{"id":1629,"date":"2015-06-28T02:13:31","date_gmt":"2015-06-28T02:13:31","guid":{"rendered":"https:\/\/treatmentmaps.net\/?page_id=1629"},"modified":"2015-08-16T00:34:15","modified_gmt":"2015-08-16T00:34:15","slug":"anxiety-and-panic-section-9","status":"publish","type":"page","link":"https:\/\/treatmentmaps.net\/?page_id=1629","title":{"rendered":"Anxiety and Panic Section 9"},"content":{"rendered":"<div style=\"overflow: auto; width: 482px; height: 740px; float: left;\">\n<div style=\"height: 740px;\"><a id=\"anxietymap1a\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2084\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1A.jpg\" alt=\"anx1A\" width=\"450\" height=\"533\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1A.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1A-253x300.jpg 253w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1613\/#anxietymap1a\">1<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1615\/#anxietymap1a\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1617\/#anxietymap1a\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1619\/#anxietymap1a\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1621\/#anxietymap1a\">5<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap1b\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2085\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1B.jpg\" alt=\"anx1B\" width=\"450\" height=\"664\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1B.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1B-203x300.jpg 203w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1619\/#anxietymap1b\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1623\/#anxietymap1b\">6<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1625\/#anxietymap1b\">7<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1627\/#anxietymap1b\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1629\/#anxietymap1b\">9<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1631\/#anxietymap1b\">10<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1635\/#anxietymap1b\">12<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1637\/#anxietymap1b\">13<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1649\/#anxietymap1b\">19<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1659\/#anxietymap1b\">24<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap2\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2086\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx2.jpg\" alt=\"anx2\" width=\"450\" height=\"681\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx2.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx2-198x300.jpg 198w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1617\/#anxietymap2\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1619\/#anxietymap2\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1633\/#anxietymap2\">11<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1639\/#anxietymap2\">14<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1641\/#anxietymap2\">15<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1643\/#anxietymap2\">16<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1647\/#anxietymap2\">18<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1651\/#anxietymap2\">20<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1653\/#anxietymap2\">21<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1657\/#anxietymap2\">23<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1705\/#anxietymap2\">47<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap3\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2087\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx3.jpg\" alt=\"anx3\" width=\"450\" height=\"448\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx3.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx3-150x150.jpg 150w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx3-300x300.jpg 300w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1655\/#anxietymap3\">22<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1705\/#anxietymap3\">47<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap4\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2088\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx4.jpg\" alt=\"anx4\" width=\"450\" height=\"590\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx4.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx4-229x300.jpg 229w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1625\/#anxietymap4\">7<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1655\/#anxietymap4\">22<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1659\/#anxietymap4\">24<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap5\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2089\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx5.jpg\" alt=\"anx5\" width=\"450\" height=\"516\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx5.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx5-262x300.jpg 262w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1637\/#anxietymap5\">13<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1645\/#anxietymap5\">17<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1705\/#anxietymap5\">47<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap6\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2090\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx6.jpg\" alt=\"anx6\" width=\"450\" height=\"659\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx6.