2.1 Cognitive theory of panic disorderIf you walk up a flight of stairs you might notice your heart rate going up. A common thought might be ‘Wow, I really need to get a bit fitter!’ A less common thought is to think that this means you are about to have a heart attack. The cognitive model of panic disorder suggests that it is this kind of ‘catastrophic interpretation’ (or terrible misinterpretation) of body sensations that is key to developing panic disorder. Show
The vicious cycle that develops is depicted in Figure 4. The sequence is that first there is some kind of stimulus – this could be something internal (like noticing a body sensation such as one’s heart beating fast) or external (like noticing that the shop you just walked into is very crowded). This stimulus is then interpreted as a sign something bad is going to happen (it is perceived as a threat). As a result a person feels anxious (apprehension) and because they are worried their body begins to have the normal physical reactions to anxiety or worry. The person notices these body sensations and then interprets these as ‘catastrophic’ – really dangerous. This creates an increased perception of threat which in turn increases the worry, which then kicks up the bodily response, and so on in a terrible spiral that results in a panic attack Figure 4 The cognitive model of panic disorder: the viscious cycle of panic Show description|Hide description This is a diagram showing a cycle. At the top are the words ‘Trigger stimulus (internal or external)’. There is then an arrow to ‘Perceived threat’, then an arrow to ‘Apprehension’, then an arrow to ‘Body sensations’, then an arrow to ‘Interpretation of sensations as catastrophic’ then an arrow back to ‘Perceived threat’. Figure 4 The cognitive model of panic disorder: the viscious cycle of panic Activity 4 A pathway to panicNow you have learned about the model, try to map out how one stimulus (internal or external) might lead to a panic attack. Look at the box below and use the example to fill in your own response.
DiscussionThe pathway to a panic attack that you plotted might be quite different that the example provided; this shows how the cognitive model of panic disorder works even when people have quite different experiences and thoughts during a panic attack. Panic attacks out of the blue and while asleepEarlier it was stated that a key aspect of panic disorder is that a person can experience panic attacks occurring as it were out of the blue or even in sleep. The cognitive model of panic disorder seeks to explain this in the following ways:
The cognitive model of panic disorder seeks to explain panic disorder in terms of catastrophic interpretation of the normal physical reaction to fear or worry. The next section explains more about this ‘normal’ fear response and how it is not itself something to be afraid of. Can people with anxiety disorder live a normal life?People with anxiety disorders feel worry and fear constantly, and these feelings of distress can severely impact their daily lives. Living with an anxiety disorder can feel crippling, but with time and proper treatment, many people can manage their anxiety and live a fulfilling life.
Which of the following physical symptoms are associated with panic attacks?Panic attacks typically include some of these signs or symptoms:. Sense of impending doom or danger.. Fear of loss of control or death.. Rapid, pounding heart rate.. Sweating.. Trembling or shaking.. Shortness of breath or tightness in your throat.. Chills.. Hot flashes.. What is a type of anxiety disorder?There are several types of anxiety disorders, including generalized anxiety disorder, panic disorder, specific phobias, agoraphobia, social anxiety disorder and separation anxiety disorder.
How many types of panic are there according to the DSM 5?In the anxiety disorders section of the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), there are 11 anxiety disorders and a panic attack specifier that can be used for other mental health disorders. The previous version of the DSM, the DSM-4, outlined 12 categories of anxiety disorders.
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