New data guide update on panic disorder by ProQuest


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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.

                                                                                                       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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