Panic+Attack

//Western Diagnosis// a response to environmental stressors 1/3 of population

Etiology
1. complex interaction physiologic and psychologic factors stress-> noepinephrine -> amygdala activation -> cortisol response -> panic attack

Signs & Symptoms
Akin to an MI 1. sudden onset 2. peak within 10 minutes 3. dissipate quickly in minutes 4. chest pain or discomfort 5. choking sensation 6. feeling unsteady 7. fear of dying 8. fear of losing control 9. feelings of unreality 10. flushes or chills 11. nausea, abdominal discomfort 12. paresthesias 13. palpitations, tachycardia 14. SOB 15. sweating 16. trembling

Diagnosis
4 of the above sxs

Treatment
1. antidepressants 2. psychotherapy