Talk:Panic attack: Difference between revisions
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{{Reliable sources for medical articles}} |
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== Proposal to remove arbitrarily frightening lead image == |
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==Panic attacks more common in women and male homosexuals?== |
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Should we point out that women and male homosexuals are far more likely to suffer from panic attacks? <span style="font-size: smaller;" class="autosigned">— Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[Special:Contributions/212.219.118.148|212.219.118.148]] ([[User talk:212.219.118.148|talk]]) 13:09, 20 October 2011 (UTC)</span><!-- Template:Unsigned IP --> <!--Autosigned by SineBot--> |
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The prominent position and shocking nature of the [[Panic_attack#/media/File:A_subjective_impression_of_a_panic_attack.png|current lead image for this article]] will obviously frighten anyone on the verge of a panic attack looking for information. The image has no provenance, and arguably bear no intuitive resemblance to the experience of a panic attack, besides “being weird”. I’d like to propose it is removed from the article. [[User:Wormald|Wormald]] ([[User talk:Wormald|talk]]) 13:30, 8 April 2021 (UTC) |
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:Yes, this should be pointed out, but only if you sourcing that statement from peer-reviewed study published in a reputable medical journal. If you are new to Wikipedia and aren't sure what this means, or how to proceed further, please reply and either I or another experienced editor will take it from there. <span style="border:2px solid red;padding:1px;background:navy">[[User:Senator2029|<font color="yellow">'''Senator2029'''</font>]] <font color="white">|</font> [[User talk:Senator2029|<font color="lime">'''talk'''</font>]]</span> 07:42, 31 October 2011 (UTC) |
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:While technically [[WP:NOTCENSORED]] (which I encourage you to read), I certainly understand the desire to have a less potentially triggering lead image. We currently don't have a good replacement image to use (the previous one didn't work as a lead image for multiple reasons), but if you are aware of any high quality images we could replace it with, I'm sure we could work something out. As it happens the image is my own, and depicts my subjective experiences with panic and anxiety attacks—a discussion with friends of mine who experience panic attacks as well indicated that for them it was actually an immediately relatable or "intuitive" image, but, being a work of art, that is obviously a subjective judgement. For now I think it would be best to keep it per [[WP:NOTCENSORED]], but if you have something better to replace it with, I'd absolutely be willing to put it as a replacement lead image (perhaps moving the current one further down in the article, where it won't immediately be seen by people looking up panic attacks, but can still be found). Cheers, [[User:Yitzilitt|Yitz]] ([[User talk:Yitzilitt|talk]]) 14:53, 8 April 2021 (UTC) |
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::{{re|Wormald|Yitzilitt}} I think it would be better if the image was moved down to a different section, possible in or below the "Signs and symptoms" section. This removes the image from the lead and also prevents the image from being displayed on page previews, mobile search, and social media embeds, and still keeps this artistic depiction. I agree that Wikipedia is not censored, but the unsettling image is slightly undue given the article content, and isn't necessarily an accurate (nor objective) depiction of what a panic attack is actually like which would strongly warrant its space on the infobox. Sometimes we do have to [[WP:IAR|make a few exceptions]] on how we layout articles for the benefit of readers. <span style="background:#ffff00;color:#00159c;">'''''[[User:Chlod|Chlod]]'''''</span> <small style="font-size:calc(1em - 2pt)">([[User talk:Chlod|say hi!]])</small> 15:32, 8 April 2021 (UTC) |
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:::Sounds reasonable! If you wouldn't mind implementing that, I'd be appreciative :) [[User:Yitzilitt|Yitz]] ([[User talk:Yitzilitt|talk]]) 15:34, 8 April 2021 (UTC) |
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::::{{Done}} with [[Special:Diff/1016691712]]. <span style="background:#ffff00;color:#00159c;">'''''[[User:Chlod|Chlod]]'''''</span> <small style="font-size:calc(1em - 2pt)">([[User talk:Chlod|say hi!]])</small> 15:37, 8 April 2021 (UTC) |
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::: Thank you for the speedy compromise and improving edit. I maintain the stance that the picture is irrelevant and inappropriate, and note that [[User:Yitzilitt|Yitzilitt]] says they “enjoy experimenting with strange and surreal aesthetics” on their profile - which is fine and dandy, but surely a wikipedia page on a serious condition is not an appropriate publishing platform for ones personal artistic experimentations? |
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::: ''Alternative image ideas'' - as the core component of a panic attack is the experience of fear, either a simple picture of a face experiencing fear (such as this one of [https://www.pexels.com/photo/brown-eyes-of-scared-young-person-4178738/ dilated pupils with a negative valence]), or a recognisable artistic work associated with fear (something like [[The_Scream|Edvard Munch’s “The Scream?”]]), (or both) could work? [[User:Wormald|Wormald]] ([[User talk:Wormald|talk]]) 12:26, 13 April 2021 (UTC) |
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== Move discussion in progress == |
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::"For unknown reasons, women are twice as likely to get the disorder as men." <small>--{{cite web|title=Psychology Topics » Anxiety » Answers to Your Questions About Panic Disorder|url=http://www.apa.org/topics/anxiety/panic-disorder.aspx|publisher=American Psychological Association|accessdate=28 December 2011}} Subpage 4.</small> Does that count as a reliable source?? Sorry, new to this... [[User:Michaela1992|Michaela1992]] ([[User talk:Michaela1992|talk]]) 22:48, 5 November 2011 (UTC) |
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There is a move discussion in progress on [[Talk:Future Tripping#Requested move 28 August 2023|Talk:Future Tripping]] which affects this page. Please participate on that page and not in this talk page section. Thank you. <!-- Talk:Future Tripping#Requested move 28 August 2023 crosspost --> —[[User:RMCD bot|RMCD bot]] 17:35, 28 August 2023 (UTC) |
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::: APA is a reliable source indeed. [[User:Zidanie5|Zidanie5]] [[User talk:Zidanie5|(talk)]] 05:22, 6 November 2011 (UTC) |
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== expert assistance needed with [[Future Tripping]] == |
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== Experienced Sufferers == |
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[[Future Tripping]] was recently created. There is a proposal to move it to [[anticipatory anxiety]], which currently redirects to [[panic attack]]. Anticipatory anxiety appears to be a symptom of [[Panic disorder]], but is not explicitly mentioned at that article. (will post in a few places) <span style="font-size: 80%;color:blue"><sup>~</sup>[[User:Hydronium Hydroxide|Hydronium<sup>~</sup>Hydroxide]]<sup>~[[User talk:Hydronium Hydroxide|(Talk)]]~</sup></span> 03:09, 29 August 2023 (UTC) |
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Being bold here, I deleted the section about experienced sufferers not having any outward symptoms of a panic attack. I'm fairly sure this is POV and anecdotal evidence, but if anyone can back it up I'd fully support putting it back up. This is from a decade long panic disorder sufferer who apparently is a weak novice at having a neuropsychiatric disorder. ;) |
