By Michael J. Murphy, Ronald L. Cowan MD PhD
A part of the extremely popular Blueprints sequence, Blueprints Psychiatry offers scholars with a concise overview of what they should understand of their psychiatry rotations or the forums. each one bankruptcy is short and comprises pedagogical gains equivalent to bolded key phrases, tables, figures, and key issues. a query and solution part on the finish of the booklet comprises a hundred board-format questions with whole rationales. This variation comprises new photos, extra USMLE learn questions, and a Neural foundation part for every significant diagnostic classification. A spouse web site features a query financial institution and entirely searchable textual content.
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Only one-third of patients with agoraphobia also have panic disorder. Most patients with agoraphobia seen clinically also have panic disorder, however. This apparent contradiction is because patients with agoraphobia alone are unlikely to seek treatment. ETIOLOGY The etiology of panic disorder is unknown. 17 levels. The GABA receptor has also been implicated as etiologic because patients respond well to benzodiazepines and because panic is induced in patients with anxiety disorders using GABA antagonists.
Mood disorder caused by a general medical condition is the other major differential consideration. Schizoaffective disorder, borderline personality disorder, and depression with agitation are also considerations. MANAGEMENT Persons experiencing a manic episode often have poor insight and resist treatment. Pharmacologic interventions for acute mania include antipsychotics in conjunction with benzodiazepines (for rapid tranquilization) and initiation of mood stabilizer medication. Antipsychotics are frequently used in mania with and without psychotic features.
Washington, DC: American Psychiatric Association, 2000. Differential Diagnosis It is important to distinguish the obsessional thinking of OCD from the delusional thinking of schizophrenia or other psychotic disorders. Obsessions are usually unwanted, resisted, and recognized by patients as coming from their own thoughts, whereas delusions are generally regarded as distinct from patients' thoughts and are typically not resisted. MANAGEMENT CBT, clomipramine, and SSRIs have been shown to be quite effective in treating OCD.