Anxiety & Stress Disorders

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Some patients with panic disorder have chronic, persistent symptoms. Take the quiz and learn more.

Mini Quiz: Panic Disorder

Articles

How to help the one-third of patients with panic disorder who have chronic, persistent symptoms?

Treatment-Resistant Panic Disorder

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.

Mislabeling Medical Illness As Mental Disorder

According to the CDC's latest published report, there were 38,364 suicides in the US in 2010-an average of 105 each day. Globally, an estimated 1 million suicides occur annually.

Panic Attacks and Suicide

The goal of this article is to improve recognition of comorbid psychiatric and movement disorders and to help the reader formulate a management strategy using a multidisciplinary approach.

Comorbid Movement and Psychiatric Disorders

Dr Pies is Professor Emeritus of Psychiatry and Lecturer on Bioethics and Humanities, SUNY Upstate Medical University; Clinical Professor of Psychiatry, Tufts University School of Medicine; and Editor in Chief Emeritus of 

 (2007-2010). Dr Pies is the author of several books. A collection of his works can be found on

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

Why Panic Attacks Are Nearly Always Pathological

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.

The Judas Ladder

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

Severe Panic Disorder in a Middle-Aged Man

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.

Exposure Therapy for Anxiety Disorders

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.

Panic Disorder

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