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Please ''cite any reputable research'' or leave it out at the risk of alienating other people with the disorder, the last thing we need is to enhance the stigma of mental illness and make people look down upon those with physiological reactions thinking they can control panic if they only had the willpower. [[Special:Contributions/91.113.90.192|91.113.90.192]] ([[User talk:91.113.90.192|talk]]) 00:05, 5 February 2009 (UTC) |
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:Its true that people can ride these out without showing any signs of it. However, I also know it does not take an "experienced sufferer" to accomplish this. [[User:JeremyWJ|JeremyWJ]] ([[User talk:JeremyWJ|talk]]) 08:34, 7 February 2009 (UTC) |
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:As one such "experienced sufferer" - panic attacks for me have very few outward symptoms, and always have. However, I always ask for help or call out to others as part of the fear and anxiety. Maybe it has to do with my being a teenager, but when i get scared, I want others around me, experienced sufferer or no. So while it's possible that people can, I doubt very many people actually do. - Miri |
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== treatments == |
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What you're essentially saying is that you deleted this section because of your experience with panic disorder, and negative implications you've found in the article's statements. You then accuse the article's own statements of being based on anecdotal evidence. Two wrongs don't make a right. If the information is referenced, please do not remove it. That's censorship based on your subjective feelings. |
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I think putting in a few options for what one can do while in the midst of having a panic attack to help cope would be a useful thing to put into the treatments section. It has one now, but a few options would be helpful to readers. [[User:Mic20020|Mic20020]] ([[User talk:Mic20020|talk]]) 01:24, 23 January 2024 (UTC) |
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I suffer with panic disorder, and it's true that I've been able to learn coping skills and become somewhat desensitized to the symptoms of my attacks; but my circumstances can't be applied to everyone. There are still people who experience very intense attacks, and what coping skills I've learned don't help them. No one is saying that both sets of circumstances are mutually exclusive, and that people with panic disorder simply need to "get over it." This is your own conclusion — not a conclusion drawn by the article. |
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==Wiki Education assignment: WikiProject Medicine Fall 2024 UCF COM - Block 6== |
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In the meantime, consider how such reactionary censorship is actually hurting the quality of the article. People who research the subject to better understand their own diagnosis need to know the truth: That it may very well be possible (in their unique circumstances) to learn coping skills and desensitize themselves to the symptoms of their attacks. Instead, you're removing that information and saying, "Sorry, guys. Just because of my experience, I'm saying there isn't any hope of coping with this on your own." [[Special:Contributions/72.155.96.97|72.155.96.97]] ([[User talk:72.155.96.97|talk]]) 21:55, 7 April 2011 (UTC) |
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{{dashboard.wikiedu.org assignment | course = Wikipedia:Wiki_Ed/University_of_Central_Florida_College_of_Medicine/WikiProject_Medicine_Fall_2024_UCF_COM_-_Block_6_(6) | assignments = [[User:Scent99|Scent99]], [[User:Maddilinemarie|Maddilinemarie]] | reviewers = [[User:Annajurlina|Annajurlina]] | start_date = 2024-10-21 | end_date = 2024-11-17 }} |
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<span class="wikied-assignment" style="font-size:85%;">— Assignment last updated by [[User:DLEMERGEBM|DLEMERGEBM]] ([[User talk:DLEMERGEBM|talk]]) 15:38, 8 November 2024 (UTC)</span> |
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== Picture == |
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Scent99: |
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The placement of [[:Image:Panic-attack.jpg]] at the top of the page and the simultaneous mention of a still-living artist's name is a possible conflict of interest in an article about a medical condition. [[User:Shawnc|Shawnc]] ([[User talk:Shawnc|talk]]) 12:14, 10 February 2008 (UTC) |
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- Introduction: rewrite in layman’s terms, define some of the terms used (ex: palpitations) as they may be unclear to the average reader, address DSM-IV mention and make it more updated, choppy sentences so add transitions to help the paragraph flow, restructure paragraph (ex: move epidemiology to beginning) |
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: I agree. It's a nice image, but it really has very little to do with the subject. --[[User:Brokenchairs|Brokenchairs]] ([[User talk:Brokenchairs|talk]]) 20:43, 1 March 2008 (UTC) |
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- Causes: fix wording of sentences, poor grammar in current paragraphs (ex: several sentences end in prepositions), delete last sentence “(anxiety is inappropriate”), too much medical jargon, |
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I find this picture to be highly problematic. I am not an expert on the subject of panic attacks, but from every anecdote I have heard about the subject (this totals at least four), people have expressed that physical contact is profoundly uncomfortable during an episode. As an alternative to this, it has been suggested that people wishing to help should take a cloth doused in cold water, instruct the sufferer to place it on his/her forehead, and focus on the feeling between the cloth & forehead. Can anyone corroborate this? |
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- “Experimentally induced” section: Will likely delete this or expand on depending on references and studies found |
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:That is specially true with people that have things like social phobias. --[[User:TiagoTiago|TiagoTiago]] ([[User talk:TiagoTiago|talk]]) 07:24, 12 November 2011 (UTC) |
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Long list of biological causes and mention of norepinephrine system that should be explained more clearly |
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- Treatment: for the entire section, will reword and elaborate, expand on the different types of meds, MOA, adverse effects, efficacy (is one better than the other?) |
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== Suicide == |
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- Move parts of prognosis section into treatment |
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Do suicides have a connection to panic attacks? |
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--[[Special:Contributions/68.111.222.42|68.111.222.42]] ([[User talk:68.111.222.42|talk]]) 01:39, 11 March 2008 (UTC) |
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:Not a doctor, but I would say no. During a panic, at least the kind I have experienced, a person is not physically capable of committing such an act. Panic attacks also bring on a fear of dying, so I don't think a person would want to kill themselves during it because that is probably their biggest fear. However, the anxiety that leads up to panic attacks could obviously lead someone to suicide. [[User:JeremyWJ|JeremyWJ]] ([[User talk:JeremyWJ|talk]]) 08:25, 7 February 2009 (UTC) |
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:As someone who has been suffereing panic attacks for years, I can tell you that in the full grip of a panic attack, you are very convinced you are dying, and are terrified of it. Suicide is the last thing on your mind. However, I believe (don't quote me on this) that panic attacks can be symptoms of other conditions that can lead to suicide, but I could be wrong, as I'm not a doctor either. -Miri |
