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[Panic attacks and panic syndrome--diagnosis and therapy].

H Katschnig1, D O Nutzinger

  • 1Psychiatrische Universitätsklinik, Wien.

Psychiatrische Praxis
|January 1, 1990
PubMed
Summary

Panic attacks are a valid concept, but panic disorder remains hypothetical. Early intervention with pharmacological or psychotherapeutic methods is crucial for managing panic attacks and their complications.

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Area of Science:

  • Psychiatry
  • Clinical Psychology

Context:

  • Panic attacks, defined in DSM-III, are distinct from somatic anxiety causes.
  • The concept of panic disorder is considered hypothetical, despite the validity of panic attacks.

Purpose:

  • To review diagnostic and differential diagnostic aspects of panic attacks.
  • To present evidence-based pharmacological and psychotherapeutic treatments for panic attacks and associated complications.

Summary:

  • Panic attacks are a valid phenomenon, but panic disorder requires further research.
  • Effective treatments include prophylactic and attack-related pharmacotherapy (tricyclic antidepressants, MAO-inhibitors, benzodiazepines) and psychotherapy (relaxation, cognitive therapy).
  • Directly addressing panic attacks is more promising than treating secondary symptoms like anticipatory anxiety or agoraphobia.

Impact:

  • Highlights the need for early therapeutic intervention in managing panic attacks.
  • Provides a comprehensive overview of current treatment strategies for panic attacks.
  • Emphasizes the potential of cognitive and relaxation therapies in panic attack management.

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