All Posts Tagged: panic disorder

ADAA Session Recording -Treatment Resistant Panic Disorder

Our team presented at the 2018 ADAA Conference on Treatment Resistant Panic Disorder: A Multidisciplinary Multimodality Approach. You can access the audio recording of our session here with the below login credentials.

Username: arosen1980@aol.com

Password: 1667947

We hope you find the recording of our presentation helpful and informative!

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Treatment Resistant Panic Disorder: A Multidisciplinary Multimodality Approach

Treatment Resistant Panic Disorder: A Multidisciplinary Multimodality Approach

Panic Disorder is one of the most common anxiety disorders. Its impact on quality of life can be significant and incapacitating. One third to one half of panic patients demonstrate incomplete or absent remission after treatment. This Roundtable addressed the importance of the bio-psycho-social components of the evaluation and treatment of the resistant panic disorder patient.
The clinical team is challenged with determining what rendered the individual patient treatment resistant. Examples of complicating variables in such patients include medical mimics of panic disorder, occult substance use disorders, co-morbid psychiatric disorders like trauma syndromes, obsessive compulsive and pediatric spectrum disorders.
Treatment often entails a multi-modality approach that identifies the critical variables discovered during the evaluation phase. At our center the presence of multi-disciplinary clinicians in one location allows for ongoing case discussion and most importantly reassures the patient that they are being supported by an interactive treatment team.
This Roundtable reviewed the appropriate psychopharmacological interventions during the course of treatment that can provide a synergistic addition to the cognitive behavioral treatment plan. The CBT plan must be individually tailored to the patient since not all panic disorders are alike. When possible, we have found that a manualized workbook approach can be invaluable and supports greater patient adherence.
Recent technological advances have allowed for the development of state of the art clinical tools that incorporate specific biofeedback and virtual reality protocols. We will present examples of both and discuss the importance of a multi-pronged approach to the difficult to treat patient. Prevention is the core goal of mental healthcare and early childhood detection of panic disorder has become a major goal. This Roundtable will review early warnings of future panic disorder and importance of interventions that foster resilience and stress control capabilities in children.

Learning Objectives

1. Recognize the seriousness and frequency of treatment resistant panic disorder.
2. Apply the contents of this Roundtable to develop a multimodality treatment plan.
3. Demonstrate an effective systems approach to the evaluation of the treatment resistant panic disorder patient .

Chair(s)

David Gross, MD, Center for the Treatment of Anxiety and Mood Disorders
Dr. Andrew Rosen, PHD, Center for the Treatment of Anxiety and Mood Disorders

Discussant(s)

David Gross, MD, Center for the Treatment of Anxiety and Mood Disorders
Dr. Andrew Rosen, PHD, Center for the Treatment of Anxiety and Mood Disorders

Presenter(s)

Dr. Christiane Blanco-Oilar, PhD, Center for the Treatment of Anxiety and Mood Disorders
Joseph Brand, PhD, Center for the Treatment of Anxiety and Mood Disorder
Ryan Seidman, PsyD, Center for the Treatment of Anxiety and Mood Disorders
Dr. Andrew Rosen, PHD, Center for the Treatment of Anxiety and Mood Disorders

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Panic Attacks and Panic Disorder

Stress is a natural part of life. We all go through it whether we want to or not. For some, it might arise with work or relationship troubles. For others, it might be develop while working toward an important goal or experiencing a life change. While we might be used to a touch of stress in our lives, most of us are not used to the panic attacks that sometime develop as a result of that stress.

A panic attack is a sudden episode of intense fear that occurs when there’s no real danger or apparent cause. It can trigger severe physical reactions and make you think you’re losing control, having a heart attack, or even dying. Stress is one of the biggest causes of panic attacks, but they can also occur as a result of:

  • Certain changes in the way your brain functions
  • Genetics
  • Major life changes
  • The death or serious illness of a loved one
  • Having a temperament that’s more susceptible to stress

Research shows that most of us will have one or two panic attacks in our lifetime. The symptoms of a panic attack include:

  • Rapid heart beat
  • Sweating
  • Trembling
  • Hyperventilation
  • Chills or hot flashes
  • Nausea
  • Chest or abdominal pain
  • Dizziness
  • Faintness

If you or someone you know has begun experiencing panic attacks on a regular basis, it’s important to seek help immediately. In many cases these attacks can get worse without help and are often difficult to manage on your own. If a person begins experiencing panic attacks regularly, they often begin changing their lifestyle to avoid the triggers that set off their attacks. This pattern of avoidance, combined with an increased anxiety level, leads to a condition known as panic disorder. The longer a panic disorder persists, the more likely you are to develop complications, such as:

  • Increased risk of suicide or suicidal thoughts
  • Development of phobias, such as a fear of leaving home
  • Depression
  • Alcohol or substance abuse

Cognitive-behavioral therapy is generally the most effective treatment for panic attacks and panic disorder. It helps the person focus on the behaviors and thinking patterns that are triggering the attacks. Exposure therapy (where the patient is exposed to the physical sensations of panic in a safe, controlled environment) is another treatment that has been very effective in treating panic disorder.

Don’t let panic attacks disrupt your life or impact your work, school, or family. For more information on panic attacks, panic disorders, or getting assistance for yourself or a loved one, contact Dr. Andrew Rosen and The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida. They can be reached by calling 561-496-1094 or by emailing Dr. Rosen and The Center today.

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Call Us (561) 496-1094