An insurance agent who is sitting in his office after returning from a physical examination in which
he was pronounced "in good health" suddenly experiences a feeling of terror.
His heart pounds, he
feels as though he cannot breathe, and he cannot focus on what is being said to him. Several earlier
episodes and the fear of their repetition had prompted the visit to the doctor. This experience should
be assessed as a possible
a. panic attack.
b. phobic reaction.
c. dissociative reaction.
d. obsessive-compulsive crisis.
ANS: A
According to the DSM-IV-TR, panic attacks cause symptoms of sympathetic nervous system arousal
and occur without warning, as described in the scenario. Option B: A phobic reaction involves
excessive fear. Option C: A dissociative reaction involves separation of an event from conscious
awareness. Option D: No disorder is known as an obsessive-compulsive crisis.
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