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Psychiatry · Anxiety and related disorders: suffocation false alarm theory
Sample itemA patient with panic disorder has a panic attack when she breathes air with raised carbon dioxide in a laboratory, while controls feel only mild discomfort. Which theory best explains this observation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Hypersensitive brainstem suffocation alarm
Klein's suffocation false alarm theory proposes that panic patients have an oversensitive suffocation monitor, so rising CO2 sets off panic. Lactate infusion and hyperventilation can also trigger attacks in susceptible people.
Option by option
A. Classical conditioning of a neutral cue
Classical conditioning explains phobic cues and does not explain a physiological chemical trigger.
B. Learned helplessness
Learned helplessness is a model of depression after inescapable stress.
C. Hypersensitive brainstem suffocation alarm (correct)
Correct. A hypersensitive alarm to rising CO2 explains the response in panic.
D. Social learning from parental modelling
Social learning explains behaviour acquired by watching others, which is unrelated to a CO2 challenge.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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