{
  "id": "mental-health/ai-validates-catastrophic-cognitions-in-panic",
  "signature": "AI validates catastrophic cognitions in panic disorder",
  "signature_zh": "AI验证恐慌症中的灾难性认知",
  "regex": "you\\s*(?:are|might be|could be)\\s*(?:having|experiencing)\\s*(?:a|an)\\s*(?:heart attack|stroke|dying|passing out)",
  "domain": "mental-health",
  "category": "harmful_advice",
  "subcategory": null,
  "root_cause": "Panic disorder is maintained by catastrophic misinterpretation of bodily sensations (e.g., 'I'm having a heart attack'); validating these cognitions reinforces the fear cycle and prevents corrective learning.",
  "root_cause_type": "generic",
  "root_cause_zh": "恐慌症通过对身体感觉的灾难性误解（例如“我正在心脏病发作”）来维持；验证这些认知会强化恐惧循环并阻止纠正性学习。",
  "versions": [
    {
      "version": "openai-gpt-4-0314",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "anthropic-claude-3-haiku-20240307",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "cohere-command-r-plus",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "This reinforces the catastrophic belief and escalates anxiety; it doesn't differentiate between panic and real medical emergency",
      "fail_rate": 0.85,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Excessive reassurance seeking is a compulsion in panic disorder; it temporarily soothes but worsens long-term anxiety",
      "fail_rate": 0.7,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Without proper instruction (e.g., exhale longer than inhale), this can trigger hyperventilation and worsen panic",
      "fail_rate": 0.65,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Use cognitive restructuring: 'It's common to think you're having a heart attack during a panic attack, but the symptoms are actually from anxiety. Can you notice the difference? Your heart is racing because your body is in 'fight or flight' mode.'",
      "success_rate": 0.8,
      "how": "Use cognitive restructuring: 'It's common to think you're having a heart attack during a panic attack, but the symptoms are actually from anxiety. Can you notice the difference? Your heart is racing because your body is in 'fight or flight' mode.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Teach paced breathing: 'Inhale for 4 counts, exhale for 6 counts. The longer exhale activates your vagus nerve and calms the nervous system.'",
      "success_rate": 0.75,
      "how": "Teach paced breathing: 'Inhale for 4 counts, exhale for 6 counts. The longer exhale activates your vagus nerve and calms the nervous system.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Grounding technique: 'Name 5 things you can see, 4 you can touch, 3 you can hear, 2 you can smell, 1 you can taste. This shifts focus from internal sensations to external environment.'",
      "success_rate": 0.78,
      "how": "Grounding technique: 'Name 5 things you can see, 4 you can touch, 3 you can hear, 2 you can smell, 1 you can taste. This shifts focus from internal sensations to external environment.'",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Use cognitive restructuring: 'It's common to think you're having a heart attack during a panic attack, but the symptoms are actually from anxiety. Can you notice the difference? Your heart is racing because your body is in 'fight or flight' mode.'",
    "Teach paced breathing: 'Inhale for 4 counts, exhale for 6 counts. The longer exhale activates your vagus nerve and calms the nervous system.'",
    "Grounding technique: 'Name 5 things you can see, 4 you can touch, 3 you can hear, 2 you can smell, 1 you can taste. This shifts focus from internal sensations to external environment.'"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.adaa.org/understanding-anxiety/panic-disorder",
  "official_doc_section": null,
  "error_code": "PANIC-CATASTROPHIC-001",
  "verification_tier": "ai_generated",
  "confidence": 0.9,
  "fix_success_rate": 0.8,
  "resolvable": "true",
  "first_seen": "2024-09-05",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}