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 Anxiety  Holistic-online.com

Panic Disorder and Co-Existing Psychiatric Disorders

Panic disorder often co-exists with other psychiatric disorders.

The following are among the conditions frequently found to coexist with panic disorder: 

Depression. About half of panic disorder patients will have an episode of clinical depression sometime during their lives. Major depression is marked by persistent sadness or feelings of emptiness, a sense of hopelessness, and other symptoms. When major depression occurs, it can be treated effectively with one of several antidepressant drugs, or, depending on its severity, by cognitive-behavioral therapies. It is estimated that roughly 25% of panic disorder patients will concurrently develop depression during their lifetime.

Suicidal Tendencies. Suicide attempts are more common among people who have panic attacks than among those who do not have a mental disorder. Also, it appears that people who have both panic disorder and depression are at elevated risk for suicide. Anyone who is considering suicide needs immediate professional attention. With appropriate help and treatment, it is possible to overcome suicidal tendencies. Approximately 20% of people with panic disorder attempt suicide; this is higher than the 15% suicide rate found among individuals with depression.

A high correlation exists between panic and other anxiety disorders, with roughly 20% of panic disorder patients having phobia.

Simple Phobias. People with panic disorder often develop irrational fears of specific events or situations that they associate with the possibility of having a panic attack. Generally, these fears can be resolved through repeated exposure to the dreaded situations, while practicing specific cognitive-behavioral techniques to become less sensitive to them. 

Social Phobia. This is a persistent dread of situations in which the person is exposed to possible scrutiny by others and fears acting in a way that will be embarrassing or humiliating. Social phobia can be treated effectively with cognitive-behavioral therapy or medications, or both.

Obsessive-Compulsive Disorder (OCD). In OCD, a person becomes trapped in a pattern of repetitive thoughts and behaviors that are senseless and distressing but extremely difficult to overcome. Such rituals as counting, prolonged handwashing, and repeatedly checking for danger may occupy much of the person's time and interfere with other activities. OCD can be treated effectively with medications or cognitive-behavioral therapies.

Roughly 39% of individuals with panic disorder also suffer from a personality disorder.

Alcohol Abuse. About 30 percent of people with panic disorder abuse alcohol. A person who has alcoholism in addition to panic disorder needs specialized care for the alcoholism along with treatment for the panic disorder. Often the alcoholism will be treated first.

Drug Abuse. As in the case of alcoholism, drug abuse is more common in people with panic disorder than in the population at large. In fact, about 17 percent of people with panic disorder abuse drugs. The drug problems often need to be addressed prior to treatment for panic disorder. 

There are also certain physical conditions that are often associated with panic disorder:

Irritable Bowel Syndrome. The person with this syndrome experiences intermittent bouts of gastrointestinal cramps and diarrhea or constipation, often occurring during a period of stress. Because the symptoms are so pronounced, panic disorder is often not diagnosed when it occurs in a person with irritable bowel syndrome.

Mitral Valve Prolapse. This condition involves a defect in the mitral valve, which separates the two chambers on the left side of the heart. Each time the heart muscle contracts in people with this condition, tissue in the mitral valve is pushed for an instant into the wrong chamber. The person with the disorder may experience chest pain, rapid heartbeat, breathing difficulties, and headache. People with mitral valve prolapse may be at higher than usual risk of having panic disorder.

(Source: NIMH)

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