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FEATURE: BY CARL SHERMAN New data guide update on panic disorder This disabling condition interferes with daily functioning and can cause signiﬁcant distress. Pharmacotherapy is not the only treatment option. P anic disorder frequently comes up in the primary-care setting. Such physi- cal symptoms as chest pain and dyspnea are usually prominent and may be more dis- tressing than anxiety per se. Four percent of primary-care patients are believed to suffer from this disorder (three times the prevalence in the general population), and nearly half of all panic patients are treated by primary-care practitioners (PCPs). The American Psychiatric Association’s (APA) revised Practice Guideline for the Treatment of Patients With Panic Disorder is not dramatically different from its 1997 predecessor, but it does include more data to support recommended treatments, says Peter Roy-Byrne, MD, professor and vice chair in the department of psychiatry and behavioral sciences, University of Washington School of Medicine, Seattle, and a member of the work group that produced the document. Substantive changes include an addition to the
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