment: Benzodiazepines
Alprazolam.
Long term Treatment: SSRI
Fluoxetine. &/or TCAs
Imipramine.
Others: Clonazepam & MOI Phenelzine.
Psychotherapy
