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[Panic disorders: differential diagnosis and care in emergencies]
Cristian Damsa1, Coralie Lazignac, Ruxandra Iancu
1Service de psychiatrie de laison et d'intervention de crise, HUG, Genève.
Revue Medicale Suisse
|March 7, 2008
Summary
Panic disorder is common in primary care but often missed. Effective treatments include cognitive-behavioral therapy, psychodynamic therapies, and antidepressants, with short-term benzodiazepine use for rapid relief.
Area of Science:
- Psychiatry
- Primary Care Medicine
Context:
- Panic disorder is highly prevalent in primary care settings.
- This condition is frequently under-recognized and undertreated.
- Accurate diagnosis is crucial for effective management.
Purpose:
- To highlight the importance of recognizing and adequately diagnosing panic disorder in primary care.
- To review diagnostic criteria and differential diagnoses.
- To discuss evidence-based treatment options.
Summary:
- The paper details Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria for panic disorder.
- It emphasizes the necessity of comprehensive somatic and psychiatric differential diagnoses.
- Treatment options discussed include cognitive-behavioral therapy (CBT), psychodynamic psychotherapies, short-term benzodiazepine use, and antidepressants (SSRIs, venlafaxine).
Impact:
- Improved recognition and treatment of panic disorder in primary care.
- Guidance on differential diagnosis to ensure accurate patient management.
- Evidence-based recommendations for pharmacological and psychotherapeutic interventions.
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