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx6-205x300.jpg 205w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1661\/#anxietymap6\">25<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1663\/#anxietymap6\">26<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1665\/#anxietymap6\">27<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1667\/#anxietymap6\">28<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1669\/#anxietymap6\">29<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1671\/#anxietymap6\">30<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1673\/#anxietymap6\">31<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1675\/#anxietymap6\">32<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1677\/#anxietymap6\">33<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1679\/#anxietymap6\">34<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1681\/#anxietymap6\">35<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1683\/#anxietymap6\">36<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1685\/#anxietymap6\">37<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1689\/#anxietymap6\">39<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1693\/#anxietymap6\">41<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1705\/#anxietymap6\">47<\/a><\/div>\n<\/div>\n<div style=\"overflow: auto; width: 458px; height: 740px; float: right;\">\n<strong>9. REACTION TO TRAUMA?<\/strong><\/p>\n<ul><em>Follows <a title=\"Anxiety and Panic Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=1627\/#anxietymap1b\">Section 8<\/a> on Map 1B<\/em><\/ul>\n<p>Here we consider people who were apparently functioning normally until faced with an exceptionally stressful circumstance or event, and who subsequently became anxious, with other associated symptoms. It seems reasonable to believe that the anxiety was precipitated by the stressful event or circumstance.<\/p>\n<p>The stressors can range from serious [loss of job, marital separation] to life-threatening [automobile accident, terrorist attack, etc.]\n<p>For reactions to less stressful situations or to a combination of stresses, see <a title=\"Anxiety and Panic Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=1631\/#anxietymap1b\">Section 10<\/a>.<\/p>\n<p><strong>9a. Typical Symptoms <\/strong><br \/>\nSymptoms can include-<\/p>\n<ul>\n<li>re-experiencing the traumatic event, through nightmares, flashbacks, or re-living it in fantasy. May be accompanied by symptoms of panic, including shaking, perspiring, dyspnea, etc.<\/li>\n<li>paranoia.<\/li>\n<li>hostility in interpersonal relationships.<\/li>\n<li>survivor guilt.<\/li>\n<li>distress at anything which reminds the person of the event.<\/li>\n<li>avoiding places or events reminiscent of the trauma.<\/li>\n<li>denial or numbing of affect.<\/li>\n<li>increased arousal, in the form of disturbed sleep, difficulty concentrating, irritability, watchfulness [especially for cues of danger] and increased startle reaction.<\/li>\n<li>having sought medical prescriptions or self-medicating for the above symptoms.<\/li>\n<\/ul>\n<p><strong>9b. Traumatic Events<\/strong><\/p>\n<p>The event that precipitates a stress reaction often has qualities that help identify it, even if the person at first doesn&#8217;t recognize the connection. The person may have experienced the event as either a participant or a witness. Some possible elements include-<\/p>\n<ul>\n<li>surprise.<\/li>\n<li>the patient&#8217;s lack of preparation for it.<\/li>\n<li>the patient&#8217;s failure to act.<\/li>\n<li>a mistake on the patient&#8217;s part.<\/li>\n<li>awareness of contributing actively to precipitating the event and having angry, competitive or otherwise ignoble motives.<\/li>\n<li>death or serious injury of others.<\/li>\n<li>residual mutilation of patient or other severe physical symptoms.<\/li>\n<\/ul>\n<p>Examples might include-<\/p>\n<ul>\n<li>robbery.<\/li>\n<li>rape or other physical assault.<\/li>\n<li>earthquake.<\/li>\n<li>auto accident.<\/li>\n<li>death of a loved one.<\/li>\n<li>explosion.<\/li>\n<li>major accident.<\/li>\n<\/ul>\n<p><strong>9c. Traumatic Situations<\/strong><\/p>\n<p>These involve a temporary or permanent change of life, goals, circumstances that includes a component of fear or horror and alter the person&#8217;s perception of self and the world. The person is unable to return to a previous sense of security.<\/p>\n<p>Examples might include-<\/p>\n<ul>\n<li>being in jail or prison.<\/li>\n<li>being kidnapped.<\/li>\n<li>wartime experiences.<\/li>\n<\/ul>\n<p><strong>9d. Diagnostic Subcategories<\/strong><\/p>\n<p>Various labels are used for these reactions, including Acute Stress Disorder, Post-Traumatic Stress Disorder [PTSD], Stress Disorder and Acute Stress Reaction.<\/p>\n<p>The DSM distinguishes Acute Stress Disorder from PTSD primarily on how long symptoms persist. In the first month after the traumatic event, they recommend a diagnosis of Acute Stress Disorder [308.3]; when symptoms last longer than that, they recommend calling it PTSD [309.81].<\/p>\n<p><strong>9e. Treatment<\/strong>: See <a title=\"Anxiety and Panic Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=1635\/#anxietymap1b\">Section 12<\/a>.<\/p>\n<p>References:<\/p>\n<p>American Psychiatric Association: <a href=\"https:\/\/treatmentmaps.net\/?page_id=1015\/#anxietyref_americanpsychiatricassociation01\">DSM-IV,<\/a> 2005<\/p>\n<\/div>\n<div style=\"overflow: auto; width: 458px; float: right;\"><div class=\"divider\" style=\"margin-bottom:10px;border-bottom-width:1px\"><\/div>\n<a href=\"http:\/\/www.treatmentmaps.com\/topics\/anxiety-panic\/\" target=\"_blank\"><strong>CLICK HERE TO MAKE COMMENTS OR SUGGESTIONS<\/strong> <\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>ANXIETY AND PANIC MAPS: 1A | 1B | 2 | 3 | 4 | 5 | 6 SECTIONS: 1 | 2 | 3 | 4 | 5 ANXIETY AND PANIC MAPS: 1A | 1B | 2 | 3 | 4 | 5 | 6 SECTIONS: 4 | 6 | 7 | 8 | 9 | &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":427,"menu_order":9,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-1629","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1629","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1629"}],"version-history":[{"count":8,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1629\/revisions"}],"predecessor-version":[{"id":2495,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1629\/revisions\/2495"}],"up":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/427"}],"wp:attachment":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1629"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}