Panic Disorder: The Great Pretender

Overview

"The feeling was overwhelming...Suddenly, out of the blue, (Ray's) body was engulfed by a feeling of dread and impending doom...His heart raced and seemed to want to jump out of his chest...when he finally got to the bed, he lay there huddled and trembling, sure that he was dying or having a heart attack. He would later learn that he had just had his first panic attack." (-from Chapter 3)
Three million Americans suffer from attacks like this. Most of them don't even know what is happening. This is because panic ...
See more details below
Other sellers (Hardcover)
  • All (10) from $5.77   
  • New (6) from $13.43   
  • Used (4) from $5.77   
Sending request ...

Overview

"The feeling was overwhelming...Suddenly, out of the blue, (Ray's) body was engulfed by a feeling of dread and impending doom...His heart raced and seemed to want to jump out of his chest...when he finally got to the bed, he lay there huddled and trembling, sure that he was dying or having a heart attack. He would later learn that he had just had his first panic attack." (-from Chapter 3)
Three million Americans suffer from attacks like this. Most of them don't even know what is happening. This is because panic disorder mimics the symptoms of other physical and psychological problems. But the last few years have seen tremendous breakthroughs in the field of anxiety research. Dr. Michael Zal presents this new information in a clear and accessible form in Panic Disorder: The Great Pretender . Setting the context with a fascinating history of anxiety disorder research. Dr. Zal welds the diverse theoretical approaches to panic disorder into a unified, holistic view of its origins and treatment. He stresses the interaction of both neurological and psychological factors. He recommends and describes an integrated treatment plan of education, medication , and psychotherapy. Panic Disorder heralds an end to the years of diagnostic confusion and untreated pain millions. It will appeal to professional and lay readers concerned about this complex illness.
Read More Show Less

Editorial Reviews

Booknews
A popular review of the causes, signs, and treatment of panic disorder. Written by a psychiatrist who has a medical and biological slant. Annotation c. Book News, Inc., Portland, OR (booknews.com)
Read More Show Less

Product Details

  • ISBN-13: 9780738205762
  • Publisher: Da Capo Press
  • Publication date: 8/7/2001
  • Pages: 234
  • Product dimensions: 5.43 (w) x 8.28 (h) x 0.55 (d)

Meet the Author

H. Michael Zal, D.O., F.A.C.N., is a Board-Certified Psychiatrist who has maintained a private practice in Bala Cynwyd, Pennsylvania, for over twenty years. A graduate of the University of Pennysylvania and the Philadelphia College of Osteopathic Medicine, Dr. Zal completed a three-year National Institute of Mental Health Fellowship in Psychiatry through the Philadelphia Mental Health Clinic.

Read More Show Less

Table of Contents

Introduction 19
1. Anxiety: Past, Present, and Future--A Question of Definition 23
Clinical Vignette: Mary Ann 25
History 27
Theories of Anxiety 28
A Physiologic Viewpoint 30
Normal Versus Abnormal Anxiety 32
The Positive Aspects of Anxiety 34
Pathological Anxiety 35
The Signs and Symptoms of Anxiety 36
A Modern View 38
2. From Anxiety to Panic Disorder: An Historical Perspective 41
The Classification of Mental Disorders 43
1952--Diagnostic and Statistical Manual (DSM-1) 44
1968--DSM-II 46
1980--DSM-II 49
Classification Controversies 51
1987--DSM-III-R 54
Limited Symptom Attacks 55
Clinical Vignette: Wanda 56
The Benefits of Awareness 57
3. Panic Disorder: A Special Anxiety State 59
Clinical Vignette: Ray 61
What Is Panic Disorder? 61
Definition: DSM-III-R Criteria 62
Who Gets Panic Disorder? 64
The Panic-Prone Person 65
Typical Course or Presentation 66
Other Clinical Presentations 68
An Irritable Bowel Syndrome Presentation 70
Clinical Vignette: Andrew 71
Relationship to Substance Abuse 72
Possible Resolutions of Panic Disorder 73
Clinical Vignette: Rose 75
Relationship to Pregnancy 75
The Emotional Problem of the 1980s 76
4. The Great Pretender: Differential Diagnosis of Panic Disorder 79
Differentiation from Other Psychiatric Disorders 84
Differentiation from Medical Conditions 89
The Panic Disorder Medical Workup 93
5. Panic Disorder: Is It Emotional or Physical? 97
Biological (Physical) Theories 99
Psychological (Emotional) Theories 110
Hereditary Predisposition 113
Etiologic Conclusions 114
6. Panic Disorder through the Life Cycle: A Longitudinal--Life History Approach 115
Early Development/Childhood 117
Separation Anxiety 118
Adolescence/Young Adulthood 120
Clinical Vignette: Jody 121
Middle Age 122
Clinical Vignette: Marie 124
Clinical Vignette: Russ 127
The Geriatric Years 130
Clinical Vignette: Mrs. Elliot 131
7. Treatment: The Initial Phase--Reassurance and Education 133
Clinical Vignette Continued 135
The Therapeutic Aspects of Diagnosis 136
Establishing Rapport 137
Offering Reassurance 138
Education 140
Self-Help Techniques 142
How Can Family Members and Friends Help? 143
Clinical Vignette: Jim and Julie 145
Making Human but Expert Contact 147
8. Treatment: Individual Psychotherapy 149
Clinical Vignette: Joyce 151
The Psychiatric History: The Initial Phase of Psychotherapy 152
The Mental Status Examination 153
Areas to Explore and Understand in Therapy 155
Recent Stress 155
Dealing with Feelings 156
Independence/Dependence 157
Emotional Needs 158
Dealing with Internal Conflict 159
Toward a More Independent Life-Style 160
9. Other Mental Health Treatments 163
Stress Reduction 165
Relaxation Training 167
Group Psychotherapy 168
Hypnosis 170
Cognitive Therapy 172
Exposure Therapy 175
10. Treatment: Psychopharmacology 179
Beta Blocking Agents 182
Alpha-Adrenergic Agonists 183
Antidepressants 184
Tranquilizers 188
Relapse after Withdrawal of Medication 191
Clinical Choices and Guidelines 192
11. Panic Disorder: The Future 195
Classification 197
Etiology 198
Differential Diagnosis: Relationship to Other Disorders 201
An Individualized Treatment Plan 204
A Holistic Point of View: A Psychological, Behavioral, Biological Synthesis 206
References 209
Index 225
Read More Show Less

Customer Reviews

Be the first to write a review
( 0 )
Rating Distribution

5 Star

(0)

4 Star

(0)

3 Star

(0)

2 Star

(0)

1 Star

(0)

Your Rating:

Your Name: Create a Pen Name or

Barnes & Noble.com Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & Noble.com that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & Noble.com does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at BN.com or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation

Reminder:

  • - By submitting a review, you grant to Barnes & Noble.com and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Noble.com Terms of Use.
  • - Barnes & Noble.com reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & Noble.com also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on BN.com. It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

 
Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously
Sort by: Showing all of 2 Customer Reviews
  • Anonymous

    Posted August 4, 2010

    No text was provided for this review.

  • Anonymous

    Posted August 4, 2010

    No text was provided for this review.

Sort by: Showing all of 2 Customer Reviews

If you find inappropriate content, please report it to Barnes & Noble
Why is this product inappropriate?
Comments (optional)