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:Yet another not-a-doctor response -- I can't fathom killing myself during the attack itself, but after a few good ones in short order, I get a bit suicidal. Panic disorder limits the things I can do on my own. It adds a situational component to what is, admittedly, a chemical depression; the combination is decidedly unpleasant. C.M.W. 01:31, 16 Dec 2010 (EST) <small><span class="autosigned">— Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[User:Lovefromgirl|Lovefromgirl]] ([[User talk:Lovefromgirl|talk]] • [[Special:Contributions/Lovefromgirl|contribs]]) </span></small><!-- Template:Unsigned --> <!--Autosigned by SineBot--> |
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- Several outdated references (example: reference 77 for therapy is from 2001, reference 80 is from 2002) |
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I would say there is at least a minor correlation, given the intensity of the attack. I have no idea if there are any specific examples. |
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Some attacks can manifest with physical pain, psychotic delusions, or otherwise extremely unpleasant sensations and beliefs. A person who is convinced that they're dying some horrible death may attempt suicide as a desperate measure of avoiding pain / trauma in the process of their supposedly inevitable doom. Some of my own attacks have been so bad that I begged for death to hurry up and occur, rather than make me suffer slowly and horribly. [[Special:Contributions/72.150.233.212|72.150.233.212]] ([[User talk:72.150.233.212|talk]]) 02:02, 24 April 2011 (UTC) |
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Maddilinemarie: |
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:I would expect there have been occurrences of people inadvertently causing their own deaths due to their panicked reactions... --[[User:TiagoTiago|TiagoTiago]] ([[User talk:TiagoTiago|talk]]) 07:27, 12 November 2011 (UTC) |
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- Edit signs and symptoms section as there are several sentences that are not in layman’s terms (ex. a panic attack can result when up-regulation by the sympathetic nervous system (SNS) is not moderated by the parasympathetic nervous system (PNS)). Will expand on differentiating panic attacks from heart attacks. |
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== Medication == |
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- Edit pathophysiology section by making it more readable and expand on what causes panic attacks, not just what causes the individual symptoms. |
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Why do we always leap towards medication? There are many easy and simple techniques for dealing with panic attacks. How do you think the human race got here with out medication? Why are we so quick prescribe drugs and diagnose medical problems? Why are we medicating kids? It's because of the drug companies that's why. |
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- Move the neurotransmitters section into the pathophysiology section. Will research more about neurotransmitters and see if they interact with each other during panic attacks |
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Let see some of time honoured techniques listed here to over come panic attacks with out medication, breathing exercises and relaxation techniques don't cost money and don't have side effects. Let's get real. <small>—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[Special:Contributions/217.34.48.22|217.34.48.22]] ([[User talk:217.34.48.22|talk]]) 14:22, 5 July 2008 (UTC)</small><!-- Template:UnsignedIP --> <!--Autosigned by SineBot--> |
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- Edit the language in the cardiac mechanism section to make it readable |
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No, I 've had many panic attacks, and I never feel suicidal. I just accept there a part of me, and that makes me who I am!!! I often have them at school. I just go to the nurse's office, and she takes me into a room and gives me oxygen. Or if I have a really bad panic attack, I get my phone out. The nurse has given me her number. Or if I'm in a really bad state, my friends phone the nurse and get her to come to me. She brings her assitant and a strecher. They carry me off, and I'm fine. Just know that if you have panic attacks, there'll always be people who will help you. <span style="font-size: smaller;" class="autosigned">—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[Special:Contributions/90.196.63.54|90.196.63.54]] ([[User talk:90.196.63.54|talk]]) 20:48, 9 October 2008 (UTC)</span><!-- Template:UnsignedIP --> <!--Autosigned by SineBot--> |
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- Combine cardiac mechanism and cardiovascular diagnosis sections |
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I would like to add that as a panic attack sufferer I have been suicidal during attacks. I once tried to claw my own eyes out (not successfully thank god). I often feel that I would rather die than feel what my panic attacks feel like so when I know one is coming on I get some degree of desire to be knocked out or dead. -LS <span style="font-size: smaller;" class="autosigned">—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[Special:Contributions/67.170.50.165|67.170.50.165]] ([[User talk:67.170.50.165|talk]]) 11:45, 19 February 2010 (UTC)</span><!-- Template:UnsignedIP --> <!--Autosigned by SineBot--> |
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- Reword parts of the diagnosis section so it makes more sense (ex. with the symptoms of a panic attack regarded as characteristics of another disorder during which the panic attack occurs) |
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Anxiolytics, benzos, etc. aren't some evil scam cooked-up by drug companies. These drugs are prescribed because they're effective stop-gap measures to help a person deal with an attack when it occurs. Yes, they have terrible side-effects and a high risk of dependency, but a person weighs a cost-benefit analysis before taking them: Is it easier to deal with a nervous breakdown, or a benzo hangover? Can I use this drug responsibly? |
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- Delete prognosis section, will move relevant information into different sections as needed |
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CBT therapy, relaxation techniques and other coping skills are useful long-term treatments for panic disorder, or other disorders that cause panic attacks; however, their efficacy depends on the patient. If a patient is struggling to consistently apply these techniques, or they simply don't work in their situation, then medication can be used to help control their symptoms. I mean, how do you honestly expect to help someone who is hysterical with fear? For any therapy to work for them, they may very well need to take a chill-pill just long enough to coherently and reasonably discuss CBT techniques and coping skills. I know it was difficult for me to even leave my house and see a therapist in the first place. I could not have taken that first step without medication as a temporary crutch. [[Special:Contributions/72.150.233.212|72.150.233.212]] ([[User talk:72.150.233.212|talk]]) 02:18, 24 April 2011 (UTC) |
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== panic attack causes == |
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Overall Notes: |
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I find that the idea that cannabis and psilocybin can cause panic attacks to be trivial. I don't care if it is a peer reviewed study, they have misinterpreted physical symptoms of drug and effect as panic attack, when it can just be excitation. Infact, there is contradictory evidence out there that cannabis and psilocybin have anti-depressant abilities and can otherwise treat anxiolytic symptoms (albeit, hushed by the anti-drug lobby, psychedelics were touted as revolutationary treatments for depression and OCD). I think the problem of the study is that it is behavioural and not cognitive and looking for outward external physiological reactions. <small>—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[Special:Contributions/158.223.163.1|158.223.163.1]] ([[User talk:158.223.163.1|talk]]) 12:17, 14 June 2008 (UTC)</small><!-- Template:UnsignedIP --> <!--Autosigned by SineBot--> |
