Talk:Panic disorder

message: Do not Merge. I don't think the article on Panic Attacks should be merged with the article on Panic Disorder. They are greatly different and in fact many people can have panic attacks without having panic disorder. It is sufficient that the articles are linked by internal links etc. however they should remain two distinct articles. Lastly, the Panic Attack article describes a symptom while the Panic Disorder article discusses a disease- they are not the same and thus should not be merged. Merging them would only lead to confusion.Paulee24 00:43, 20 July 2007 (UTC)
thread_title:  Do not Merge 

message: Is this a quote?  If so, it needs to be a blockquote.  As it is, it would be a copyright violation. Aleta 07:29, 15 January 2007 (UTC)
thread_title: DSM criteria

message: It's clear to me that there is a difference between panic attacks and panic disorder and agorophobia and other related medically unclassifible conditions.  I suspect my  most recent edit crossed the line from the AMA standard panic disorder definition (which I did not look up, not being a psycologist anyway), but I see no other suitable page in wikipedia for what I consider important and relevant material.  Looks like the hypoglycemia info is similarly orphaned for now - suggestions? Stevefranks 10:51, 5 March 2007 (UTC)
thread_title: Panic Disorder vs. ???

message: Hi Everyone... I wanted to comment on the following addition:  Like other psychiatric disorders, many of the symptoms of Panic Disorder mimic the symptoms of a hidden physical complications. In the case of hypoglycemia, the symptoms of sudden onset trembling, palpitation, mental confusion, increasing anxiety, sweating, dizziness and psychological distress so closely mimic Panic Disorder that physicians frequently prescribe anti-anxiety drugs. In the case of trauma, traumatized individuals are often subjected to stress which affects their access to ideal nutrition, and often attempt to self-medicate with substances known to affect their ability to metabolize glucose. Often a missing key in the treatment of Panic Disorder, physicians are looking more and more to a nutritionally supportive link in this illness.
This needs to be fixed... Firstly, the second sentence is not complete, illustrative nor accurate. I think it implies that doctors misdiagnose PD when it is actually hypoclycemia. Any one will tell you that tests for heart function (EKG), blood sugar (hypoglycemia) etc. are always performed to rule out before a diagnosis of PD is made. I have no doubt nutrition is important in treating PD, as is nutrition with any illness. However, it is completely out of place at the start of an article on PD to begin to critisize treatments, diagnosis and bring up alternative theories. This does not belong in the introduction. Before I change it I wanted to make sure everyone agreed.Unkle25 10:30, 19 August 2007 (UTC)
thread_title:  Recent Changes to the Introduction 

message: I have made several edits to this page today.  While the origonal author's intentions were obviously noble, as a sufferer, I found the tone of several paragraphs to be patronizing, and frankly, somewhat insulting.  I am hoping to make the material more attractive and likely to make a postive diference to those most likely to read the article, namely those with the condition.  Appologies if I fail to make an improvement, and it is my intent not to make the article less encyclipedic, simply more sensitive.  Stevefranks 09:05, 5 March 2007 (UTC)
replies: text: Hi Dehughes. I agree with what you are saying... Please take a look at the article on panic attack I think it has a better tone and is less patronizing. Should we all colloborate and start re-writing the PD article? Take CareUnkle25 07:06, 5 October 2007 (UTC)

text: Not only do I vehemently agree with Stevefranks and Dehughes, but I find that reading the wikipedia entry on panic attack to be an extremely therapeutic exercise when actually having a panic attack.  Not so much with the panic disorder page, since a key element to the entire episode is that your body is errantly telling you that something is very physiologically wrong, and this page can re-enforce that thought by discussing hypoglycemia and other "real" conditions that might lead to what's happening.  Me and everyone I know who have suffered from this have probably been tested out the wazoo for that stuff before finally coming to an anxiety disorder diagnosis.  While hypoglycemia could certainly be a trigger for a specific attack (anything that makes you feel "weird" from a cold to a little indigestion can be, too), I don't really thing it's part of the overall disease. --Sam (talk) 15:15, 30 January 2008 (UTC)
thread_title:  Tone of article 

message: This sentence:
"Multi vitamins and other medications can wear away anti-psychotics careful discretion on the part of the patient should disclose all information to Physician and staff so further intoxication does not occur."
doesn't seem to make sense any way I read it. Can we delete/fix?  —Preceding unsigned comment added by 216.231.49.161 (talk) 03:18, 3 November 2007 (UTC)
thread_title:  Orphan sentence (?) 

