Talk:Agoraphobia without history of panic disorder

Latest comment: 2 years ago by Joeception in topic Merge with agoraphobia article

Copyright problems with diagnostic criteria edit

The American Psychiatric Association has not released its Diagnostic and Statistical Manual of Mental Disorders into public domain, but claims copyright. The Wikimedia Foundation has received a letter of complaint (Ticket:2010030910040817, for those with access) about the use of their diagnostic criteria in this and a number of other articles. Currently, this content is blanked pending investigation, which will last approximately one week. Please feel free to provide input at the copyright problems board listing during that time. Individuals with access to the books would be particularly welcome in helping to conduct the investigation. Assistance developing a plan to prevent misuse of the APA's material on Wikipedia projects would also be welcome. Thank you. Moonriddengirl (talk) 14:09, 11 March 2010 (UTC)Reply

Merge with agoraphobia article edit

Hello all I came across this article and it seems redundant to me to have both an article on agoraphobia and agoraphobia without panic disorder. Any of the wonderful work and effort completed on this page would be great to bring to the agoraphobia article. Joeception (talk) 18:35, 12 March 2022 (UTC)Reply

@Joeception: I've declined the proposed deletion, which would have removed the content entirely, and tagged the page for merging to agoraphobia - this seems more appropriate for what you were considering? I'm not quite sure they should be merged (they seem to be subtly distinct conditions) but agree it's a reasonable proposal. Andrew Gray (talk) 18:34, 19 March 2022 (UTC)Reply

Thank you I did not know which would be the better selection as some of the information is already in the agoraphobia article but merging definitely prefered. My reasoning for suggesting the merge is that agoraphobia is one diagnosis and panic disorder is another. I feel that the information in this article could be presented in the article agoraphobia perhaps in discussion of historical context and/or discussing the specificer of with panic attacks or the frequent comorbidity of panic attacks.
From uptodate: "Agoraphobia was considered to be a complication of panic disorder in DSM-IV wherein an individual avoids situations for fear of developing a panic attack (“fear of fear”). The unlinking of panic disorder and agoraphobia in DSM-5 reflects the current conceptualization that agoraphobia is a distinct disorder that exists independently of the presence or absence of panic disorder.. Although with the revision of DSM-IV to DSM-5, agoraphobia is diagnosed independently of panic disorder, there has been little study of treatment for agoraphobia outside of trials in patients with both panic disorder and agoraphobia. Based on current evidence, treatment of agoraphobia independent of panic disorder should follow recommendations for agoraphobia in the context of panic disorder."
From DSMV, "Note: Agoraphobia is diagnosed irrespective of the presence of panic disorder. If an individual’s presentation meets criteria for panic disorder and agoraphobia, both diagnoses should be assigned.... The percentage of individuals with agoraphobia reporting panic attacks or panic disorder preceding the onset of agoraphobia ranges from 30% in community samples to more than 50% in clinic samples.The majority of individuals with panic disorder show signs of anxiety and agoraphobia before the onset of panic disorder.... When criteria for panic disorder are met, agoraphobia should not be diagnosed if the avoidance behaviors associated with the panic attacks do not extend to avoidance of two or more agoraphobic situations."
ICD-11: "If an individual with Agoraphobia experiences panic attacks exclusively in the context of the multiple agoraphobic situations without the presence of unexpected panic attacks, an additional diagnosis of Panic Disorder is not warranted and the presence of panic attacks may be indicated using the ‘with panic attacks’ specifier. However, if unexpected panic attacks also occur, an additional diagnosis of Panic Disorder may be assigned."
~~~ Joeception (talk) 16:33, 21 March 2022 (UTC)Reply