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There are several outdated references throughout the article (ex. articles from 2000), will go through and add information from updated sources and/or remove inaccurate information. Add more images to help make it digestible to visual learners. The article uses medical terms and jargon without elaboration in several, if not all, the sections. This will be addressed through re-wording, with the assistance of the Hemmingway tool, and adding more details to provide the reader with more information. There appears to be lots of issues with syntax and grammar, so this will be edited. |
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:I don't think its trivial, but I think wording is important. Im thinking that, in people prone to panic, using any substance that reduces 'control' over oneself could easily (if not often) initiate a cascading panic. <span style="font-size: smaller;" class="autosigned">— Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[Special:Contributions/74.128.56.194|74.128.56.194]] ([[User talk:74.128.56.194|talk]]) 06:00, 26 May 2011 (UTC)</span><!-- Template:UnsignedIP --> <!--Autosigned by SineBot--> |
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'''DISCLAIMER XEROX''':... it wouldn't be like this at all (co-ed), in fact it would be that we would be in a state of discussion-architechture instead of here ;; but then the only thing that does warrant this is a manga cartoon where the building is controlled by a centrafuge that theoretically has whatever substance is terrorist santa clause;; [cyber city oedo 808 // files 1-3],, :: in this way astrolab- is the cyber-city oedo 'thing' where it is not because it has a hologram not that ;;; and even that - is undeclared advantage over I wonder the same ass ;;; even so - I get panic attacks on the shop nexus, and the cashpoint-balerics are worse -- being schizo 'dog' you realise it easier to "sell me out" than it is to build the building that is ||| and it eventually a year later than a prime-malfunction in this Robinson Crusoe typical designator mmm,,, where I can say this is what the problem is most with me I guess mm,, :: on the other hand where I paniced first was in the subject-matter I call the cube, #x#, and then the republics vanished and gave insight into W@ter, , now voyager... <span style="font-size: smaller;" class="autosigned">—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[Special:Contributions/86.140.40.41|86.140.40.41]] ([[User talk:86.140.40.41|talk]]) 01:14, 18 November 2008 (UTC)</span><!-- Template:UnsignedIP --> <!--Autosigned by SineBot--> |
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::I think we should delete the comment above this one. As far as I can tell it is absolutely insane and meaningless. [[Special:Contributions/74.132.249.206|74.132.249.206]] ([[User talk:74.132.249.206|talk]]) 21:58, 5 February 2012 (UTC) |
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<span class="wikied-assignment" style="font-size:85%;">— Assignment last updated by [[User:Maddilinemarie|Maddilinemarie]] ([[User talk:Maddilinemarie|talk]]) 18:41, 21 October 2024 (UTC)</span> |
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== Why the agoraphobia section == |
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Hi! Here is my (tsuki1995) peer review for Scent99's portion of the article: |
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Why is there a section on agoraphobia? It doesn't seem to belong here. |
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[[Special:Contributions/70.132.5.91|70.132.5.91]] ([[User talk:70.132.5.91|talk]]) 17:04, 24 June 2008 (UTC) |
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:Agoraphobia can be a result of Panic attacks and does belong here. I belive that there is no need |
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- I like the updated language to the lead section, although I think some sentences may be a bit wordy and can be edited to be more concise (ex: the description for dysautonomia) |
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:for it to be removed from the article. Thank you though for trying to help improve the article. [[User:Desalvionjr|DeSalvionjr]]<sub><i> [[User_talk:Desalvionjr|Talk]]</i></sub> <sup> [[Special:Contributions/Desalvionjr|Contribs]] |
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- I also think that some of the words used in the lead section may be a bit too high of a reading level, although I understand it's difficult finding different words while still getting the same message across |
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I strongly disagree. There is another article devoted to agoraphobia, simply reducing this mention of it to a sentence with a link would be much more efficient, the same for Panic disorders, seeing as how half the article is devoted to something that has a seperate article. definitely needs to be condesnsed.[[Special:Contributions/12.109.107.253|12.109.107.253]] ([[User talk:12.109.107.253|talk]]) 22:57, 29 December 2009 (UTC)</sup> |
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- The causes section is very well fleshed out but I think that some of the example causes can be excluded in order to improve readability |
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== Mental / Emotional symptoms overlap == |
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- The added information to the panic disorder section is well written and relevant |
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The "Mental" and "Emotional" symptoms repeat themselves, in more or less the same words. These two sections needs to be made more focused and clear. It seems that these two sections are mostly about the same kind of thing: personal panic attack experience within the mind. Either both these sections should be rewritten, or should be edited together, because it looks sloppy as it is currently. <small>—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[Special:Contributions/74.75.187.46|74.75.187.46]] ([[User talk:74.75.187.46|talk]]) 23:24, 15 July 2008 (UTC)</small><!-- Template:UnsignedIP --> <!--Autosigned by SineBot--> |
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- I like the content of the agoraphobia section, I might recommend just moving the line that talks about where the word "agoraphobia" comes from to the beginning of the section |
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'''Symptopms''' |
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- The treatment section is great with helpful and relevant treatment options |
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There has been a request for quite some time now (since July 2007) to have sourced materials on the symptoms. |
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This has not been don, so I changed the symptomlist, and used The Minnesota Mayoclinics symptomlist as source. |
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I do not see that there is a need to divide the list into physical, ental and emotional. |
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The symptom "Loud internal dialoge" really needs a source if it should be added, since this is neither verified by the Mayoclinic nor by other hospitals or govermentl pages I have checked whe I searched for sources.--[[User:Ekologkonsult|Ekologkonsult]] ([[User talk:Ekologkonsult|talk]]) 12:18, 14 September 2008 (UTC) |
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- The lifestyle changes section also has great edits and added content, though I think that the paragraph on aerobic exercise can be edited more to help with the flow of the sentences |
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=== Burning? === |
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- The breathing exercise section is also good, but I think the very last paragraph about the paper bag reads a bit awkward and I would recommend changing the wording |
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"This leads to shifts in blood pH (respiratory alkalosis or hypocapnia), which in turn can lead to many other symptoms, such as tingling or numbness, dizziness, burning and lightheadedness" |
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- The links I checked were working and references seemed appropriate |
