Assignment: develop individual clinical case presentation 

Panic Disorder

CC: a boyfriend called 911 as her girlfriend loss of consciousness while eating X 2 hours ago.

Emma is 23 years old female with no PMHx was brought to the ER by EMS for losing consciences. I was eating lunch with my boyfriend, suddenly, I felt like a food got stuck in my throat and in few minutes, I was chocking on the food. I started to sweat like crazy and I looked at my boyfriend for help. I think he came around to help but the food was stuck, and I could not breath. For few second I thought I was dying. Slowly, my surrounding was turning black and next thing I knew the ambulance people were calling my name.

I never had severe session before by like a month I had something bad happen to me. I went out to take my dog for a walk in the morning and while walking I suddenly started to sweat. It is a cold windy morning so I quite couldn’t understand why I am sweating. First, I opened my jacket thinking I would feel better. But then I started having trouble breathing and really got scared. I My heart started to pound so hard I thought it might explode out of my chest. My knees felt weak – it seemed like my whole body was shaking, then my arms went numb. Everything went dark next to me and next thing I know I was laying on the sidewalk and my dog is near my side. I do not think I was out for long. I did not come into the ER because I did not like hospital and once I gained back my conscience I was feeling well. Even though I felt fine after incidence I cannot convince myself to go for a walk on that road.

 

I started to feel chest pain three months ago. I felt the chest pain, palpitation and SOB while going to school, but I did not faint. I did not seek medical help because I thought I felt like that because I was on a crowded E train. The experience on the train was so unpleasant that I avoid E train sometime train in general. I sometime miss y school and work and miss out in hanging with friends. “It is so stupid that I can’t take train to work like a normal person.” Since the train incidents in every few days I felt numbing around my lips

 

Since, last 6 months, I have been feeling weird. I do not like it when my boyfriend is not around the house. I have a unknown fear of being alone. During these instances, I would also experience sweating, heart palpitations, chest pain / discomfort, and shortness of breath.  In addition, I begun to avoid unfamiliar places and people where it might happen again. I did not want my boyfriend to find out that something is wrong with me. I think I am going insane.

 

I am really scared of snakes and spiders. I think I will have a heart attack if I see a snake in front of me. My sister always scared me with snakes’ picture. She would put the pictures on my phone cover just to scare me. I felt so embarrassed once in my high school biology class. In class, my friend told me to turn my book to a page and there was a snake in the photo. Seeing the image, my heart jumped out of my chest I was so scared that I threw the book away from desk and run away from the classroom. I was embarrassed and could not face my friend, so I had to change my high school.

Jason- boyfriend name-

I am single graduate student. Recently my relationship with my boyfriend has really changed. He has become very violent toward me. We recently decided to get married once I graduate but now I do not know. I am really worried about my decision now. My boyfriend is getting annoyed and so hot tampered, He is always yelling at me for acting like a baby and getting scared for no reason. Is something really wrong with me? Am I going crazy?

 

I am just really stressed about life as my boyfriend has changed, and my graduation is into hold due to this corona virus. Right before the lunch, I received an email from school, and I would not be able to start my fall semester. Now I am worried that I would not be able to graduate onetime, get married, go to my hometown, get rid of my loan. I think my career is in danger and that’s causing me to be really stressed.

 

All my life, everyone has belittled me and now this will really end me. My high school was crazy. I lived with my parents and my elder sister most of life, but they really never loved me. I think they wanted me out of their house. My relationship with my friends never turns out good as something always goes wrong and we tend to separate, and I always feel unwanted and left alone.

 

Family history:

My father was diagnosed with Bipolar disorder like 8-9 years ago