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Panic Disorder

Jay Winner, MD, FAAFP Reviewed 06/2019
 


BASICS

DESCRIPTION

  • A classic panic attack that is characterized by rapid onset of a brief period of sympathetic nervous system hyperarousal accompanied by intense fear

  • In panic disorder, multiple panic ...

DIAGNOSIS

  • Panic attack: an abrupt surge of intense fear, reaching a peak within minutes in which ≥4 of the following symptoms develop abruptly: (i) palpitations, pounding heart, or accelerated heart r...

TREATMENT

The two options psychotherapy and medical therapy. Studies have shown that both have comparable results and neither has advantage over the other. Combined antidepressant therapy and psychoth...

ONGOING CARE

PATIENT EDUCATION

REFERENCES

1
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013. [View Abstract on OvidMedline]
2
Furuk...

ADDITIONAL READING

  • Chen MH, Tsai SJ. Treatment-resistant panic disorder: clinical significance, concept and management. Prog Neuropsychopharmacol Biol Psychiatry.  2016;70:219–226. [View Abstract...

CODES

ICD10

  • F41.0 Panic disorder without agoraphobia

  • F40.01 Agoraphobia with panic disorder

  • F43.0 Acute stress reaction

ICD9

  • 300.01 Panic disorder without agoraphobia

  • 300.21 Agoraphobia with panic disorder

  • 3...

CLINICAL PEARLS

  • For medically stable patients, 10 minutes of vigorous aerobic exercise at onset of a panic attack often helps patient to feel safe during an attack.

  • Always evaluate a patient with panic...

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