scholarly journals Panic Disorder with Choking Phobia : a Case Report

2020 ◽  
Vol 1 (2) ◽  
pp. 25-30
Author(s):  
Patricia Wulandari
Keyword(s):  
Case Report ◽  
Panic Disorder ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Panic Attack ◽  
The Body ◽  
Self Control ◽  
Panic Attacks ◽  
Cognitive Behavior ◽  
Loss Of Self

Abstract   Panic disorder is a form of anxiety disorder characterized by repeated panic attacks and preoccupied with worrying that a panic attack will occur. Panic attacks are characterized by fears of a disaster or loss of self-control even though there is really nothing to worry about. Other symptoms experienced during a panic attack are heart palpitations (similar to a heart attack), shortness of breath, feelings of suffocation, and the body feels weak. If this disorder is not detected early, it will affect the daily life of the patient. This case report presents the case of a 34-year-old woman who experiences symptoms of panic disorder with choking phobia that is managed with antidepressants and cognitive behavior therapy. In addition, there is discussion of differential diagnosis and the role of cognitive behavior therapy in handling this case. 

The Generalizability of Cognitive Behavior Therapy for Panic Disorder

1998 ◽  
Vol 12 (4) ◽  
pp. 323-330 ◽  
Author(s):  
William C. Sanderson ◽  
Patrick J. Raue ◽  
Scott Wetzler
Keyword(s):  
Panic Disorder ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Clinical Setting ◽  
Ethnically Diverse ◽  
Panic Attacks ◽  
Controlled Clinical Trial ◽  
Clinical Settings ◽  
Cognitive Behavior ◽  
Full Spectrum

The current study examined the generalizability of manual-driven cognitive-behavior therapy (CBT) for panic disorder to a clinical setting representing an ethnically diverse population. This treatment had previously been shown to be effective in a controlled clinical trial at a research clinic (Barlow, Craske, Cerny, & Klosko, 1989). In the present study, 30 patients with panic disorder received 12 sessions of CBT. Patients were evaluated at pre- and posttreatment with measures assessing the full spectrum of symptoms associated with panic disorder (panic attacks, agoraphobia, generalized anxiety, depression). Following treatment, there were significant and clinically meaningful reductions on all measures. In order to determine how well the efficacy of CBT generalizes to nonresearch clinical settings and to ethnically diverse urban populations, data in the present study were compared to those collected by Barlow and associates (1989). Patients in our clinical setting showed higher pretreatment levels of symptomatology than patients in Barlow and colleagues’ (1989) research setting, but similar posttreatment symptom levels and response rates. Thus, this study provides evidence for the generalizability of CBT from clinical research centers to clinically representative settings.

A randomized trial of sertraline, self-administered cognitive behavior therapy, and their combination for panic disorder

2010 ◽  
Vol 41 (2) ◽  
pp. 373-383 ◽  
Author(s):  
D. Koszycki ◽  
M. Taljaard ◽  
Z. Segal ◽  
J. Bradwejn
Keyword(s):  
Panic Disorder ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Panic Attacks ◽  
Cognitive Behavior ◽  
Secondary Analyses ◽  
Bodily Sensations ◽  
Rate Of Decline ◽  
Fear Of Bodily Sensations ◽  
Over Time

BackgroundSelf-administered cognitive behavior therapy (SCBT) has been shown to be an effective alternative to therapist-delivered treatment for panic disorder (PD). However, it is unknown whether combining SCBT and antidepressants can improve treatment. This trial evaluated the efficacy of SCBT and sertraline, alone or in combination, in PD.MethodPatients (n=251) were randomized to 12 weeks of either placebo drug, placebo drug plus SCBT, sertraline, or sertraline plus SCBT. Those who improved after 12 weeks of acute treatment received treatment for an additional 12 weeks. Outcome measures included core PD symptoms (panic attacks, anticipatory anxiety, agoraphobic avoidance), dysfunctional cognitions (fear of bodily sensations, agoraphobic cognitions), disability, and clinical global impression of severity and improvement. Efficacy data were analyzed using general and generalized linear mixed models.ResultsPrimary analyses of trends over time revealed that sertraline/SCBT produced a significantly greater rate of decline in fear of bodily sensations compared to sertraline, placebo/SCBT and placebo. Trends in other outcomes were not significantly different over time. Secondary analyses of mean scores at week 12 revealed that sertraline/SCBT fared better on several outcomes than placebo, with improvement being maintained at the end of continuation treatment. Outcome did not differ between placebo and either sertraline monotherapy or placebo/SCBT. Moreover, few differences emerged between the active interventions.ConclusionsThis trial suggests that sertraline combined with SCBT may be an effective treatment for PD. The study could not confirm the efficacy of sertraline monotherapy or SCBT without concomitant medication or therapist assistance in the treatment of PD.

scholarly journals Coronavirus disease-19 Pandemic-Induced Panic Disorder

2021 ◽  
Vol 9 (T3) ◽  
pp. 237-239
Author(s):  
Muhammad Surya Husada ◽  
Mustafa M. Amin ◽  
Munawir Saragih
Keyword(s):  
Infectious Disease ◽  
Case Report ◽  
Panic Disorder ◽  
Panic Attack ◽  
Respiratory Symptoms ◽  
Panic Attacks ◽  
Psychosocial Burden ◽  
Her Family ◽  
Common Diagnosis ◽  
The Individual

