Abstract
Panic attacks bring on intense fear or discomfort which can reach its peak within minutes. Specifically, symptoms of losing control, going crazy or dying are very disconcerting and often cause people to seek help in the middle of the night. In Angelo’s case, the episodes of panic related to the arrival of the baby were completely unexpected. Also, having not been diagnosed with these episodes when he lived in Nicaragua, their appearance in his early 30s came as a complete shock. He was aware that there was a lot of anxiety around coming to Canada; however, the early signs of headaches, sore neck and short fuse were not bothersome enough to take notice of. Angelo was aware that his asthma episodes might come back. Another scary issue with regard to the onset of his panic attacks was their occurrence in the middle of the night. Angelo’s first panic episode, where 911 was called, occurred at one am in the morning. Another symptom that was unexplainable was feelings of dizziness and numbness and tingling. A few times, he woke Raphaella with this very uncomfortable sensation; however, because the baby was so young and was waking up through the night, Angelo’s own suffering and distress took a backseat. The particular night when the ambulance was called, he was experiencing a sense of unreality and felt that he was outside of his own body, looking at himself, with feelings of depersonalization.
References
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). Washigton, DC: American Psychiatric Pub; 2013.
Aschenbrand SG, Kendall PC, Webb A, et al. Is childhood separation anxiety disorder a predictor of adult panic disorder and agoraphobia? A seven-year longitudinal study. J Am Acad Child Adolesc Psychiatry. 2003;42(12):1478–85.
Bandelow B, Späth C, Tichauer GÁ, et al. Early traumatic life events, parental attitudes, family history, and birth risk factors in patients with panic disorder. Compr Psychiatry. 2002;43(4):269–78.
Barzega G, Maina G, Venturello S, et al. Gender-related differences in the onset of panic disorder. Acta Psychiat Scand. 2001;103(3):189–95.
Batinić B, Trajković G, Duisin D, et al. Life events and social support in a 1-year preceding panic disorder. Psychiatr Danub. 2009;21(1):33–40.
Biederman J, Faraone SV, Hirshfeld-Becker DR, et al. Patterns of psychopathology and dysfunction in high-risk children of parents with panic disorder and major depression. Am J Psychiatry. 2001;158(1):49–57.
Bögels SM, Bamelis L, van der Bruggen C. Parental rearing as a function of parent's own, partner’s, and child’s anxiety status: fathers make the difference. Cogn Emot. 2008;22(3):522–38.
Bonham CA, Uhlenhuth E. Disability and comorbidity: diagnoses and symptoms associated with disability in a clinical population with panic disorder. Psychiatry J. 2014;2:1–8.
Botella C, García-Palacios A, Villa H, et al. Virtual reality exposure in the treatment of panic disorder and agoraphobia: a controlled study. Clin Psychol Psychother. 2007;14(3):164–75.
Carlbring P, Nilsson-Ihrfelt E, Waara J. Treatment of panic disorder: live therapy vs. self-help via the internet. Behav Res Ther. 2005;43(10):1321–33.
Cassiello-Robbins C, Conklin LR, Anakwenze U, et al. The effects of aggression on symptom severity and treatment response in a trial of cognitive behavioural therapy for panic disorder. Compr Psychiatry. 2015;60:1–8.
Corna LM, Cairney J, Herrmann N, et al. Panic disorder in later life: results from a national survey of Canadians. Int Psychogeriatr. 2007;19(6):1084–96.
Craske MG, Golinelli D, Stein MB, et al. Does the addition of cognitive behavioral therapy improve panic disorder treatment outcome relative to medication alone in the primary-care setting? Psychol Med. 2005;35(11):1645–54.
Deckert J, Weber H, Villman C, et al. GLRB allelic variation associated with agoraphobic cognitions, increased startle response and fear network activation: a potential neurogenetic pathway to panic disorder. Mol Psychiatry. 2017;22:1–9.
Ewing DL, Dash S, Thompson EJ, et al. No significant evidence of cognitive biases for emotional stimuli in children at-risk of developing anxiety disorders. J Abnorm Child Psychol. 2016;44(7):1243–52.
Furukawa TA, Watanabe N, Churchill R. Combined psychotherapy plus antidepressants for panic disorder with or without agoraphobia. Cochrane Libr. 2009;188:1.
Greenslade JH, Hawkins T, Parsonage W et al. Panic disorder in patients presenting to the emergency department with chest pain: prevalence and presenting symptoms. Heart Lung Circ. 2017;26:2–7.
Hendrick V. Postpartum panic disorder in a new father. Am J Psychiatry. 2002;159(1):150.
Klauke B, Deckert J, Reif A, et al. Life events in panic disorder—an update on “candidate stressors”. Depress Anxiety. 2010;27(8):716–30.
Nelson BD, Perlman G, Hajcak G, et al. Familial risk for distress and fear disorders and emotional reactivity in adolescence: an event-related potential investigation. Psychol Med. 2015;45(12):2545–56.
Nieto SJ, Patriquin MA, Nielsen DA, et al. Don’t worry; be informed about the epigenetics of anxiety. Pharmacol Biochem Behav. 2016;146:60–72.
Ozkan M, Altindag A. Comorbid personality disorders in subjects with panic disorder: do personality disorders increase clinical severity? Compr Psychiatry. 2005;46(1):20–6.
Panayiotou G, Karelka M, Mete I. Dispositional coping in individuals with anxiety disorders symptomatology: avoidance predicts distress. J Contextual Behav Sci. 2014;3(4):314–21.
Rosenbaum JF, Biederman J, Hirshfeld-Becker DR, et al. A controlled study of behavioral inhibition in children of parents with panic disorder and depression. Am J Psychiatry. 2000;157(12):2002–10.
Roy-Byrne PP, Uhde TW, Post RM. Effects of one night's sleep deprivation on mood and behavior in panic disorder: patients with panic disorder compared with depressed patients and normal controls. Arch Gen Psychiatry. 1986;43(9):895–9.
Sánchez-Meca J, Rosa-Alcázar AI, Marín-Martínez F, et al. Psychological treatment of panic disorder with or without agoraphobia: a meta-analysis. Clin Psychol Rev. 2010;30(1):37–50.
Steinman SA, Hunter MD, Teachman BA. Do patterns of change during treatment for panic disorder predict future panic symptoms? J Behav Ther Exp Psychiatry. 2013;44(2):150–7.
Watanabe N, Churchill R, Furukawa TA. Combination of psychotherapy and benzodiazepines versus either therapy alone for panic disorder: a systematic review. BMC Psychiatry. 2007;7(1):18.
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Misri, S.K. (2018). Panic Disorder and Fatherhood: Anxiety in the Dad. In: Paternal Postnatal Psychiatric Illnesses. Springer, Cham. https://doi.org/10.1007/978-3-319-68249-5_3
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