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Case 30 - “I Am Not Addicted to Valium”

Panic Disorder

Published online by Cambridge University Press:  31 October 2024

Matthew Gibfried
Affiliation:
Saint Louis University School of Medicine, Missouri
George T. Grossberg
Affiliation:
Saint Louis University School of Medicine, Missouri
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Summary

Panic disorder is a type of anxiety disorder characterized by recurring and unexpected panic attacks. Panic attacks are periods of intense and overwhelming fear that can be accompanied by physical symptoms such as rapid heartbeat, chest pain, dizziness, shortness of breath, tremors, and sweating. Pharmacologic treatment options for those with panic disorder can include a short course of benzodiazepines and long-term SSRIs or SNRIs. Cognitive behavioral therapy has proven to be a particularly effective nonpharmacologic approach to treatment of anxiety and panic. Benzodiazepines are recommended for short-term acute treatment of panic disorder. The effects of benzodiazepines on decreasing the severity and frequency of panic symptoms can be seen in as little as days to weeks. They are especially helpful as long-term therapies may take weeks to months for full benefit to be realized. A scheduled dosing is preferred over as-needed dosing.

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Clinical Case Studies in Long-Term Care Psychiatry
Navigating Common Mental Health Challenges in Geriatric Care
, pp. 146 - 151
Publisher: Cambridge University Press
Print publication year: 2024

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References

References

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Further Reading

Chawla, N., Anothaisintawee, T., Charoenrungrueangchai, K., Thaipisuttikul, P., McKay, G. J., Attia, J., & Thakkinstian, A. (2021). Drug treatment for panic disorder with or without agoraphobia: Systematic review and network meta-analysis of randomised controlled trials. The BMJ, 376. https://doi.org/10.1136/bmj-2021-066084Google Scholar
Kim, E. J., & Kim, Y. K. (2018). Panic disorders: The role of genetics and epigenetics. AIMS Genetics, 5 (3), 177190. https://doi.org/10.3934/genet.2018.3.177Google ScholarPubMed
Melaragno, A. J. (2021). Pharmacotherapy for anxiety disorders: From first-line options to treatment resistance. Focus: Journal of Life-Long Learning in Psychiatry, 19 (2), 145160. https://doi.org/10.1176/appi.focus.20200048CrossRefGoogle ScholarPubMed

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