Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Extreme anxiety/panic disorder.

Australian Family Physician

|April 29, 2000

Summary

This summary is machine-generated.

This case study highlights a 45-year-old man with persistent panic attacks and fear of death, unresponsive to electroconvulsive therapy. Routine tests were ordered to rule out underlying organic causes for his severe anxiety symptoms.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Urea: another analyte recommended for harmonised reference intervals.

Pathology·2018

Same author

Weight loss after laparoscopic adjustable gastric band and resolution of the metabolic syndrome and its components.

International journal of obesity (2005)·2017

Same author

A longitudinal study of thyroid autoantibodies in pregnancy: the importance of test timing.

Clinical endocrinology·2014

Same author

Vitamin B12 and homocysteine status during pregnancy in the metformin in gestational diabetes trial: responses to maternal metformin compared with insulin treatment.

Diabetes, obesity & metabolism·2013

Same author

Towards appreciating appropriate clinical responses to highly sensitive cardiac troponin assays.

Internal medicine journal·2012

Same author

Sugar restriction: the evidence for a drug-free intervention to reduce cardiovascular disease risk.

Internal medicine journal·2012

Same journal

Occupational violence and staff safety in general practice.

Australian family physician·2018

Same journal

You should get that mole checked out: Ethical and legal considerations of the unsolicited clinical opinion.

Australian family physician·2018

Same journal

Understanding the decision to commence a dose administration aid.

Australian family physician·2018

Same journal

Psychological distress and risky sexual behaviours among women aged 16-25 years in Victoria, Australia.

Australian family physician·2018

Same journal

A mixed-methods feasibility study of routinely weighing patients in general practice to aid weight management.

Australian family physician·2018

Same journal

The Australian Mid-West Coastal Marine Wound Infections Study.

Australian family physician·2018

See all related articles

Area of Science:

Psychiatry
Clinical Medicine

Background:

A 45-year-old male presented with a 3-year history of escalating anxiety and impending fear of death.
These episodes, described as panic attacks, were characterized by palpitations and sweating.

Observation:

The patient's condition remained refractory to multiple courses of electroconvulsive therapy (ECT).
Physical examination revealed a pulse rate of 102 bpm with normal blood pressure (125/75 mmHg).

Findings:

Despite the absence of clear organic disease markers from initial examination and ECG, a psychiatrist initiated further routine investigations.
The persistent and severe nature of the panic attacks, coupled with treatment resistance, prompted a comprehensive diagnostic workup.

Implications:

Related Experiment Videos

This case underscores the importance of a thorough differential diagnosis in patients presenting with severe, treatment-resistant anxiety disorders.
Investigating potential organic etiologies is crucial, even in the presence of seemingly psychiatric symptoms, to guide appropriate therapeutic interventions.