It has been found that the body's fear response is coordinated by a small structure deep inside the brain, called the amygdala. The amygdala, although relatively small, is a very complicated structure, and recent research suggests that anxiety disorders may be associated with abnormal activitation in the amygdala. One aim of research is to use such basic scientific knowledge to develop new therapies. Treatment for panic disorder includes medications and a type of psychotherapy known as cognitive-behavioral therapy, which teaches people how to view panic attacks differently and demonstrates ways to reduce anxiety. NIMH is conducting a large-scale study to evaluate the effectiveness of combining these treatments.
Most patients show significant progress after a few weeks of therapy.
Relapses may occur, but they can often be effectively treated just like the initial episode. Research shows that panic disorder can coexist with other disorders, most often depression and substance abuse. Appropriate diagnosis and treatment of other disorders such as substance abuse or depression are important to successfully treat panic disorder. For information about NIMH and its programs, please email, write or phone us . December 8, 2000.