message: In the section regarding substance abuse, the following text:
A study conducted by Dannon, Lowengrub, Amiaz, Grunhaus, & Kotler (2004)[8] on 66 adults examined the rates of comorbid cannabis use and Panic Disorder. Of the 24 participants who suffered from Panic Disorder and had comorbid chronic cannabis use, all reported that their first panic attack occurred within 48 hours of smoking marijuana.
strikes me as particularly poorly worded. If you replace "chronic cannabis use" with "bathing daily", you'll see what I mean.
A study conducted by Dannon, Lowengrub, Amiaz, Grunhaus, & Kotler (2004)[8] on 66 adults examined the rates of comorbid bathing and Panic Disorder. Of the 24 participants who suffered from Panic Disorder and took a daily bath, all reported that their first panic attack occurred within 48 hours of bathing.
Point: If you're a chronic cannabis user you may not ever go more than 48 hours between smoking marijuana, and if you take a daily bath you may not ever go more than 48 hours between bathing.  —Preceding unsigned comment added by 80.213.156.201 (talk) 06:43, 22 January 2008 (UTC)
thread_title:  Poor wording in "substance abuse" 

message: Call me ignorant, but why exactly is the disorder name given normal sentence casing ("panic disorder" or "Panic disorder") in the page title and is capitalized ("Panic Disorder") throughout the rest of the article? Tony Myers (talk) 02:35, 29 February 2008 (UTC)
thread_title:  Capitalization 

message: "However, experienced sufferers can often have intense panic attacks with very little outward manifestations of the attack occurring. "
I have deleted the above because of its inherent unverifiability. How do you define someone 'experienced' in panic disorder? How can one conduct a study about that? Are the people who actually have outward symptoms just not 'experienced' enough to control themselves or something? Unless there is a citation or verification of any form other than anecdotal, I would prefer that this remain removed in keeping with Wikipedia policies about unverified information.go slowly (talk) 03:04, 11 December 2008 (UTC)
thread_title:  Removed Inappropriate Tone 

message: The American Psychiatric Association has not released its Diagnostic and Statistical Manual of Mental Disorders into public domain, but claims copyright. The Wikimedia Foundation has received a letter of complaint (Ticket:2010030910040817, for those with access) about the use of their diagnostic criteria in this and a number of other articles. Currently, this content is blanked pending investigation, which will last approximately one week. Please feel free to provide input at the copyright problems board listing during that time. Individuals with access to the books would be particularly welcome in helping to conduct the investigation. Assistance developing a plan to prevent misuse of the APA's material on Wikipedia projects would also be welcome. Thank you.  Moonriddengirl (talk) 13:58, 11 March 2010 (UTC)
replies: text: I fixed the problem in Talk:Panic disorder/Temp. Eubulides (talk) 03:53, 13 March 2010 (UTC)
replies: text: Thank you. --Moonriddengirl (talk) 13:15, 13 March 2010 (UTC)
thread_title: Copyright problems with diagnostic criteria

message: No mention of marijuana? I don't know of any other substance more notorious for triggering panic attacks (and this is coming from a stoner).
67.61.186.51 (talk) 17:48, 19 October 2011 (UTC)
thread_title:  Substance Abuse and Panic Disorder - Marijuana 

