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see attached – ## unit7discussion.docx **## unit7discussion.docx** **Topic:** Panic Disorder Case scenario: Debbie is a 28-year-old woman who presents to an outpatient psychiatry clinic with a 1-month history of panic attacks. She has a past history of major depressive disorder (MDD) and is taking a…

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see attached

– ## unit7discussion.docx

**## unit7discussion.docx**

**Topic:** Panic Disorder

Case scenario:

Debbie is a 28-year-old woman who presents to an outpatient psychiatry clinic with a 1-month history of panic attacks. She has a past history of major depressive disorder (MDD) and is taking a low-dose serotonin norepinephrine reuptake inhibitor (SNRI). During the panic attacks, she experiences severe anxiety with the following symptoms: lightheadedness, accelerated heart rate, chest pain, shortness of breath, and nausea. The symptoms last between 2 and 20 minutes. She cannot identify any triggers for the panic attacks.

· What history is essential to obtain from Debbie when you suspect a panic attack?

· What questions will you ask to exclude other possible diagnoses in a client with panic attack?

· What is the possible differential diagnosis?

· What are the classical signs and symptoms of panic attack?

· How will you differentiate panic attacks from specific phobia?

· What laboratory tests would you recommend for Debbie?

· As a PMHNP, what are your treatment recommendations for Debbie? What is the prognosis for panic disorder?

**## unit7discussion.docx**

**Topic:** Panic Disorder

Case scenario:

Debbie is a 28-year-old woman who presents to an outpatient psychiatry clinic with a 1-month history of panic attacks. She has a past history of major depressive disorder (MDD) and is taking a low-dose serotonin norepinephrine reuptake inhibitor (SNRI). During the panic attacks, she experiences severe anxiety with the following symptoms: lightheadedness, accelerated heart rate, chest pain, shortness of breath, and nausea. The symptoms last between 2 and 20 minutes. She cannot identify any triggers for the panic attacks.

· What history is essential to obtain from Debbie when you suspect a panic attack?

· What questions will you ask to exclude other possible diagnoses in a client with panic attack?

· What is the possible differential diagnosis?

· What are the classical signs and symptoms of panic attack?

· How will you differentiate panic attacks from specific phobia?

· What laboratory tests would you recommend for Debbie?

· As a PMHNP, what are your treatment recommendations for Debbie? What is the prognosis for panic disorder?

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