Table 1 lists medications commonly prescribed for panic disorder and the usual therapeutic dosages. The approach deals with patients' fear of the somatic sensations that come with panic attacks. A trusting relationship between healthcare professional and patient is vital to this approach, so it may be advantageous if the primary care physician introduces patients to these techniques. The combination of medication and psychotherapy is often effective, especially with a therapist skilled in cognitive-behavioral methods. Consultation with or referral to a psychiatrist may be indicated when panic disorder does not respond to basic pharmacotherapy and when it coexists with other mental disorders and suicidal thoughts.
Patient education Helping patients better understand panic disorder is very beneficial.
Patients are often overwhelmed with information at their first office visit and do not retain particulars about their condition. Summary Panic disorder is a common and potentially debilitating anxiety disorder that can adversely affect patients' personal, social, work, and academic lives. It may go unrecognized for long periods, because physical symptoms may mimic other conditions. Typical onset is during late adolescence and early adulthood. Diagnostic and statistical manual of mental disorders.