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Panic disorder in the medically ill.

W Katon1, P P Roy-Byrne

  • 1Department of Psychiatry and Behavioral Sciences, University of Washington Medical School, Seattle 98195.

The Journal of Clinical Psychiatry
|August 1, 1989
PubMed
Summary
This summary is machine-generated.

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Concurrent panic disorder (PD) and medical illness can worsen conditions or mimic symptoms, leading to increased suffering and healthcare use. Accurate diagnosis and treatment of PD significantly improve patient outcomes and reduce medical utilization.

Area of Science:

  • Psychiatry
  • Internal Medicine
  • Clinical Psychology

Background:

  • Co-occurrence of panic disorder (PD) and medical illness presents diagnostic and therapeutic challenges.
  • Panic disorder can complicate the course of underlying medical conditions or present with overlapping symptomatology.

Observation:

  • Five patients with concurrent panic disorder and medical illness were studied.
  • Panic disorder was observed to exacerbate medical conditions or persist with mimicking symptoms post-illness resolution.
  • This association led to increased patient distress and high healthcare resource utilization.

Findings:

  • Panic disorder significantly impacts the course and perception of concurrent medical illnesses.
  • Patients experienced prolonged suffering and underwent extensive medical testing due to undiagnosed or undertreated panic disorder.

Related Experiment Videos

  • Accurate diagnosis and effective treatment of panic disorder were associated with symptom reduction.

    • Implications:

    • Timely and accurate diagnosis of panic disorder in medically ill patients is crucial.
    • Integrated treatment approaches can alleviate psychiatric and physiological symptoms.
    • Effective management of panic disorder can reduce unnecessary medical investigations and healthcare costs.