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KMID : 0384320040250030193
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Korean Journal of Family Medicine
2004 Volume.25 No. 3 p.193 ~ p.204
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Panic Disorder in Primary Care
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Kim Jung-Bum
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Abstract
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Even though panic disorder is commonly encountered in primary care setting, accurate diagnosis is rare and appropriate treatment is even rarer. This failure to recognize and adequately treat panic disorder leads likely contributes to inordinately high rates of medical utilization, medical cost, and excessive disability in these patients. Panic disorder is a highly treatable condition. With effective treatment, cardiovascular symptoms, irritable bowel syndrome and more specific gastrointestinal symptoms and even hypochondriasis all tend to improve as well as panic attacks, anticipatory anxiety, and phobic avoidance. Therefore timely diagnosis and proper treatment of panic disorder are very important in primary care. Primary care physicians need to be familiar with early detection and accurate diagnosis. Treatment guidelines for panic disorder also need to be disseminated widely. Patient education with more frequent visits and monitoring must be provided to increase rates of treatment. (J Korean Acad Fam Med 2004;25:193-204)
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KEYWORD
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panic disorder, primary care, timely diagnosis, proper treatment
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