Project Outreach

                                                                                         Service · Integrity · Compassion

	Problems:
	Onset of somatic or cognitive symptoms including palpitations, sweating, trembling, shakiness, shortness of breath, feeling choking, chest pain or discomfort, nausea, abdominal distress, dizziness or lightheadedness, derealization or depersonalization, fear of losing control, fear of dying, paresthesias, hot and cold spells		Urgent desire to flee from site of attack   Concerns about the implication or consequences of the panic attacks
	Intense fear that dying, losing control, having heart attack or stroke or “going crazy”		Persistent concerns about the next attack or its implication leading to development of avoidant behavior

	Goals:
	Reduce overall frequency and intensity of panic attacks		Reduce avoidant behavior of all types
	Reduce distress associated with anticipation of the feared setting or object		Become free from restraints associated with panic
	Objectives:
	Patient will cooperate with psychiatric and psychological evaluations and follow through with recommendations		Patient will verbalize positive, healthy and rational self-talk that reduces fear and allows encounter with avoided stimuli
	Patient will comply with medication prescribed to alleviate anxiety		Patient will develop cognitive and behavioral strategies to reduce irrational fears
	Patient will construct a hierarchy of situations that increasingly evoke anxiety		Patient will develop and utilize relaxation strategies to reduce symptoms
	Patient will cooperate with systematic desensitization to the anxiety provoking stimulus or situations