A client with panic disorder is experiencing anticipatory anxiety. Which of the following statements by the client indicates an understanding of anticipatory anxiety?

Choice A rationale:

The statement "I think my panic attacks are caused by a specific substance I'm using" suggests a possible link between substance use and panic attacks, which is not a typical characteristic of panic disorder. Panic disorder is primarily characterized by recurrent and unexpected panic attacks, not necessarily triggered by specific substances.

Choice B rationale:

The statement "I avoid situations that might trigger my panic attacks" reflects an understanding of the disorder. People with panic disorder often develop avoidance behaviors to prevent or minimize the occurrence of panic attacks. Avoidance of triggers is a common coping mechanism used to manage the fear associated with panic attacks.

Choice C rationale:

The statement "I don't worry about having more panic attacks" contradicts the typical experience of individuals with panic disorder. People with panic disorder often have heightened worry and fear about experiencing more panic attacks, which contributes to the cycle of anxiety.

Choice D rationale:

The statement "I believe my panic attacks are a result of a physical health problem" suggests a misunderstanding of panic disorder. While panic attacks can manifest with physical symptoms, they are primarily caused by psychological factors, such as anxiety and fear, rather than solely by physical health problems.

Choice A rationale:

"Tell me about your coping strategies and support system." This choice may not be the most appropriate initial question because it focuses on coping strategies and support systems rather than gathering information about the frequency and triggers of panic attacks. While coping strategies and support systems are important, understanding the pattern of panic attacks is crucial for assessment and planning.

Choice B rationale:

"How often do you experience panic attacks and what triggers them?" This is the correct choice. It directly addresses the primary concerns related to panic disorder by inquiring about the frequency of panic attacks and their triggers. This information is essential for developing a comprehensive understanding of the client's condition and tailoring an effective treatment plan.

Choice C rationale:

"What medications are you currently taking for your panic disorder?" While inquiring about medication use is important, this question should come after understanding the frequency and triggers of panic attacks. Knowing about medications alone does not provide a holistic picture of the client's experience with panic disorder.

Choice D rationale:

"Have you ever had any laboratory tests done for your panic disorder?" This question is not directly relevant to the assessment of panic disorder. Panic disorder is primarily diagnosed based on clinical symptoms and criteria outlined in diagnostic manuals like the DSM-5. Laboratory tests are not routinely used for diagnosing panic disorder, so this question might not yield pertinent information for assessment.