Volume 2; Issue Supplement

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Journal of Clinical Psychopharmacology
Volume 2; Issue Supplement

Journal of Clinical Psychopharmacology

Volume 2; Issue Supplement

1

What are serum calcium levels like during panic? What is the effect of intravenous calcium alone?

LIEBOWITZ, MICHAEL R.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 97 KB

1982

2

I have seen agoraphobics who, even with careful questioning, deny any history of panic attacks. How do you understand this?

KLEIN, DONALD F.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 113 KB

1982

3

Do you have any statistics for patients with panic disorders not raised by their biological families and statistics about panic disorders in adopted families?

CROWE, RAYMOND R.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 104 KB

1982

4

Can you recommend some literature on panic attacks and phobias that would help in their understanding and management?

SHEEHAN, DAVID V.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 191 KB

1982

5

Can panic disorder patients become schizophrenic?

KLEIN, DONALD F.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 113 KB

1982

6

Would you suggest switching over to alprazolam patients previously stabilized on imipramine or monoamine oxidase inhibitor (MAOI)?

SHEEHAN, DAVID V.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 104 KB

1982

7

The speakers extracted the following key points from their presentations

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 102 KB

1982

8

Are GABA (??-aminobutyric acid) agonists useful for treating panic disorders?

LIEBOWITZ, MICHAEL R.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 97 KB

1982

9

Do you ever combine a tricyclic antidepressant and a benzodiazepine to treat both the panic attacks and the anticipatory anxiety?

KLEIN, DONALD F.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 105 KB

1982

10

How does increased lactate actually cause panic?

LIEBOWITZ, MICHAEL R.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 104 KB

1982

11

Should not panic disorders be classified as panic disorders, with or without agoraphobia, rather than agoraphobia, with or without panic attacks (as in DSM-III)?

SHEEHAN, DAVID V.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 116 KB

1982

12

In your experience with patients with panic disorders, do you give antianxiety agents regularly or as needed, and what is the longest time you keep them on medications (antianxiety and antidepressant)?

SHADER, RICHARD I.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 104 KB

1982

13

What antidepressant do you choose in cardiac patients with panic attacks?

SHADER, RICHARD I.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 207 KB

1982

14

Severe stage fright closely resembles a panic attack. Propranolol blocks the symptoms of stage fright but seldom helps patients with panic attacks. Any idea why?

KLEIN, DONALD F.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 105 KB

1982

15

You said 31 of 42 patients panicked with lactate. Is there any difference between patients with and those without mitral valve prolapse (MVP)?

LIEBOWITZ, MICHAEL R.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 97 KB

1982

16

Have you controlled for muscle tension and initiation of a panic attack as an explanation for increased lactate and pyruvate?

LIEBOWITZ, MICHAEL R.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 97 KB

1982

17

How should alprazolam be withdrawn when a patient has completed his or her trial on the drug?

SHEEHAN, DAVID V.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 111 KB

1982

18

Can you clarify what needs to be considered in the differential diagnosis of anxiety in endocrine disorders (e.g., pheochromocytoma, thyrotoxicosis, caffeinism) versus panic attacks?

CARROLL, BERNARD J.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 42 KB

1982

19

Panic Disorders

SHADER, RICHARD I., GREENBLATT, DAVID J., GOODMAN, MELISSA, GEVER, JOHN

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 37 KB

1982

20

Panic Disorders

SHADER, RICHARD I., GOODMAN, MELISSA, GEVER, JOHN

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 890 KB

1982

21

What do you make of spontaneous panic attacks that, during the course of psychotherapy, are seen to be covering tremendous anger and serving a protective role? Would you classify them as endogenous or exogenous? Do they respond to medication?

KLEIN, DONALD F.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 103 KB

1982

22

What is the rate of recurrence of panic attacks once you stop imipramine therapy?

KLEIN, DONALD F.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 105 KB

1982

23

Do panic attacks occur at all ages? Can they occur for the first time after the age of 30?

KLEIN, DONALD F.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 105 KB

1982

24

If your speculations about the relationship of panic to Bowlby??s ideas are correct, (1) why is the dose of antidepressants different for panic and depression, and (2) why do panic disorders generally start in adult life?

KLEIN, DONALD F.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 105 KB

1982

25

Can a year??s worth of psychotherapy in conjunction with diazepam use correct panic reactions, followed by treatment with minimal amounts of diazepam?

KLEIN, DONALD F.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 113 KB

1982

26

Please review the lactate challenge technique and discuss any contraindications or complications. Why are you using normal saline now instead of dextrose as the pre-sodium lactate infusion solution? Can the lactate challenge be used clinically to confirm the diagnosis of panic disorder, or is it a research tool only?

LIEBOWITZ, MICHAEL R.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 209 KB

1982

27

What is the prevalence of panic disorder in the average population?

CROWE, RAYMOND R.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 104 KB

1982

28

Are there studies available that compare the efficacy of alprazolam and tricyclic antidepressants and MAOIs in the treatment of panic?

SHEEHAN, DAVID V.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 220 KB

1982

29

How often do patients withdrawing from alprazolam after 6 months have a recurrence of panic attacks?

SHEEHAN, DDAVID V.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 111 KB

1982

30

My patients on phenelzine gain weight. How can you treat this problem? Patients complain about this weight gain

SHEEHAN, DAVID V.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 231 KB

1982

31

Does alprazolam produce dependency and with-drawal symptoms as do the other benzodiazepines?

GREENBLATT, DAVID J.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 125 KB

1982

32

Dr. Sheehan??s data show that anxiety seems to be associated with increased norepinephrine, while many patients with depression have low epinephrine levels (decreased 3-methoxy-4-hydroxyphenyl glycol [MHPG]). How can you explain or understand decreased MHPG? More generally, how can anxiety and depression coexist with opposing clinical pictures?

CARROLL, BERNARD J.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 41 KB

1982

33

Circle the best answer

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 144 KB

1982

34

Can you recommend a management strategy to guide clinicians in their implementation of the various treatment modalities for a patient with spontaneous anxiety attacks and multiple phobias?

SHEEHAN, DAVID V.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 224 KB

1982

35

Should not panic disorders be classified as panic disorders, with or without agoraphobia, rather than agoraphobia, with or without panic attacks?

KLEIN, DONALD F.

Journal:

Journal of Clinical Psychopharmacology

Year:

1982

File:

PDF, 103 KB

1982