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Is this really meant to say that [http://en.wikipedia.org/wiki/Burning burning] is a symptom? <small><span class="autosigned">— Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[User:Dr satsuma|Dr satsuma]] ([[User talk:Dr satsuma|talk]] • [[Special:Contributions/Dr satsuma|contribs]]) 00:45, 2 March 2011 (UTC)</span></small><!-- Template:Unsigned --> <!--Autosigned by SineBot--> |
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- Overall great job! I think your edits to the article are very helpful in terms of helping people understand the topic better. |
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== Link to quiz is invalid == |
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19:32, 11 November 2024 (UTC) |
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http://panicdisorder.about.com/od/pdbasics/a/attackquiz.htm |
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Hi! Here is my (annajurlina) peer review for Maddilinemarie;s portion of the article: |
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no long points to a quiz, rather to a general about.com index of articles on panic disorder/attacks. I have not been able to find the original quiz. The link should probably be updated. <span style="font-size: smaller;" class="autosigned">—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[Special:Contributions/64.198.255.165|64.198.255.165]] ([[User talk:64.198.255.165|talk]]) 03:53, 16 October 2008 (UTC)</span><!-- Template:UnsignedIP --> <!--Autosigned by SineBot--> |
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-I like what you added to the signs and symptoms section. I would add a reference to the sentence " They are often experienced in conjunction with anxiety disorders and other psychological conditions, although panic attacks are not generally indicative of a mental disorder." I would also add a paragraph about the symptoms after a panic attack ie perioral numbness and how these symptoms can linger for longer than an hour so that way patients understand why they still feel the way they do in the emergency department. |
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- I like the pathophysiology section. I think it is very clear and needs no edits. |
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I think mental is directly related to the mind and emotional is directly related to the emotions that are Not necessarily derived from the mind, although they find expression there. Even though the two may overlap at times, it does not mean the same thing. |
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- I like the work you did with the neurotransmitters. It is very clear and concise. |
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Question: A young man that I know has panic attacks often. Could it have a neurological source? Can anyone answer this? RMA. <small><span class="autosigned">—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[User:Ralvarez4665|Ralvarez4665]] ([[User talk:Ralvarez4665|talk]] • [[Special:Contributions/Ralvarez4665|contribs]]) 15:05, 30 March 2010 (UTC)</span></small><!-- Template:Unsigned --> <!--Autosigned by SineBot--> |
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- I like the cardiac mechanism it is very well written. |
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== An entire section. == |
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- For the diagnostic section, I would add more about the screening tools and change the wording of this sentence "Screening tools such as the Panic Disorder Screener (PADIS) can be used to detect possible cases of disorder and suggest the need for a formal diagnostic assessment." I only say that because I then question what a formal diagnostic assessment is. If it is just seeing a psychiatrist or mental health professional you could change it to say that. |
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The entire section of 'Interoceptive desensitization/symptom inductions' seems iffy to me. There's no citations. [[User:Sunshooter|Sunshooter]] ([[User talk:Sunshooter|talk]]) 03:19, 29 October 2008 (UTC) |
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- Since you cannot delete the prognosis section based on wiki guidelines, could you add more about how the prognosis is fairly good and that majority respond to treatment instead of adding at first that 33% are treatment resistant? |
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== Carbonell == |
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Overall amazing job editing the article, adding sources, and making it more readable! <!-- Template:Unsigned --><small class="autosigned">— Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[User:Annajurlina|Annajurlina]] ([[User talk:Annajurlina#top|talk]] • [[Special:Contributions/Annajurlina|contribs]]) 21:31, 13 November 2024 (UTC)</small> <!--Autosigned by SineBot--> |
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Who's this Carbonell guy who is cited extensively throughout the page? |
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Why is he given so much prominence on the page? |
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Why the improper citation style? |
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[[Special:Contributions/87.11.73.148|87.11.73.148]] ([[User talk:87.11.73.148|talk]]) 04:29, 30 October 2008 (UTC) |
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==Symptoms== |
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This list is very odd. I doubt this is the best way to present the information. <span style="font-size: smaller;" class="autosigned">—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[Special:Contributions/76.119.229.134|76.119.229.134]] ([[User talk:76.119.229.134|talk]]) 03:28, 29 December 2008 (UTC)</span><!-- Template:UnsignedIP --> <!--Autosigned by SineBot--> |
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==Other Treatments== |
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Under "coping statements", the assertion is made that "No one has ever died from an anxiety attack." Is this true? What if I have a panic attack while driving, and this affects my ability to control the vehicle? Yes, the death was not from the panic attack. But neither do drunk drivers die from the alcohol. It would be really helpful if there was some thoughtful consideration of whether or not panic attacks actually do create dangerous situations. |
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:Although you are correct, that is not what this means. This statement "no one has ever died from an anxiety attack" is a coping statement many people do actually use during an attack to "comfort" themselves. Its not claiming that no one has actually ever died (directly or indirectly) from an attack. [[User:JeremyWJ|JeremyWJ]] ([[User talk:JeremyWJ|talk]]) 08:29, 7 February 2009 (UTC) |
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I think that something should be added about temporary treatments for a panic attack. While it is good to have a long term treatment, it is also helpful to know a way to stop a panic attack when medical treatment is not an option. Most frequent sufferers of panic attacks can feel it coming on. I have suffered have had anxiety and panic attacks since, quite literally, before I can remember, and I know that for me, the first symptoms include nausea, dizziness, hot flashes, and trembling. A good way to deal with panic attacks before they escalate into something out of your control is to find a cold towel and place it on the majority of your body (especially your head and neck- I frequently place it on my stomach to help with the nausea). This should be done while laying down, closing your eyes, and deeply breathing. It's amazing how much this helps to both physically calm you, and to mentally assuage your fears. I know that I am not a doctor, but having anxiety as long as I have teaches you a thing or two about panic attacks. [[Special:Contributions/75.64.236.237|75.64.236.237]] ([[User talk:75.64.236.237|talk]]) 05:15, 17 May 2010 (UTC) |
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== psychotherapy, recent edits and vandalism == |
