Panic Disorder

Mislabeling Medical Illness As Mental Disorder

February 13, 2013

DSM-5 must emphasize that physical symptoms deserve the respect of a thorough work-up before assuming their cause is psychiatric. And people with defined medical illnesses should not be casually mislabeled as also mentally ill just because they are upset about being sick.

Why Panic Attacks Are Nearly Always Pathological

January 12, 2013

Panic attacks are nearly always pathological and disordered states, even when they occur in an understandable context.

The Judas Ladder

August 10, 2012

This tale involves a “clever” inmate. He enjoyed the respectable rung of bank robber, but found he had suddenly descended to approximately the level of a sex offender. The reason for his slippage was the inmate code, which demands allegiance to other inmates under virtually all circumstances. “Ratting out” a fellow inmate may cost one his life, or at the very least, result in a decidedly anxious, paranoid existence.

Severe Panic Disorder in a Middle-Aged Man

July 17, 2012

After scoring high on the Panic Disorder Severity Scale, this patient sought panic-focused psychodynamic therapy.

Exposure Therapy for Anxiety Disorders

September 06, 2011

Exposure-based therapies are highly effective for patients with anxiety disorders, to the extent that exposure should be considered a first-line, evidence-based treatment for such patients. In clinical practice, however, these treatments are underutilized, which highlights the need for additional dissemination and training.

Mixed States in Their Manifold Forms: Part 1

March 30, 2011

Mixed states constitute a wondrously variegated universe of psychopathology. These states are characterized by the intrusion of features characteristic of depression into states of hypomania or mania and the converse. Mixed states assume a myriad of forms that as a family may be among the most commonly encountered states of affective illness.