G.G. shares with the edstaff that he has been under severe stress at work and home. He tells them he is going through a divorce, he lost a child last summer in a motor vehicle accident, and his company is downsizing
He will probably be out of a job soon. He hasn't been sleeping well for the past couple of
months and has lost about 20 pounds.
Identify five triggers that could cause anxiety to build to the point of panic.
G.G. has questions regarding the differences between panic attacks and panic disorder.
According to the Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition
(DSM-V), what are the differences?
Has G.G. had an expected or unexpected panic attack? Explain your answer.
• Physiologic disorders
• Posttraumatic stress disorder (PTSD)
• Life transitions (e.g., moving, job change, divorce, retirement)
• Grief reactions
• Terminal illness
• Anticipation of upcoming events
• Present abuse situation
• Loss of security
• Homelessness
• Substance abuse
• Panic attacks begin with intense fear or discomfort; symptoms develop abruptly and reach a peak
within about 10 minutes. The two types are unexpected and expected panic attacks.
• Panic disorder is the presence of recurrent, unexpected panic attacks followed by at least 1 month
of persistent concern about having another panic attack, worry about the consequences of panic
attacks, or significant behavioral change related to the attacks.
G.G. had an unexpected panic attack. This type occurs suddenly and without warning that the attack
is about to occur. Expected panic attacks occur in response to a specific fear. For example, a person
with a fear of heights has a panic attack when on an airplane or in an upper story of a tall building.
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