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To the user who is suggesting that psychotherapy is ineffectie: You need to reference your sources. Perhaps before making thoughs changes, we can discuss them here and come to consensus. Also, let the editors not rush to call these changes vandalism. Let us assume good faith. However, until you cite valid sources, your edits will be reverted. [[User:Mwalla|Mwalla]] ([[User talk:Mwalla|talk]]) 18:22, 27 February 2009 (UTC)mwalla |
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== Treatment == |
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If someone is having panic attacks, the last thing one would want to do is to scare them from taking medication. SSRI and SNRI do not cause suicide and are not addictive, but they have been associated with suicide ideation and discontinuation syndrome. These are not the same as suicide and addiction. [[User:Mwalla|Mwalla]] ([[User talk:Mwalla|talk]]) 18:45, 27 February 2009 (UTC)mwalla |
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== Medications == |
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The medications section is very misleading and confusing. Benzodiazepines are still widely used by physicians to treat panic disorder. [[SNRI]]s do not have any addictive potential - [[Effexor]] is no different from [[Prozac]] in that regard. It's going to require a complete rewrite, and until then, I'm redirecting it to the medications section on [[Panic disorder]]. [[User:Mutual monarch|Mutual monarch]] ([[User talk:Mutual monarch|talk]]) 21:07, 21 July 2009 (UTC) |
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Would like to add the part found in the french version: Very helpful, as I teated my self for anxitiety, after a panic attack, that way. it is not made up, it is already referenced, again in the french version: under'''Traitement [modifier]''' |
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Les psychothérapies, associées à un certain nombre de méthodes de relaxation, comme l'acupuncture, la méditation, etc, donnent de très bons résultats. Il appartient bien sûr au patient, aidé ou non, d'adopter celles qui lui correspondent le mieux. |
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follow the link: |
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[[http://fr.wikipedia.org/wiki/Crise_de_panique]] <span style="font-size: smaller;" class="autosigned">—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[Special:Contributions/99.232.67.99|99.232.67.99]] ([[User talk:99.232.67.99|talk]]) 03:05, 9 February 2010 (UTC)</span><!-- Template:UnsignedIP --> <!--Autosigned by SineBot--> |
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==Should it mention== |
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How eating and even drinking things will bring about panic attacks? Because I can eat something that is even slightly unhealthy and I get one so maybe that should be mentioned.--[[Special:Contributions/216.120.175.58|216.120.175.58]] ([[User talk:216.120.175.58|talk]]) 18:12, 10 November 2009 (UTC) |
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:The sensation of anything uncommon could produce a panic attack.[[User:Tintor2|Tintor2]] ([[User talk:Tintor2|talk]]) 18:16, 10 November 2009 (UTC) |
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::Probably worth mentioning ''if'' (and it's a big if) there are high-quality sources to support it. [[User:Looie496|Looie496]] ([[User talk:Looie496|talk]]) 19:27, 10 November 2009 (UTC) |
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:::As far as I know this would be grouped under 'specific panic attack', as the attack is known to be triggered by a specific event. Note that the proper term could be 'situationally bound', as I'm working from memory. [[Special:Contributions/205.175.113.158|205.175.113.158]] ([[User talk:205.175.113.158|talk]]) 03:13, 21 December 2010 (UTC) |
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==Panic attack sufferers "consistently" unassertive?== |
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Was surprised to read this, since "consistently" is a strong word: |
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"This un-assertive way of communicating seems to contribute to panic attacks while being '''consistently present''' in those that are afflicted with panic attacks." |
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Does the source really make such a strong claim? I'm not doubting the value of the source - five minutes with google shows it is very highly regarded - but wondering whether the wording of the article is careless. I started suffering with (thankfully occasional, but clustered) panic attacks nearly a year ago, and I don't think anyone could accuse me of being nonassertive (if anything, sometimes the opposite!). I know this is "original research", but does the source text really claim that panic attack sufferers are "consistently" unassertive in their dealings with others, or does it just note it as a trend? Would "frequently" or "often" be better than "consistently"?[[User:Señor Service|Señor Service]] ([[User talk:Señor Service|talk]]) 22:50, 28 December 2009 (UTC) |
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:A popular "Workbook" is not really an authoritative source. I changed "consistently" to "frequently", which seems to accord with the scholarly literature, but this could be worth revisiting by somebody who knows the literature better than I do. [[User:Looie496|Looie496]] ([[User talk:Looie496|talk]]) 23:09, 28 December 2009 (UTC) |
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::Consistently probably means it is a consistant finding in research. It doesn't mean all people who have panic attacks are unassertive but just probably means it is scientifically repeatable finding that this personality trait is more common in panic attack sufferers than the general public. I think the rewording By Looie is good. I have not read the source though so I could be wrong.--[[User:Literaturegeek|<span style="color:blue">Literature</span><span style="color:red">geek</span>]] | [[User_talk:Literaturegeek |<span style="color:orange">''T@1k?''</span>]] 01:47, 29 December 2009 (UTC) |
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== Needs to be condensed and made a little clearer == |
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The bottom half of this article is a mess! The agoraphobia reference should be one or two sentences with a link to the agoraphobia article instead of an entire section. as should the panic disorder section. The treatment section describes the treatment of panic disorder, which while similar is different from someone having a panic attack. Just an opinion, but half of this article is sections that dont belong as well as a treatment section that doesnt really address the issue of how to treat a lone panic attack (which is what this article is about). These articles should be seperate entities. <span style="font-size: smaller;" class="autosigned">—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[Special:Contributions/12.109.107.253|12.109.107.253]] ([[User talk:12.109.107.253|talk]]) 23:12, 29 December 2009 (UTC)</span><!-- Template:UnsignedIP --> <!--Autosigned by SineBot--> |
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== See also: Exaggeration? == |
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Why does the "See also" link to "Catastrophization"? This article redirects to Exaggeration, which seems inappropriate and possibly offensive to panic attack sufferers. |
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== [[Agoraphobia]]? == |
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Well, why not include [[claustrophobia]] while you're at it (documented panic attacks as a result of being enclosed with no one to talk to)? Or maybe [[Acrophobia]] (slightly induced panic attack to save oneself from falling)? Or perhaps [[Autophobia]] (fear of being alone)? [[User:TeleComNasSprVen|<font color="red">:| TelCo</font>]][[User talk:TeleComNasSprVen|<font color="green">NaSp</font>]][[Telecommunications of Nasal Sprays from Venus|<font color="blue">Ve :|</font>]] 05:34, 18 May 2010 (UTC) |
