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Treating panic disorder in primary care: a collaborative care intervention.

Michelle G Craske1, Peter Roy-Byrne, Murray B Stein

  • 1Department of Psychology, UCLA, Los Angeles, CA, USA. craske@pysych.ucla.edu

General Hospital Psychiatry
|June 14, 2002
PubMed
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This study introduces a collaborative care model for treating panic disorder in primary care settings, integrating cognitive behavioral therapy and medication. The model demonstrates patient and physician acceptance, paving the way for broader treatment accessibility.

Area of Science:

  • Psychiatry
  • Primary Care Medicine
  • Behavioral Health

Background:

  • Cognitive behavioral therapy (CBT) and medication are effective for panic disorder.
  • Current research is limited to specialty mental health settings.
  • There is a need to extend effective treatments into primary care.

Purpose of the Study:

  • To present a collaborative care model for panic disorder in primary care.
  • To combine CBT and medication within a primary care framework.
  • To assess the acceptability of this integrated model.

Main Methods:

  • A collaborative care model involving primary care physicians, psychiatrists, and behavioral health specialists.
  • Integration of cognitive behavioral therapy and pharmacotherapy.

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  • Adaptation of standard treatments for primary care (e.g., fewer sessions, comorbidity management).
  • Development of patient educational aids for active participation.

    • Main Results:

    • The collaborative care model was adapted for the primary care setting.
    • Evidence of acceptability among primary care physicians and patients was found.
    • The model facilitates the extension of efficacious treatments into primary care.

    Conclusions:

    • Collaborative care is a viable model for delivering panic disorder treatment in primary care.
    • This approach enhances the generalizability of effective panic disorder treatments.
    • Further research is warranted to build upon these findings in primary care settings.