Panic Disorder: The Great Pretender by F.A.C.N. H. Michael Zal D.O.

By F.A.C.N. H. Michael Zal D.O.

Philadelphia collage of Osteopathic drugs, Pennsylvania. Holistic method of prognosis and therapy for psychiatrists and kin physicians. DNLM: 1. anxiousness problems.

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Every patient who walks into your office complaining of anxiety does not have to be silenced with medication. Explanation and reassurance may be all that is needed to calm the patient and facilitate growth. Pathological Anxiety Pathological or unadaptive anxiety is more severe, intense, and pervasive. Rickels and Schweizer define it as follows. "13 An abnormal or unhealthy degree of anxiety is reached when a person's ability to deal with the stress-producing situation is exceeded. In our introductory vignette, Mary Ann had reached this point.

15 If these abnormalities are persistent, they could be evaluated as genetic markers. The focus of the future is on this psychobiologic orientation. Because of this view, a new approach to anxious patients is being taken. Anxiety is no longer seen as a single entity but rather as several discrete conditions or illnesses. These include panic disorder, posttraumatic stress disorder, generalized anxiety disorder, phobias, and obsessive-compulsive disorder. This new awareness is efficient clinically and has had its effects on classification, diagnosis, and treatment.

In the last ten years, panic disorder, its latest family member, has come to the fore as one of the most studied of the anxiety disorders. The physician can only correctly treat that which he knows. As we shall see, this new perspective has ultimately affected treatment considerations. Many patients are now being helped for the first time. The new classification system that prompted its emergence as a separate diagnostic category represented a definite shift in diagnostic thinking in the field of psychiatry.

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