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:You're confusing terminology. Similar to how hydrophobia is often misused as meaning 'fear of water', agoraphobia does not, clinically, refer to a simple 'fear of open spaces'. It's defined as 'a fear of open spaces caused by a prior panic attack' (basically). It isn't necessarily a component of panic attacks, but it's very often linked to it. [[Special:Contributions/205.175.113.158|205.175.113.158]] ([[User talk:205.175.113.158|talk]]) 03:10, 21 December 2010 (UTC) |
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:either way, they should be added to the page. With the correct definitions of course.[[User:P0PP4B34R732|P0PP4B34R732]] ([[User talk:P0PP4B34R732|talk]]) 03:40, 13 October 2011 (UTC) |
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=== Stub-sections === |
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Incomplete sections like [[Panic attack#Panic disorder]] and [[Panic attack#Limited symptom attack]] already have their own articles, so why not move them to the top of the page in the listed disambig page or the intro? [[User:TeleComNasSprVen|<font color="red">:| TelCo</font>]][[User talk:TeleComNasSprVen|<font color="green">NaSp</font>]][[Telecommunications of Nasal Sprays from Venus|<font color="blue">Ve :|</font>]] 05:38, 18 May 2010 (UTC) |
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=== Treatment === |
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What exactly is the difference in the treatment of a [[panic attack]] and a [[panic disorder]]? Shouldn't they be merged together? [[User:TeleComNasSprVen|<font color="red">:| TelCo</font>]][[User talk:TeleComNasSprVen|<font color="green">NaSp</font>]][[Telecommunications of Nasal Sprays from Venus (9*6=42)|<font face="Showcard Gothic"><font color="blue">Ve :|</font></font>]] 00:54, 1 July 2010 (UTC) |
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The difference is That you have anti anxiety pills for panic disorders, and when the panic attack happesn they give you a different med to calm you down just like they do in Those movies in wich people freak out in a sense of violence <span style="font-size: smaller;" class="autosigned">—Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[Special:Contributions/174.30.22.73|174.30.22.73]] ([[User talk:174.30.22.73|talk]]) 05:38, 3 December 2010 (UTC)</span><!-- Template:UnsignedIP --> <!--Autosigned by SineBot--> |
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:Also, just because a person has a panic attack does not mean they suffer from anxiety or panic disorders.[[User:P0PP4B34R732|P0PP4B34R732]] ([[User talk:P0PP4B34R732|talk]]) 03:38, 13 October 2011 (UTC) |
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== Panic Unprovoked == |
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On the "Panic Disorder" section, it says "Unprovoked." I think this would be best changed to explain that the panic itself (or the fear maybe) is the provoker. [[Special:Contributions/74.132.249.206|74.132.249.206]] ([[User talk:74.132.249.206|talk]]) 03:33, 13 October 2011 (UTC) |
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== Religion/Islam == |
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Removed a section on Islamic views about panic attacks. This was ostensibly under a heading elaborating about different religions' perceptions of panic attacks, but went on to thinly disguised proselytizing with little to no relevance to the subject at hand. <span style="font-size: smaller;" class="autosigned">— Preceding [[Wikipedia:Signatures|unsigned]] comment added by [[Special:Contributions/173.248.245.25|173.248.245.25]] ([[User talk:173.248.245.25|talk]]) 15:51, 13 December 2011 (UTC)</span><!-- Template:Unsigned IP --> <!--Autosigned by SineBot--> |
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== Acupuncture section == |
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I don't see enough citations in the acupuncture section. The lone citation is to an article which doesn't even mention panic attacks, it just mentions the word "anxiety" once. The wording is somewhat tendentious, asserting that acupuncture has the power to help without a citation. I have looked for references connecting acupuncture to panic disorder or panic attack and not found anything both reliable and easy to cite. Attention from an expert might help. [[User:NeilK|NeilK]] ([[User talk:NeilK|talk]]) 12:21, 3 January 2012 (UTC) |
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:I agree, there is no evidence of effectiveness; I believe the section should be deleted and I have went ahead and deleted it from the article.--[[User:Literaturegeek|<span style="color:red">Literature</span><span style="color:blue">geek</span>]] | [[User_talk:Literaturegeek |<span style="color:orange">''T@1k?''</span>]] 13:08, 3 January 2012 (UTC) |
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::I dunno, there may be some validity to this, at least indirectly. I tried to find info about this first but could not, so not changing the article yet. But have there been studies done on the placebo effect in treating panic? Or causing panic for that matter? I'll keep looking but if anyone else already has found one, that would be a lot easier. [[Special:Contributions/74.132.249.206|74.132.249.206]] ([[User talk:74.132.249.206|talk]]) 22:03, 5 February 2012 (UTC) |
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Latest revision as of 21:32, 13 November 2024
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Proposal to remove arbitrarily frightening lead image
[edit]The prominent position and shocking nature of the current lead image for this article will obviously frighten anyone on the verge of a panic attack looking for information. The image has no provenance, and arguably bear no intuitive resemblance to the experience of a panic attack, besides “being weird”. I’d like to propose it is removed from the article. Wormald (talk) 13:30, 8 April 2021 (UTC)
- While technically WP:NOTCENSORED (which I encourage you to read), I certainly understand the desire to have a less potentially triggering lead image. We currently don't have a good replacement image to use (the previous one didn't work as a lead image for multiple reasons), but if you are aware of any high quality images we could replace it with, I'm sure we could work something out. As it happens the image is my own, and depicts my subjective experiences with panic and anxiety attacks—a discussion with friends of mine who experience panic attacks as well indicated that for them it was actually an immediately relatable or "intuitive" image, but, being a work of art, that is obviously a subjective judgement. For now I think it would be best to keep it per WP:NOTCENSORED, but if you have something better to replace it with, I'd absolutely be willing to put it as a replacement lead image (perhaps moving the current one further down in the article, where it won't immediately be seen by people looking up panic attacks, but can still be found). Cheers, Yitz (talk) 14:53, 8 April 2021 (UTC)
- @Wormald and Yitzilitt: I think it would be better if the image was moved down to a different section, possible in or below the "Signs and symptoms" section. This removes the image from the lead and also prevents the image from being displayed on page previews, mobile search, and social media embeds, and still keeps this artistic depiction. I agree that Wikipedia is not censored, but the unsettling image is slightly undue given the article content, and isn't necessarily an accurate (nor objective) depiction of what a panic attack is actually like which would strongly warrant its space on the infobox. Sometimes we do have to make a few exceptions on how we layout articles for the benefit of readers. Chlod (say hi!) 15:32, 8 April 2021 (UTC)
- Sounds reasonable! If you wouldn't mind implementing that, I'd be appreciative :) Yitz (talk) 15:34, 8 April 2021 (UTC)
Done with Special:Diff/1016691712. Chlod (say hi!) 15:37, 8 April 2021 (UTC)
- Thank you for the speedy compromise and improving edit. I maintain the stance that the picture is irrelevant and inappropriate, and note that Yitzilitt says they “enjoy experimenting with strange and surreal aesthetics” on their profile - which is fine and dandy, but surely a wikipedia page on a serious condition is not an appropriate publishing platform for ones personal artistic experimentations?
