Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

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might not be available in the event of a panic attack (American onset of which are unpredictable, and manifested by intense or standing in a line; being on a bridge; and traveling in a bus, uations include being outside the home alone; being in a crowd ● Psychiatric Association [APA], 2000). Common agoraphobic sit-The characteristic features of this group of disorders are symp-toms of anxiety and avoidance behavior. Anxiety disorders are categorized in the following manner:Panic Disorder (with or without Agoraphobia) Panic disorder is characterized by recurrent panic attacks, the train, or car.apprehension, fear, or terror, often associated with feelings of impending doom, and accompanied by intense physical discom-fort. The attacks usually last minutes or, more rarely, hours. If accompanied by agoraphobia, there is a fear of being in places or situations from which escape might be diffiBACKGROUND ASSESSMENT DATAAnxiety DisordersC cult or in which help HAPTER^8


2506_Ch08_161-175.indd 0161 2506 Ch 08 161 - 175 .indd help might not be available in the event of suddenly developing a symptom(s) that could be incapacitating or extremely embar-rassing. Travel is restricted or the individual needs a companion when away from home or else endures agoraphobic situations despite intense anxiety.Social PhobiaSocial phobia is characterized by a persistent fear of behaving or performing in the presence of others in a way that will be humiliating or embarrassing to the individual. The individual has extreme concerns about being exposed to possible scrutiny DisorderDisorders, Fourth Edition, Text Revision (DSM-IV-TR) 0 The APA (2000) the essential feature of this disorder as fear of being in places or situations from which escape might be diffiAgoraphobia without History of Panic 161 Diagnostic and Statistical Manual of Mental cult or in which identifi^161 es 1 10/1/10 9:35:02 AM 0 / 1 / 10 9 : 35 : 02 AM
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