Talk:Panic attack

Proposal to remove arbitrarily frightening lead image

The prominent position and shocking nature of the current lead image for this article will obviously frighten anyone on the verge of a panic attack looking for information. The image has no provenance, and arguably bear no intuitive resemblance to the experience of a panic attack, besides “being weird”. I’d like to propose it is removed from the article. Wormald (talk) 13:30, 8 April 2021 (UTC)

While technically WP:NOTCENSORED (which I encourage you to read), I certainly understand the desire to have a less potentially triggering lead image. We currently don't have a good replacement image to use (the previous one didn't work as a lead image for multiple reasons), but if you are aware of any high quality images we could replace it with, I'm sure we could work something out. As it happens the image is my own, and depicts my subjective experiences with panic and anxiety attacks—a discussion with friends of mine who experience panic attacks as well indicated that for them it was actually an immediately relatable or "intuitive" image, but, being a work of art, that is obviously a subjective judgement. For now I think it would be best to keep it per WP:NOTCENSORED, but if you have something better to replace it with, I'd absolutely be willing to put it as a replacement lead image (perhaps moving the current one further down in the article, where it won't immediately be seen by people looking up panic attacks, but can still be found). Cheers, Yitz (talk) 14:53, 8 April 2021 (UTC)

@Wormald and Yitzilitt: I think it would be better if the image was moved down to a different section, possible in or below the "Signs and symptoms" section. This removes the image from the lead and also prevents the image from being displayed on page previews, mobile search, and social media embeds, and still keeps this artistic depiction. I agree that Wikipedia is not censored, but the unsettling image is slightly undue given the article content, and isn't necessarily an accurate (nor objective) depiction of what a panic attack is actually like which would strongly warrant its space on the infobox. Sometimes we do have to make a few exceptions on how we layout articles for the benefit of readers. Chlod (say hi!) 15:32, 8 April 2021 (UTC)

Sounds reasonable! If you wouldn't mind implementing that, I'd be appreciative :) Yitz (talk) 15:34, 8 April 2021 (UTC)

 Done with Special:Diff/1016691712. Chlod (say hi!) 15:37, 8 April 2021 (UTC)

Thank you for the speedy compromise and improving edit. I maintain the stance that the picture is irrelevant and inappropriate, and note that Yitzilitt says they “enjoy experimenting with strange and surreal aesthetics” on their profile - which is fine and dandy, but surely a wikipedia page on a serious condition is not an appropriate publishing platform for ones personal artistic experimentations?

Alternative image ideas - as the core component of a panic attack is the experience of fear, either a simple picture of a face experiencing fear (such as this one of dilated pupils with a negative valence), or a recognisable artistic work associated with fear (something like Edvard Munch’s “The Scream?”), (or both) could work? Wormald (talk) 12:26, 13 April 2021 (UTC)

Move discussion in progress

There is a move discussion in progress on Talk:Future Tripping which affects this page. Please participate on that page and not in this talk page section. Thank you. —RMCD bot 17:35, 28 August 2023 (UTC)

expert assistance needed with Future Tripping

Future Tripping was recently created. There is a proposal to move it to anticipatory anxiety, which currently redirects to panic attack. Anticipatory anxiety appears to be a symptom of Panic disorder, but is not explicitly mentioned at that article. (will post in a few places) ^~Hydronium^~Hydroxide^~(Talk)~ 03:09, 29 August 2023 (UTC)

treatments

I think putting in a few options for what one can do while in the midst of having a panic attack to help cope would be a useful thing to put into the treatments section. It has one now, but a few options would be helpful to readers. Mic20020 (talk) 01:24, 23 January 2024 (UTC)

Wiki Education assignment: WikiProject Medicine Fall 2024 UCF COM - Block 6

This article was the subject of a Wiki Education Foundation-supported course assignment, between 21 October 2024 and 17 November 2024. Further details are available on the course page. Student editor(s): Scent99, Maddilinemarie (article contribs). Peer reviewers: Annajurlina.

— Assignment last updated by DLEMERGEBM (talk) 15:38, 8 November 2024 (UTC)

Scent99:

- Introduction: rewrite in layman’s terms, define some of the terms used (ex: palpitations) as they may be unclear to the average reader, address DSM-IV mention and make it more updated, choppy sentences so add transitions to help the paragraph flow, restructure paragraph (ex: move epidemiology to beginning)

- Causes: fix wording of sentences, poor grammar in current paragraphs (ex: several sentences end in prepositions), delete last sentence “(anxiety is inappropriate”), too much medical jargon,

- “Experimentally induced” section: Will likely delete this or expand on depending on references and studies found Long list of biological causes and mention of norepinephrine system that should be explained more clearly

- Treatment: for the entire section, will reword and elaborate, expand on the different types of meds, MOA, adverse effects, efficacy (is one better than the other?)