- Alternative image ideas - as the core component of a panic attack is the experience of fear, either a simple picture of a face experiencing fear (such as this one of dilated pupils with a negative valence), or a recognisable artistic work associated with fear (something like Edvard Munch’s “The Scream?”), (or both) could work? Wormald (talk) 12:26, 13 April 2021 (UTC)
- Sounds reasonable! If you wouldn't mind implementing that, I'd be appreciative :) Yitz (talk) 15:34, 8 April 2021 (UTC)
- @Wormald and Yitzilitt: I think it would be better if the image was moved down to a different section, possible in or below the "Signs and symptoms" section. This removes the image from the lead and also prevents the image from being displayed on page previews, mobile search, and social media embeds, and still keeps this artistic depiction. I agree that Wikipedia is not censored, but the unsettling image is slightly undue given the article content, and isn't necessarily an accurate (nor objective) depiction of what a panic attack is actually like which would strongly warrant its space on the infobox. Sometimes we do have to make a few exceptions on how we layout articles for the benefit of readers. Chlod (say hi!) 15:32, 8 April 2021 (UTC)
Move discussion in progress
[edit]There is a move discussion in progress on Talk:Future Tripping which affects this page. Please participate on that page and not in this talk page section. Thank you. —RMCD bot 17:35, 28 August 2023 (UTC)
expert assistance needed with Future Tripping
[edit]Future Tripping was recently created. There is a proposal to move it to anticipatory anxiety, which currently redirects to panic attack. Anticipatory anxiety appears to be a symptom of Panic disorder, but is not explicitly mentioned at that article. (will post in a few places) ~Hydronium~Hydroxide~(Talk)~ 03:09, 29 August 2023 (UTC)
treatments
[edit]I think putting in a few options for what one can do while in the midst of having a panic attack to help cope would be a useful thing to put into the treatments section. It has one now, but a few options would be helpful to readers. Mic20020 (talk) 01:24, 23 January 2024 (UTC)
Wiki Education assignment: WikiProject Medicine Fall 2024 UCF COM - Block 6
[edit]
This article was the subject of a Wiki Education Foundation-supported course assignment, between 21 October 2024 and 17 November 2024. Further details are available on the course page. Student editor(s): Scent99, Maddilinemarie (article contribs). Peer reviewers: Annajurlina.
— Assignment last updated by DLEMERGEBM (talk) 15:38, 8 November 2024 (UTC)
Scent99:
- Introduction: rewrite in layman’s terms, define some of the terms used (ex: palpitations) as they may be unclear to the average reader, address DSM-IV mention and make it more updated, choppy sentences so add transitions to help the paragraph flow, restructure paragraph (ex: move epidemiology to beginning)
- Causes: fix wording of sentences, poor grammar in current paragraphs (ex: several sentences end in prepositions), delete last sentence “(anxiety is inappropriate”), too much medical jargon,
- “Experimentally induced” section: Will likely delete this or expand on depending on references and studies found Long list of biological causes and mention of norepinephrine system that should be explained more clearly
- Treatment: for the entire section, will reword and elaborate, expand on the different types of meds, MOA, adverse effects, efficacy (is one better than the other?)
- Move parts of prognosis section into treatment
- Several outdated references (example: reference 77 for therapy is from 2001, reference 80 is from 2002)
Maddilinemarie:
- Edit signs and symptoms section as there are several sentences that are not in layman’s terms (ex. a panic attack can result when up-regulation by the sympathetic nervous system (SNS) is not moderated by the parasympathetic nervous system (PNS)). Will expand on differentiating panic attacks from heart attacks.
- Edit pathophysiology section by making it more readable and expand on what causes panic attacks, not just what causes the individual symptoms.
- Move the neurotransmitters section into the pathophysiology section. Will research more about neurotransmitters and see if they interact with each other during panic attacks
- Edit the language in the cardiac mechanism section to make it readable
- Combine cardiac mechanism and cardiovascular diagnosis sections
- Reword parts of the diagnosis section so it makes more sense (ex. with the symptoms of a panic attack regarded as characteristics of another disorder during which the panic attack occurs)
- Delete prognosis section, will move relevant information into different sections as needed
Overall Notes:
There are several outdated references throughout the article (ex. articles from 2000), will go through and add information from updated sources and/or remove inaccurate information. Add more images to help make it digestible to visual learners. The article uses medical terms and jargon without elaboration in several, if not all, the sections. This will be addressed through re-wording, with the assistance of the Hemmingway tool, and adding more details to provide the reader with more information. There appears to be lots of issues with syntax and grammar, so this will be edited.
— Assignment last updated by Maddilinemarie (talk) 18:41, 21 October 2024 (UTC)
Hi! Here is my (tsuki1995) peer review for Scent99's portion of the article:
- I like the updated language to the lead section, although I think some sentences may be a bit wordy and can be edited to be more concise (ex: the description for dysautonomia)
- I also think that some of the words used in the lead section may be a bit too high of a reading level, although I understand it's difficult finding different words while still getting the same message across
- The causes section is very well fleshed out but I think that some of the example causes can be excluded in order to improve readability
- The added information to the panic disorder section is well written and relevant
- I like the content of the agoraphobia section, I might recommend just moving the line that talks about where the word "agoraphobia" comes from to the beginning of the section
- The treatment section is great with helpful and relevant treatment options
- The lifestyle changes section also has great edits and added content, though I think that the paragraph on aerobic exercise can be edited more to help with the flow of the sentences
- The breathing exercise section is also good, but I think the very last paragraph about the paper bag reads a bit awkward and I would recommend changing the wording
- The links I checked were working and references seemed appropriate
- Overall great job! I think your edits to the article are very helpful in terms of helping people understand the topic better. 19:32, 11 November 2024 (UTC)
Hi! Here is my (annajurlina) peer review for Maddilinemarie;s portion of the article:
-I like what you added to the signs and symptoms section. I would add a reference to the sentence " They are often experienced in conjunction with anxiety disorders and other psychological conditions, although panic attacks are not generally indicative of a mental disorder." I would also add a paragraph about the symptoms after a panic attack ie perioral numbness and how these symptoms can linger for longer than an hour so that way patients understand why they still feel the way they do in the emergency department.
- I like the pathophysiology section. I think it is very clear and needs no edits.
- I like the work you did with the neurotransmitters. It is very clear and concise.
- I like the cardiac mechanism it is very well written.
- For the diagnostic section, I would add more about the screening tools and change the wording of this sentence "Screening tools such as the Panic Disorder Screener (PADIS) can be used to detect possible cases of disorder and suggest the need for a formal diagnostic assessment." I only say that because I then question what a formal diagnostic assessment is. If it is just seeing a psychiatrist or mental health professional you could change it to say that.
- Since you cannot delete the prognosis section based on wiki guidelines, could you add more about how the prognosis is fairly good and that majority respond to treatment instead of adding at first that 33% are treatment resistant?
Overall amazing job editing the article, adding sources, and making it more readable! — Preceding unsigned comment added by Annajurlina (talk • contribs) 21:31, 13 November 2024 (UTC)