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Agoraphobia

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Agoraphobia

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High Yield Notes
7 pages
Flashcards

Agoraphobia

9 flashcards
Questions

USMLE® Step 1 style questions USMLE

5 questions

USMLE® Step 2 style questions USMLE

2 questions
Preview

A 30-year-old woman comes to the physician because she has become afraid to leave the house. The patient used to take the train to work every day, but she has experienced increasing anxiety about traveling in an enclosed space surrounded by people. Seven months ago, the patient had a panic attack in a public train station, and she reports feeling “terrified that might happen again.” Ever since that episode, the patient has avoided using public transportation, and she requested to work her job fully remote so that she no longer needs to leave her home. She has also started to avoid other public places where large crowds may be present, which has resulted in her no longer attending her place of worship. She states that she feels safe if she “just stays in the house.” She was diagnosed with major depressive disorder five years ago and was treated successfully with sertraline. She no longer takes any medications. Which of the following is the most likely diagnosis in this patient?

External References
Summary
Agoraphobia is an anxiety disorder characterized by anxiety in situations where the sufferer perceives the environment to be dangerous, uncomfortable, or unsafe. These situations can include wide-open spaces, uncontrollable social situations, unfamiliar places, shopping malls, airports, and bridges. Agoraphobia is defined within the DSM-IV TR as a subset of panic disorder, involving the fear of incurring a panic attack in those environments. In the DSM-5, however, agoraphobia is classified as being separate from panic disorder. The sufferers may go to great lengths to avoid those situations, in severe cases becoming unable to leave their homes or safe havens.