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Panic Attack

Discrete period o intense fear or discomfort in which 4 Think o last bad attack u had. Whan was it? Where were u at following symptoms dvlp abruptly & reached peak w/in that time? Im going to ask u about some symptoms u may 10 min : hv experienced during d attack. Did u 1. Palpitation, punding o , accelerated HR 2. Sweating 3. Trembling or shaking 4. Sensation o SOB or smothering 5. Feeling o choking 6. Chest pain or discomfort 7. Nausea & abd distress 8. 9. 10. 11. 12. 13. 1. feel you heart racing, pounding, fluttering, or skipping beats? 2. sweat? 3. tremble or shake? 4. hv trouble catching ur breath, or feel like u were being smothered? 5. fell like u were choking? 6. hv chest pain, pressure, tightness or discomfort?

7. fell nauseated, sivk to ur stomach or like u might hv diarrhea Feeling dizzy, unsteady, lightheaded or faint 8. fell dizzy, lightheaded, unsteady or like u might faint? Derealization(feeling o unreality) or 9. feel like think aroung u unreal, like u were in dreams, depersonalization (being detached from oneself) like parts o ur body were unreal or detached from u, or like u were outside o urself, watching? Fear o losing control or going crazy 10. fear u were going crazy, or might lose control? Fear o dying 11. fear u might die? Paresthesias (numbness or tingling sensation) 12. feel numb or tingling in fingers or feet? Chills or hot flushes 13. hv hot flushes or chills?

nha 0813

Panic disorder w agoraphobia


Must hv : Recurrent unexpected panic attack 1 o attack has been followed by 1/12 of 1 o following : Persistent concern about having additional attacks Worry about implication o attack or its consequences Significance in in behavior related to attacks Anxiety or panic attack is a sudden rush o intense fear, anxiety, or discomfort that comes on from out o blue for no apparent reason, or in situation where u did x expect it to occur. Hv u ever experienced this? IF yes : What was it like? How many attacks hv u experienced? Do they awaken u from sleep? Does anything bring them on? IF specific situation described : Do they only occur in these situation, or hv these attacks also sometimes come from out of the blues or in situations where u did not expect them? Do u worry a lot about having more of them IF yes : how long would it take b4 u would stop worrying that another attack would occur? What r u afraid might happen from these anxiety attacks? (do u worry a lot that u might hv a hert attack? R u often worried that u might go crazy or lose control?) IF yes : for how long u hv worried about that? Have u behavior or routine since these attacks began? Presence o agoraphobia Panic attack not d/t : Direct physio effect o substance General medical condition Panic attack not better accounted for by another mental disorder such as ; Social phobia Specific phobia OCD Posttraumatic stress disorder Separation anxiety disorder

nha 0813

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