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Agitated depression, alprazolam, and panic anxiety
The American Journal of Psychiatry
|September 1, 1986
Summary
Alprazolam effectively treated agitated depression in three patients, with at least two also having panic disorder. This suggests panic anxiety may underlie some cases of agitated depression.
Area of Science:
- Psychiatry
- Pharmacology
Background:
- Agitated depression is a challenging clinical presentation.
- The etiology of agitated depression remains incompletely understood.
- Panic disorder is a distinct anxiety condition.
Observation:
- Three patients diagnosed with agitated depression were treated with alprazolam.
- All three patients exhibited a rapid and sustained positive response to alprazolam.
- At least two of the patients had a documented history of panic disorder.
Findings:
- Alprazolam demonstrated efficacy in managing agitated depression symptoms.
- The findings suggest a potential link between panic anxiety and agitated depression.
- The results indicate that alprazolam may be a viable treatment option for this specific patient subgroup.
Implications:
- This case series suggests that unremitting panic anxiety could be a contributing factor in some instances of agitated depression.
- Further research is warranted to explore the relationship between panic disorder and agitated depression.
- Alprazolam may represent a targeted therapeutic option for agitated depression with underlying panic features.