Background: COVID-19 is a newly emerging infectious disease which is found to be caused by SARS-2. COVID-19 pandemic has spread worldwide causing a rapidly increasing number of mental disorders cases, primarily anxiety disorder. Since majority of panic disorder patients are present with great anxiety in response to their physical or respiratory symptoms, support and encouragement from psychiatrist or therapist are fundamental to alleviate the severity of the symptoms. Case Report: We reported a case of COVID-19 induced panic disorder in a woman, 52 years old, batak tribe who started to experience multiple panic attacks since one of her family members was confirmed to be Covid-10 positive. Conclusion: In general, panic disorder is a common diagnosis, but this case appeared to be interesting as it is induced by COVID-19 pandemic. As in this case, the individual who experienced multiple panic attack is not even a COVID-19 patient but has one of her family member affected by the virus. A wide body of evidence has shown that this pandemic massively contributes to worsening of psychosocial burden in nationwide.

scholarly journals Relationship of psychiatric comorbidity and treatment of panic disorder and agoraphobia

2006 ◽  
Vol 134 (7-8) ◽  
pp. 267-272
Author(s):  
Milan Latas ◽  
Vladan Starcevic ◽  
Goran Trajkovic
Keyword(s):  
Panic Disorder ◽  
Psychiatric Disorders ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Psychiatric Comorbidity ◽  
Integrative Model ◽  
Treatment Modalities ◽  
Cognitive Behavior ◽  
Comorbid Psychiatric Disorders ◽  
Relationship Of

Introduction. Besides numerous studies that examined various aspects of comorbidity in patients with panic disorder and agoraphobia and numerous studies that examined efficacy of different treatment modalities in these patients, there was no study that examined relationship of overall psychiatric comorbidity and treatment of patients with panic disorder and agoraphobia. Objective. The objective of the study was to establish the effect of psychiatric comorbidity on treatment efficiency of patients with panic disorder and agoraphobia. Method. The sample of the study consisted of 119 patients with primary diagnosis of panic disorder and agoraphobia. The therapy of patients was based on the use of individual integrative model of treatment, which incorporated psycho-pharmaceuticals (benzodiazepines and antidepressants) and cognitive- behavior therapy. Symptom severity was estimated by Panic and Agoraphobia Scale before and after the completion of treatment. Patients with comorbidity and patients without any comorbidity were compared by MANOVA and ANOVA with repeated measures. Results. The results of the study showed that 91% of patients met diagnostic criteria of comorbid psychiatric disorder and these patients had more severe clinical picture than patients without any comorbid disorder before the treatment. The results also showed that, after the completion of treatment, there was a significant reduction of all analyzed symptoms, that the effects of treatment were significantly better in patients with psychiatric comorbidity and that comorbid psychiatric disorders had no negative effect on the main goals of the treatment. Conclusion. Based on these results, it may be concluded that: in patients with panic disorder and agoraphobia and comorbid psychiatric disorders, the pharmacotherapy must be based on simultaneous use of antidepressants and benzodiazepines, while standard cognitive-behavior therapy of patients with panic disorder and agoraphobia must be modified in case of the existing comorbid psychiatric disorders.

scholarly journals Efektivitas Cognitive Behavior Therapy terhadap Kontrol Diri Remaja dengan Perilaku Kenakalan Status Offense di Madrasah Tsanawiyah Negeri X Magetan

2020 ◽  
Vol 6 (1) ◽  
pp. 10-19
Author(s):  
Sofy Ariany Hasan ◽  
Duta Nurdibyanandaru
Keyword(s):  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
T Test ◽  
Self Control ◽  
Cognitive Behavior ◽  
Control Scale ◽  
Gain Score ◽  
Status Offense

Penelitian ini bertujuan untuk mengetahui apakah cognitive behavior therapy (CBT) efektif terhadap kontrol diri remaja dengan perilaku status offense  di MTsN X Magetan. Pemberian CBT bertujuan untuk meningkatkan kontrol diri remaja, sehingga remaja tersebut dapat mengurangi perilaku kenakalan remaja, khususnya status offense. Penelitian ini menggunakan metode kuantitatif dengan tipe penelitian eksperimen. Penelitian eksperimen ini dilakukan selama 6 sesi, dan masing-masing sesi dilaksanakan selama 1 jam. Subjek pada penelitian ini berjumlah 24 remaja dengan perilaku kenakalan status offense yang merupakan siswa MTsN X Magetan. Penelitian ini menggunakan skala psikologi untuk mengukur efektivitas dari CBT. Skala yang digunakan adalah Self Control Scale (SCS) yang dikembangkan oleh Tangney, dkk (2004), berjumlah 24 aitem setelah diujicobakan peneliti dengan reliabilitas sebesar 0,864. Analisis data dilakukan menggunakan teknik t-independent (two sample t-test dengan menggunakan bantuan SPSS 22 for windows. Hasil yang diperoleh pada penelitian ini menunjukkan bahwa  CBT efektif dalam meningkatkan kontrol diri remaja dengan perilaku kenakalan status offense di MTsN X Magetan. Nilai signifikansi pada gain score kontrol diri sebesar 0.001 (sig. < 0.05) sehingga dapat disimpulkan bahwa terdapat perbedaan yang signifikan antara gain score kontrol diri pada kelompok eksperimen dan kelompok kontrol setelah adanya pemberian perlakuan CBT.

Affective Styles in Panic Disorder and Specific Phobia: Changes Through Cognitive Behavior Therapy and Prediction of Remission

2020 ◽  
Vol 51 (3) ◽  
pp. 375-385
Author(s):  
Christina Totzeck ◽  
Tobias Teismann ◽  
Stefan G. Hofmann ◽  
Ruth von Brachel ◽  
Xiao Chi Zhang ◽  
...  
Keyword(s):  
Panic Disorder ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Specific Phobia ◽  
Cognitive Behavior
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