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  #1  
Old 06-28-2011
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Psyche Afraid of going outside

Your patient reports that she is suffering from dizziness and persistent feelings that she is going to die. You inquire as to whether she has been using any illicit substances lately to which she indicates that she has not. She indicates that she has been curtailing going outside, especially in open spaces, because she is afraid that she might have one of those attacks and become immobilized, which of the following is the most likely diagnosis?

(A) acute anxiety attack
(B) agoraphobia with panic attack
(C) agoraphobia without panic attack
(D) anxiety secondary to a medical condition
(E) cocaine withdrawal
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  #2  
Old 06-28-2011
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b or c! i go with B !
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Old 06-28-2011
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B. Agrophobia with panic attack?
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Old 06-28-2011
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Yep, I agree with B)
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Old 06-28-2011
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agrophobia is fear for spacious places and feeling that she is going to die is a panic attack but this feeling is persistent so i dont think that panic attack is persistent.. so its
agrophobia without panic attack
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  #6  
Old 06-28-2011
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Quote:
Originally Posted by salz View Post
agrophobia is fear for spacious places and feeling that she is going to die is a panic attack but this feeling is persistent so i dont think that panic attack is persistent.. so its
agrophobia without panic attack
it states "suffering from dizziness and persistent feelings that she is
going to die.
"

I think you misread!

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Old 06-28-2011
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Quote:
Originally Posted by patelMD View Post
it states "suffering from dizziness and persistent feelings that she is
going to die.
"

I think you misread!

sorry i meant that panic attack is NOT/should NOT be persistent feeling in my opinion
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  #8  
Old 06-28-2011
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Quote:
Originally Posted by salz View Post
sorry i meant that panic attack is NOT/should NOT be persistent feeling in my opinion
yea cos according to kaplan, agoraphobia is the fear of going out, when you go out you have a panic attack. But in this stem, the patient persistently has anxiety so if he goes out, the anxiety escalates causing an anxiety attack. Dr Daugherty said to find out if the anxiety attack is the cause of the fear of open spaces or the fear of open spaces is the cause of the anxiety attack and in this stem, the anxiety attack is the cause of the agoraphobia
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  #9  
Old 06-28-2011
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Quote:
Originally Posted by salz View Post
agrophobia is fear for spacious places and feeling that she is going to die is a panic attack but this feeling is persistent so i dont think that panic attack is persistent.. so its
agrophobia without panic attack
yup, Im also think that the answer is C)
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  #10  
Old 06-28-2011
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Quote:
Originally Posted by saintdizzy View Post
yea cos according to kaplan, agoraphobia is the fear of going out, when you go out you have a panic attack. But in this stem, the patient persistently has anxiety so if he goes out, the anxiety escalates causing an anxiety attack. Dr Daugherty said to find out if the anxiety attack is the cause of the fear of open spaces or the fear of open spaces is the cause of the anxiety attack and in this stem, the anxiety attack is the cause of the agoraphobia
so what is the correct ans? is it agrophobia with panic attack?
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  #11  
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i will go with B
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  #12  
Old 06-28-2011
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Correct Answer Ans is B

According to the qbank, the answer is B
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  #13  
Old 06-28-2011
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thanks for following up with the correct answer.
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