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Agoraphobic symptoms may arise out of a number of physical and psychological processes and a comprehensive assessment approach is advised. |
Agoraphobic symptoms may arise out of a number of physical and psychological processes and a comprehensive assessment approach is advised. |
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| + | ==[[Differential diagnosis|Differential diagnostic]] issues== |
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| + | People with [[agoraphobia]] are sometimes brought to the attention of the health system as a consequence of the [[panic attacks]] and the symptoms may be misdiagnosed as symptoms of a serious health condition such as [[myocardial infarction]]. |
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| + | The predominance of [[panic]] in the symptomatology may lead to a diagnosis of [[panic disorder]] but it is now generally thought that agoraphobia is the result of a particular avoidant response to the panic experience with consequences significant enough for it to be considered a condition in its own right. So for example [[DSM-IV]] allows for the diagnosis of panic disorder with agoraphobia and also panic disorder without agoraphobia. The comorbidity of panic disorder with agoraphobia ranges from 30% to 60%. For example in the [[National Comorbidity Study]] (Eaton et al., 1994) 50% of the panic disorder patients had comorbid agoraphobia. |
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| + | DSM-IV also has the category of [[agoraphobia without history of panic disorder]] |
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Latest revision as of 10:58, 12 September 2007
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Agoraphobic symptoms may arise out of a number of physical and psychological processes and a comprehensive assessment approach is advised.
Assessment of the symptoms and associated cognitions and behaviour
Initially it is important to identify:
- Description of presenting problem.
- Frequency of the symptoms, how often do they occur
- Severity of the symptoms.
Differential diagnostic issues
People with agoraphobia are sometimes brought to the attention of the health system as a consequence of the panic attacks and the symptoms may be misdiagnosed as symptoms of a serious health condition such as myocardial infarction.
The predominance of panic in the symptomatology may lead to a diagnosis of panic disorder but it is now generally thought that agoraphobia is the result of a particular avoidant response to the panic experience with consequences significant enough for it to be considered a condition in its own right. So for example DSM-IV allows for the diagnosis of panic disorder with agoraphobia and also panic disorder without agoraphobia. The comorbidity of panic disorder with agoraphobia ranges from 30% to 60%. For example in the National Comorbidity Study (Eaton et al., 1994) 50% of the panic disorder patients had comorbid agoraphobia.
DSM-IV also has the category of agoraphobia without history of panic disorder
See also
- Agoraphobia - Psychological tests
- Agoraphobia - Evaluation protocols
References & Bibliography
Key texts
Books
Papers
- Mavissakalian, M.(1987)Trimodal assessment in agoraphobia research: Further observations on heart rate and synchrony/ desynchrony. Journal of Psychopathology and Behavioral Assessment Vol 9, 1, 89-98. ISSN 0882-2689 (Print) 1573-3505 (Online). DOI 10.1007/BF00961634
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