I met an interesting pt during one of my weeks of rotation in psych. She appeared to be a pleasant Caucasian female. Moderately obese in either her late 30s or early 40s Some years ago, she was disgnosed with panic disorder with agoraphobia she was admitted to our inpt. facility here and received treatment. She is much better now. She recently gave birth. She has children from a previous marrage. Her ex-husband -a cocaine addict is having Paranoia and hallucinations.
When this woman had panic attacks, she was put on Paxel. Apparently. A rare side effect of this group of drugs ( the ssris) can be aloepecia totalis the complete loss of all hair. Sae has no hair anywhere! she has approached the makers of the drug for compensation but so far has got none. she was telling us how expensive wigs are to maintain if one wears them all the time as she is forced to do. She was an interesting person, telling us of her ongoing interests in sports. She takes care of a house of children and occassionaIly a psychotic ex -husband.
She was also reporting on another interesting side-effect of ssris. Vivid dreams and nightmares. Apparently. These are due to serotonergic activity.
I thought the unfortunate side-effect of aloepecia totalis was interesting and unfortunate, especially for a young female.
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Agoraphobia is a condition that develops gradually. In general it occurs after a panic attack. After the first attack you may subconsciously be preparing for another attack and fearing the symptoms that will leave you feeling helpless. This cycle of panic attack and impending panic attack can cause you to change your entire lifestyle just to avoid those feelings of terror. As panic attacks can occur anywhere at anytime, we generally associate the first place that we feel helpless as perhaps the reason for our terror. http://www.xanax-effects.com/
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