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Agoraphobia clinical vignette
Agoraphobia clinical vignette
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The term agoraphobia comes from the mid-1800’s by a german psychiatrist, Karl Westphal. It was in 1873 that he started writing a journal dedicated to a few patients experiencing similar symptoms. Literally, agoraphobia is defined as a fear of squares or open places. Westphal chose the terminology from the Greek root “agora” meaning open space. He explicated that this disease made people experience anxiety episodes when in public places, rather than in the safety of their homes. Certain circumstances that pushed anxiety attacks include buses, crowded rooms, or open streets.
Westphal’s journal sparked a sort of agoraphobia revolution in America. There was a newly found vigor in the medical community for psychiatry and agoraphobia was
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Healthline summated the most common fears associated with agoraphobia with fear of spending time alone, being in crowded places, open spaces, and places where escape would be hard , (ie. elevators), patients show fear of losing control in public places and death. Agoraphobia is a very debilitating mental condition because of the large array of anxieties it makes the patient feel. Healthline describes that a patient with agoraphobia would feel detachment, helplessness, agitation, loss of control, and a feeling that nothing is real all on a daily basis. The most common symptoms of agoraphobia are panic attacks. People with agoraphobia experience the physical symptoms of panic attacks routinely sometimes. Patients complain of panic attacks giving them the sensation of chest pains, vertigo, racing heart rate, shortness of breath, sweating for no reason, trembling, nausea, diarrhea, flushing, chills and choking.
Those dealing with agoraphobia tend to depend on others and stay indoors, usually secluded for very long periods of time. Strangely, the patients fear that the mental disease will bring on a panic attack, in which case they start their own panic attack, because of this they arise unpredictable and typically in situations that the patient tries to avoid. In short, it is a vicious circle and Overcoming (Understanding panic...) states that it is because of perpetuating factors. There are certain influences that keep the panic process going and even make it worse and more
Agoraphobia is a psychological disorder characterised by panic and anxiety. This particular anxiety disorder involves the fear of experiencing a panic attack in a public place where safety may be unavailable, which causes discomfort (Lilienfeld, 2017). This disorder is commonly recognized in women and often arises during adolescent years. Often times, people develop agoraphobia after a previous panic attacks, which than causes them to worry about having another in the future (Agoraphobia, 2017). This results in avoidant behaviours, such as evading places where an attack may occur. There are many causes, symptoms, effects on both the individual with the disorder and their loved ones, as well as a variety of treatments available.
For a person diagnosed with agoraphobia, there are a number of restrictions and consequences associated with the disorder. A serious consequence is the incidence of severe and paralysing panic attacks. In the early stages of agoraphobia people suffer recurring panic attacks when in certain public places or situations. These attacks cause the person to feel generally uncomfortable in public settings. Eventually, fear of the recurrence of the panic attacks results in an obvious reluctance or refusal to enter all situations associated with the attacks. Other consequences of agoraphobia may include fear of being alone, fear of being in places where escape might be difficult, feelings of helplessness, dependence on others and depression. These consequences place many serious restrictions on a person with this disorder. Agoraphobia causes people to restrict their activities to smaller and smaller areas in order to avoid crowds, and open and public places or situations. This may finally lead to the inability of a person to leave their home without suffering a panic attack.
Agoraphobia is derived from the Greek words agora, meaning “gathering place” or “assembly” which was used to describe a city’s marketplace, and phobia meaning “fear.” It literally means "fear of the marketplace." Carl Westphal first coined the term “agoraphobia” in 1871 to describe people who were afraid of large open spaces. Since then, the definition of agoraphobia has been modified and continues to develop as more research is done. (Barlow, 2002, p. 328) The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM–5; American Psychiatric Association [APA], 2013) defines the essential trait of agoraphobia as "marked, or intense, fear or anxiety triggered by the real or anticipated exposure to a wide range of situations." (p 218) It is the most common phobia. To further understand agoraphobia, this essay will explore the characteristics, causes, being a Christian with agoraphobia, and the treatments.
anxiety and panic attacks, and Obsessive-Compulsive Disorder (1). Many of these symptoms cause people to avoid contact with the outside world, thus thrusting them deeper into their fears.
In the general population, less than five percent of people experience panic disorders, and only six percent develop agoraphobia during their lives, (MacNeil 2001). A diagnosis of panic disorder is given when panic attacks turn into a common occurrence, for no apparent reason and the person begins to change their behaviour because of the constant fear of having a panic attack. Someone suffering from agoraphobia has a fear of being somewhere where help will not be provided in case of an emergency; one third to one half of people diagnosed with panic disorders develops agoraphobia, (Hoeksema & Rector, 2011, p. 204). Research has examined two well-known ways a panic disorder with agoraphobia (PDA) can be treated: Cognitive Behavioural Therapy (CBT) (alone and combined with two other medications) and Experimental Cognitive Therapy (ECT). Examining the research allows for a comparison of each treatment, along with a discussion of implications, resulting in determining which treatment is the most effective for someone who suffers from a panic disorder with agoraphobia.
There are so many types of mental illnesses that affect people every day. When some people think of mental illnesses they think of the ones that would cause people to have physical symptoms as well, but that’s untrue, there are many more that you would never know anyone has if you were to see them on the street. As defined by the 2008 encyclopedia “a mental illness is any disease of the mind or brain that seriously affects a person’s ability or behavior. Symptoms of a mental illness may include extreme moods, such as excessive sadness or anxiety, or a decreased ability to think clearly or remember well.” A mentally ill person has severe symptoms that damage the person’s ability to function in everyday activities and situations. Every nation and every economic level can be affected by a mental illness. In the United States alone about 3% of the population has severe mental illness and to add to that number about 40% of people will experience a type of mental illness at least once in their lives. Some cases of mental illnesses can go away on their own, but some cases are so severe that they require professional treatment. There is so much more available to help people recover from their symptoms than in the past.
