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Treatment-resistant panic disorder

J F Rosenbaum1

  • 1Department of Psychiatry, Harvard Medical School, Boston, MA, USA.

The Journal of Clinical Psychiatry
|January 1, 1997
PubMed
Summary

Effective treatments exist for panic disorder, but residual symptoms persist for many. Clinicians must assess comorbidities and complications to tailor optimal therapeutic strategies for persistent panic disorder.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Pharmacology

Background:

  • Panic disorder has established pharmacologic and psychosocial treatments.
  • A significant number of patients experience persistent symptoms or impairment despite treatment.

Purpose of the Study:

  • To highlight the challenges in treating panic disorder patients with residual symptoms.
  • To emphasize the need for comprehensive assessment in treatment selection.

Main Methods:

  • Review of existing literature on panic disorder treatment.
  • Analysis of factors complicating treatment selection.

Main Results:

  • Residual anxiety, recurrent panic attacks, and functional impairment are common.
  • Comorbid psychiatric and medical disorders, psychosocial issues, and physiological factors complicate treatment.

Conclusions:

  • Individualized treatment strategies are essential for patients with persistent panic disorder.
  • Thorough assessment of complicating factors is crucial for effective therapeutic planning.

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