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[Panic disorders in the emergency room]

W Langewitz1, A Kiss, R Saner

  • 1Abteilung Psychosomatik, Kantonsspital Basel, Universitätskliniken.

Therapeutische Umschau. Revue Therapeutique
|March 1, 1995
PubMed
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Patients with panic disorder often misinterpret physical symptoms, leading to emergency visits. Early intervention in emergency departments can prevent prolonged suffering and costly treatments by addressing catastrophic thinking.

Area of Science:

  • Psychiatry
  • Internal Medicine
  • Emergency Medicine

Background:

  • Panic disorder often presents with physical symptoms misinterpreted as dangerous.
  • Patients frequently seek somatic medical help, bypassing mental health professionals.
  • High prevalence of panic disorder exists in emergency departments and specific clinical populations.

Purpose of the Study:

  • To review the cognitive model of panic disorder.
  • To outline treatment strategies for panic disorder.
  • To highlight the role of emergency departments in early panic disorder identification.

Main Methods:

  • Literature review of the cognitive model of panic disorder.
  • Overview of pharmacological treatments including benzodiazepines and antidepressants.

Related Experiment Videos

  • Discussion of early intervention strategies in emergency settings.

    • Main Results:

    • Catastrophic interpretation of benign physical symptoms is central to panic disorder development.
    • Emergency departments encounter a significant number of panic disorder patients.
    • Early intervention can mitigate long-term patient pathways.

    Conclusions:

    • Understanding the cognitive model is key to treating panic disorder.
    • Pharmacological treatments like benzodiazepines and antidepressants are effective.
    • Emergency departments are crucial for early diagnosis and intervention in panic disorder.