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Panic disorder in general medical practice- A narrative review
Narayana Manjunatha1, Dushad Ram2
1Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangluru, Karnataka, India.
Journal of Family Medicine and Primary Care
|May 2, 2022
Summary
Panic disorder (PD) is often underdiagnosed by non-psychiatrists, leading to misdiagnosis and poor quality of life. This guide helps general physicians identify and manage PD effectively in primary care settings.
Area of Science:
- Medical Science
- Psychiatry
- General Medicine
Background:
- Panic disorder (PD) is highly prevalent but frequently underdiagnosed or misdiagnosed by non-psychiatric physicians.
- Most patients with PD first seek medical help in general settings, highlighting the critical role of non-psychiatrist physicians.
- Mismanagement of PD, even in post-CABG patients, significantly impairs patient functioning and quality of life.
Purpose of the Study:
- To provide an overview of PD epidemiology and presentation across medical specialties.
- To address diagnostic dilemmas and outline assessment and management strategies for PD in non-psychiatric settings.
- To equip non-psychiatrist physicians with tools for first-line evidence-based management and appropriate referral.
Main Methods:
- Review of epidemiological data on panic disorder.
- Analysis of PD presentation and diagnostic challenges in various medical specialties.
- Outline of evidence-based pharmacotherapy and management guidelines for primary care.
Main Results:
- Non-psychiatric physicians often overlook or mismanage panic disorder.
- Effective identification and first-line management by general physicians can improve patient outcomes.
- A clear referral pathway is essential for patients requiring specialized psychiatric care.
Conclusions:
- Improving the recognition and management of panic disorder in primary care is crucial.
- Non-psychiatrist physicians can provide effective first-line treatment for PD.
- This article serves as a guide for non-psychiatrists to manage PD and facilitate timely referrals.
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