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A 28-Year-Old Woman With Panic Disorder
Jack Matthew Gorman, MD
JAMA. 2001;286:450-457.
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INTRODUCTION
DR BURNS: Ms M is a 28-year-old woman with symptoms of palpitations and chest discomfort. She is a full-time student and works 2 jobs. She has Massachusetts free care insurance coverage and receives her primary care from Dr G, a general internist at the Beth Israel Deaconess Medical Center.
When Ms M first came to see Dr G, she reported that during the prior 3 weeks she experienced 4 episodes of palpitations and chest discomfort that occurred both at rest and with exertion. Following 2 of these episodes, she went to the emergency department for treatment. There, she was told that her symptoms were due to anxiety and panic.
Ms M has experienced anxiety since early childhood and first underwent psychotherapy when she was 9. The symptoms included anxiety and worry, which are not present now. Her anxiety was treated with a variety of antidepressants, without . . . [Full Text of this Article]
MS M: HER VIEWS
DR G: HER VIEWS
AT THE CROSSROADS: QUESTIONS FOR DR GORMAN
Definition and Epidemiology Etiologic Theories Differential Diagnosis and Comorbid Conditions Treatment Recommendations for Ms M
QUESTIONS AND DISCUSSION
Author Affiliation: Dr Gorman is Lieber Professor and Vice-Chair for Research, Department of Psychiatry, Columbia University, New York, NY.
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