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Related Experiment Videos

Panic disorder: the ultimate anxiety

R A Sansone1, L A Sansone, E L Righter

  • 1Department of Psychiatry, Wright State University School of Medicine, Dayton, Ohio, USA.

Journal of Women'S Health
|November 13, 1998
PubMed
Summary
This summary is machine-generated.

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Panic disorder, characterized by intense anxiety and physical symptoms, affects women twice as often as men. Effective treatments include medication and cognitive-behavioral therapy, though some cases may become chronic.

Area of Science:

  • Psychiatry
  • Anxiety Disorders
  • Women's Health

Background:

  • Panic disorder involves intense anxiety with physical symptoms, twice as common in women.
  • Onset typically occurs in adolescence/young adulthood or mid-adulthood.
  • Comorbidity with agoraphobia is frequent, and etiology is likely multifactorial.

Purpose of the Study:

  • To outline the characteristics and management of panic disorder in primary care.
  • To discuss pharmacologic and cognitive-behavioral treatment options.
  • To describe treatment outcomes and the potential for chronic illness.

Main Methods:

  • Review of panic disorder presentation, epidemiology, and etiology.
  • Description of primary care treatment strategies, including selective serotonin reuptake inhibitors (SSRIs) and cognitive-behavioral therapy (CBT).

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  • Discussion of treatment duration, dosage adjustments, and criteria for psychiatric referral.
  • Main Results:

    • Selective serotonin reuptake inhibitors (SSRIs) are a primary pharmacologic treatment, initiated at low doses over a 6-week trial.
    • Cognitive-behavioral intervention is a key component of primary care management.
    • Psychiatric referral is recommended for non-responders or those with comorbid conditions.

    Conclusions:

    • Most patients experience symptom relief with appropriate treatment.
    • Panic disorder can be a chronic condition with recurring episodes for some individuals.
    • Multifactorial etiology necessitates a comprehensive treatment approach.