- Move parts of prognosis section into treatment

- Several outdated references (example: reference 77 for therapy is from 2001, reference 80 is from 2002)

Maddilinemarie:

- Edit signs and symptoms section as there are several sentences that are not in layman’s terms (ex. a panic attack can result when up-regulation by the sympathetic nervous system (SNS) is not moderated by the parasympathetic nervous system (PNS)). Will expand on differentiating panic attacks from heart attacks.

- Edit pathophysiology section by making it more readable and expand on what causes panic attacks, not just what causes the individual symptoms.

- Move the neurotransmitters section into the pathophysiology section. Will research more about neurotransmitters and see if they interact with each other during panic attacks

- Edit the language in the cardiac mechanism section to make it readable

- Combine cardiac mechanism and cardiovascular diagnosis sections

- Reword parts of the diagnosis section so it makes more sense (ex. with the symptoms of a panic attack regarded as characteristics of another disorder during which the panic attack occurs)

- Delete prognosis section, will move relevant information into different sections as needed

Overall Notes:

There are several outdated references throughout the article (ex. articles from 2000), will go through and add information from updated sources and/or remove inaccurate information. Add more images to help make it digestible to visual learners. The article uses medical terms and jargon without elaboration in several, if not all, the sections. This will be addressed through re-wording, with the assistance of the Hemmingway tool, and adding more details to provide the reader with more information. There appears to be lots of issues with syntax and grammar, so this will be edited.

— Assignment last updated by Maddilinemarie (talk) 18:41, 21 October 2024 (UTC)

Hi! Here is my (tsuki1995) peer review for Scent99's portion of the article:

- I like the updated language to the lead section, although I think some sentences may be a bit wordy and can be edited to be more concise (ex: the description for dysautonomia)

- I also think that some of the words used in the lead section may be a bit too high of a reading level, although I understand it's difficult finding different words while still getting the same message across

- The causes section is very well fleshed out but I think that some of the example causes can be excluded in order to improve readability

- The added information to the panic disorder section is well written and relevant

- I like the content of the agoraphobia section, I might recommend just moving the line that talks about where the word "agoraphobia" comes from to the beginning of the section

- The treatment section is great with helpful and relevant treatment options

- The lifestyle changes section also has great edits and added content, though I think that the paragraph on aerobic exercise can be edited more to help with the flow of the sentences

- The breathing exercise section is also good, but I think the very last paragraph about the paper bag reads a bit awkward and I would recommend changing the wording

- The links I checked were working and references seemed appropriate

- Overall great job! I think your edits to the article are very helpful in terms of helping people understand the topic better. 19:32, 11 November 2024 (UTC)

Hi! Here is my (annajurlina) peer review for Maddilinemarie;s portion of the article:

-I like what you added to the signs and symptoms section. I would add a reference to the sentence " They are often experienced in conjunction with anxiety disorders and other psychological conditions, although panic attacks are not generally indicative of a mental disorder." I would also add a paragraph about the symptoms after a panic attack ie perioral numbness and how these symptoms can linger for longer than an hour so that way patients understand why they still feel the way they do in the emergency department.

- I like the pathophysiology section. I think it is very clear and needs no edits.

- I like the work you did with the neurotransmitters. It is very clear and concise.

- I like the cardiac mechanism it is very well written.

- For the diagnostic section, I would add more about the screening tools and change the wording of this sentence "Screening tools such as the Panic Disorder Screener (PADIS) can be used to detect possible cases of disorder and suggest the need for a formal diagnostic assessment." I only say that because I then question what a formal diagnostic assessment is. If it is just seeing a psychiatrist or mental health professional you could change it to say that.

- Since you cannot delete the prognosis section based on wiki guidelines, could you add more about how the prognosis is fairly good and that majority respond to treatment instead of adding at first that 33% are treatment resistant?

Overall amazing job editing the article, adding sources, and making it more readable! — Preceding unsigned comment added by Annajurlina (talk • contribs) 21:31, 13 November 2024 (UTC)