The Carlat Psychiatry Podcast
TIMING: Weight Gain and Panic
Mar 3, 2025
The discussion dives into the critical timing for interventions related to weight gain from antipsychotics and managing panic attacks. It clarifies the difference between panic attacks and panic disorder, emphasizing a reframed perspective on panic. Cognitive behavioral therapy emerges as a key treatment, supported by alternative methods like aerobic exercise and mindfulness. The podcast also highlights metformin's role in mitigating weight gain in psychiatric patients and discusses the latest advancements in psychiatric medications.
12:50
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Quick takeaways
- Early intervention for panic attacks can prevent the development of panic disorder, emphasizing the importance of addressing avoidance behaviors immediately.
- Metformin is crucial for preventing antipsychotic weight gain, showcasing the need for prompt assessment and intervention within the first month of treatment.
Deep dives
Understanding Panic Disorder and Its Onset
Panic attacks are experienced by a significant percentage of the population, yet panic disorder is rare and involves a pathological fear of those attacks. The first panic attack can mark a crucial window of opportunity to address the developing disorder before it takes hold. Patients often react to their initial panic attacks with avoidance behaviors or increased anxiety, which can perpetuate the problem and exacerbate the disorder. Engaging in cognitive-behavioral therapy and shifting the focus from the panic itself to managing avoidance can help alleviate symptoms and ultimately empower patients to reclaim their lives.
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