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The hidden patient: unrecognized panic disorder.

M M Weissman1

  • 1Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, N.Y.

The Journal of Clinical Psychiatry
|November 1, 1990
PubMed
Summary
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Panic disorder affects 1.5% of US adults, causing significant distress and impacting well-being. Early recognition by healthcare providers is crucial, as symptoms mimic other serious medical conditions.

Area of Science:

  • Psychiatry
  • Public Health

Background:

  • Panic disorder has a 1.5% lifetime prevalence in the US, with many more experiencing recurrent panic attacks.
  • These conditions are linked to decreased well-being, substance abuse, suicide attempts, and financial dependence, often surpassing rates seen in major depression.
  • Panic disorder and attacks are frequently misdiagnosed or overlooked due to symptom overlap with various medical conditions.

Purpose of the Study:

  • To highlight the significant prevalence and underrecognition of panic disorder and panic attacks.
  • To emphasize the severe consequences associated with these conditions.
  • To alert medical professionals to the diagnostic challenges and suggest key indicators for identification.

Main Methods:

  • Review of epidemiological data on panic disorder prevalence.

Related Experiment Videos

  • Analysis of associated social and psychiatric comorbidities.
  • Discussion of differential diagnoses and clinical presentation in medical settings.

    • Main Results:

    • Panic disorder affects 1.5% of the US population, with panic attacks being more common.
    • Associated risks include substance abuse, suicide attempts, and financial dependency, exceeding those of major depression.
    • Patients often present to emergency departments and medical clinics due to symptom mimicry of conditions like myocardial infarction and epilepsy.

    Conclusions:

    • Panic disorder and panic attacks are underrecognized despite substantial negative impacts.
    • Medical professionals, particularly in emergency settings, must consider panic disorder in their differential diagnosis.
    • A family history of panic disorder is a significant indicator warranting increased clinical suspicion.