rida
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32 year old stockbroker experienced episodes of intense discomfort since his mother died when he was 16. he says that they consist of a pounding heart and a chocking or smothering feeling. During the attack, he gets recurrent thoughts about having a stroke or heart attack and dying. Episopdes are unrelated to any precipitating event, however, coffee makes them worse. patient is on no medication and denies medical problems. What is the most likely diagnosis?
A) Dissociative disorder
B) Generalized anxiety disorder
C) Hypocondriasis
D) Panic disorder
E) Somatization disorder
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| mash
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panic disorder?
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| rida
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Don't have the answer to this question mash, but that was my guess as well.
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| dr.shar
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E) Somatization disorder
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| peekay
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panic dis
intense pain with ponding heart and feeling as he is having heart attack.i think it is due to his worries how his mom died 16 yrs ago
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| mjl1717
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Dissociative dis. -rare dramatic disorder characterized by sudden but temporary loss of memory or identity.
Generalized anxiety characterized by chronic (over 6 months) of persistent anxiety with tension ,sympathetic and parasympathetic symptoms.
More frequently in females
Cannot be related to a specific person or situation.
Hypochondriasis -extreme concern about illness and exaggerated atention to ones own health. (I believe it occurs at times inhealth care workers)
**Panic disorder is idenitied by episodic, intense periods of anxiety that occur suddenly and last about 30minutes
Somatization involves "Multiple" physical complaintswith no physical disease
and is associated with medical help seeking.( my back hurts,my head hurts
I feel my heart, I had bloody nose, I got pains in my legs , my knee hurts,I vomited
Hope this helps
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| rida
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Thanx mjl, got the answer today, its Panic disorder.
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