message: We need better sources, thus moved this here... 
For children with panic disorder, CBT is the only scientifically-proven psychotherapeutic treatment. The methods used are similar to those used with adults, but may be modified to be developmentally-appropriate 
Cognitive behavioral therapy is seen as the most effective form of treatment for people who experience panic attacks. This type of therapy focuses on the thinking patterns and behaviors that people continue to engage in without noticing that they may be the cause of their panic attacks. The acceptability and low cost of CBT makes it a very valued option in treating panic disorder.Below are several strategies that have been proven to be effective in decreasing anxiety for many people with panic disorder : 
Thought stoppage and Calmative Breathing:
When a negative thought comes into the mind, it is important for the person to recognize and the label the thought as negative. The person should say “STOP” and should inhale deeply for four seconds, hold their breath for four more seconds, and exhale through pursed lips, always at the appearance of a negative thought.  
Cortical Shifting:
In cortical shifiting, the person can shift their thoughts to something else in order to reduce their anxiety. There are twelve things the person can think about in order to reduce anxiety if they feel an anxiety attack coming on: three things you can do (e.g. count to 100, talk to someone), three things you can see, three things you can hear, or three things you can touch.:
“Best Case Scenario”:
Anxiety causes many people to think of exaggerated catastrophes. One way to dispute and reframe is to create the “best case scenario” which gives the mind other possible and positive alternatives rather than destructive exaggerated ones. 
Eye Movement Desensitization and Reprogramming (EMDR):
This is a technique of imaginary desensitization with accompanying eye movements. The participant follows a moving finger at the same time as they are focused on past emotional events. A therapist then coaches progressive relaxation while focusing on past traumatic experiences.
Humor:
As a person gets better with dealing with phobais and obsessions, humor can become a powerful tool. Humor can stop or decrease the amount of adrenaline released into the body that causes subsequent anxiety. Even death, a topic many people with anxiety disorder think about, can be dealt with through humor. Humor is a good way to get rid of anxiety and is a good strategy to implement for overcoming anxiety.Doc James (talk · contribs · email) 02:02, 31 January 2012 (UTC)
thread_title: [[WP:MEDRS]]

message: While reading an Abnormal Psychology textbook by Susan Nolen-Hoeksema, I found a few topics very interesting about treatments for panic disorder. I believe that it is important to mention how affective the therapy techniques are to a patient. Many patients might opt out of attending therapy because they believe that it will not be helpful. If it is mentioned, individuals may develop more hope and will be willing to get treatment. 
That is why I propose that we include these statistics under the treatment section: 
Several studies show that 85 to 90 percent of panic disorder patients treated with CBT recover completely from their panic attacks within 12 weeks.   (Where it mentions CBT) A number of randomized clinical trials have shown that CBT achieves reported panic-free status in 70-90% of patients about 2 years after treatment.   
Shruti1994 (talk) 19:06, 20 March 2014 (UTC)
thread_title:  Therapy Statistics Info 

message: The article states: 
While there is not just one explanation for the cause of panic disorder, there are certain perspectives researchers use to explain the disorder. The first one is the biological perspective. Past research concluded that there is irregular norepinephrine activity in people who have panic attacks.[11] Current research also supports this perspective as it has been found that those with panic disorder also have a brain circuit that performs improperly. This circuit consists of the amygdala, central gray matter, ventromedial nucleus of the hypothalamus, and the locus ceruleus.[12]
This is NOT supported by modern research.  — Preceding unsigned comment added by 69.77.143.230 (talk) 16:13, 27 April 2016 (UTC)
thread_title:  Causes 

message: There's other medications that are used for panic disorder. In the UK, Lyrica is used as a safer form of benzodiazepine. Earthcosmos (talk) 18:49, 25 March 2018 (UTC)
thread_title:  Alternative medications 

message: Future Tripping was recently created. There is a proposal to move it to anticipatory anxiety, which currently redirects to panic attack. Anticipatory anxiety appears to be a symptom of Panic disorder, but is not explicitly mentioned at that article. (will post in a few places) ~Hydronium~Hydroxide~(Talk)~ 03:11, 29 August 2023 (UTC)
thread_title:  Req for expert assistance at [[Future Tripping]]