Severe anxiety, which can be described as an episode of terror, is referred to as a panic attack. Panic attacks can be extremely frightening. People who experience panic attacks over a prolonged time period may become victims of agoraphobia, which is a psychiatric disorder that is closely associated with the panic disorder. Patients with Agoraphobia avoid certain places or situations such as airplanes, crowded theaters, a grocery store or anyplace from which escape might be difficult. It is said that Agoraphobia can be so severe that it has made certain individuals housebound.
An increased heart rate, uncontrollable shaking, and a feeling of suffocation characterize panic attacks. An example of this disorder would be the feeling a person would get while being near water after a near drowning experience. The usual treatment involves controlling the cognitive responses that a patient gets when suffering a panic attack. Individuals that suffer from constant panic attacks are diagnosed with a panic disorder. Panic disorders are characterized by reoccurring panic attacks, people with these disorders also suffer from anxiety about the consequences of further attacks. Patients with a panic disorder can develop agoraphobia; an irrational fear of large crowds.
Panic attacks are the third kind of phobia. They can change the quality of a person’s life. Someone with a phobia this bad may be shopping at the supermarket and suddenly experience dizziness and a feeling of being out of control. At that moment, the person experiences a fear of dying, with no safe place to go. When this happens more than once, the person might think they are going crazy. Someone with panic attacks soon won’t leave the house because of fear of a panic attack happening outside the house. Soon, depression s...
Panic disorder is an anxiety disorder categorized by repetitive severe attacks. It may also contain significant behavioral changes enduring at least a month and of ongoing worry about the implications or anxiety about having other attacks. The latter are known as anticipatory attacks, or DSM-IVR. Panic disorder is not the equivalent of agoraphobia, the fear of public places, even though many afflicted with panic disorder as well suffer from agoraphobia. Panic attacks cannot be foreseen; therefore an individual may come to be stressed, anxious, or worried wondering when the following panic attack will transpire. Panic disorder may be differentiated as a medical condition, or chemical imbalance. The DSM-IVR describes panic disorder and anxiety differently. Whereas anxiety is preceded by chronic stressors which build to reactions of moderate intensity that can last for days, weeks, or months, panic attacks are acute events triggered by a sudden, out of the blue cause. The duration is short and symptoms are more intense. Panic attacks can occur in children, as well as adults. Panic in young people may be particularly distressing because children tend to have less insight about what is happening, and parents are also likely to experience distress when attacks occur.
Simple phobias include irrational fears of things like animals such as dogs, cats, or the most common snakes. Specific phobias are centered around specific situations such as small spaces, claustrophobia, or heights, acrophobia. Social phobias are irrational fears of interactions with other people. For example, a person might have a social phobia of public speaking or fear of embarrassment. Another form of social phobia is agoraphobia which restraints a person from being in unfamiliar, open or closed spaces, typically resulting in panic attacks. These different types of phobias have two things in common; they are irrational, and they are treated in similar
Since the 1800s, treatment methods for mental illness have developed significantly worldwide. From electrotherapy to modern practices like psychotherapy, treatment for mental disorders has greatly progressed as scientists and psychologists learn more information on the causes of mental illness and the best therapy for each particular disease. The past 200 years mark the most defined era since the beginning of humans for the progression of treatment for mental illness. Not only has treatment improved for the mentally ill, but also the perception of mental illness has greatly changed and will continue to do so as more is learned about the human mind.
In today’s world, mental illness is still looked upon as a very bad thing and the negative views of mental illness are common within the employees. Most of the time, people assume that employees who suffer from mental illness are often seen as weird, defensive, and hard to talk to. Generally, concepts about mental illness tend to be subjective, leading to difficulties in defining mental illness. One article has described mental illness as, “ mentally distorted, mad, or crazy” and the degree of mental illness varies depending from person to person (Corrigan et al. 2010, p. 909). The following essay is based on the topic ‘Mental Illness as an Emerging Discourse’ and the article ‘Employee Mental Illness: Managing the Hidden Epidemic’ was the main article that was analysed and used in the essay to discuss the topic. The analysis has been divided into two parts which are covered equally by the study group members.
...e mental illnesses that are more common than our society realizes. The community should be more educated as how to properly handle someone who is affected by it. Facing your fears is not an option if you are scared of the fear itself. Having support from someone could prevent a panic attack and help tremendously because it is always comforting to know you are not alone. The most effective way to help someone with an anxiety disorder is first understanding the differences between feeling nervous and owning anxiety disorders. It is an illness that is capable of dealing a lot of damage to a person’s mental health, and without proper help can be fatal. Anxiety disorders can easily evolve into depression and can make a person feel trapped or even suicidal. Knowing the proper procedures can greatly affect people with these disorders and could possibly save someone’s life.
Mental health refers to the state of individuals psychologically, emotionally and socially. Mental health affects a person’s emotions, feelings, thoughts, and sections when exposed to different situations. Furthermore, mental health is responsible for a person’s reaction to stress and other social conditions. Generally, mental health affects how a person relates to others and their ability to understand and interact with them. Therefore, problems that affect a person’s mental health affect the abilities to socialize, their feelings, moods, reaction to situations. The person experiencing mental health problem may portray different behaviors when confronted with different issues. Mental health issues have several