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Previous Volume 354:2360-2367 June 1, 2006 Number 22 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 30-year-old woman, recently divorced, presents with daily episodes of chest pain, shortness of breath, sweating, and palpitations. She feels very anxious when these episodes occur and worries that she may be having a heart attack. She reports increasing avoidance of social activities, moodiness, poor sleep, and a low level of energy. She takes no medications and reports no drug or alcohol . . . [Full Text of this Article]

The Clinical Problem

Diagnosis

Risk Factors and Precipitants

Strategies and Evidence

Screening

Evaluation

Education of Patients

Pharmacologic Management

Nonpharmacologic Management

Guidelines

Areas of Uncertainty

Summary and Recommendations

Source Information

From the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.

Address reprint requests to Dr. Katon at the Department of Psychiatry and Behavioral Sciences, Box 356560, University of Washington School of Medicine, 1959 N.E. Pacific St., Seattle, WA 98195-6560, or at wkaton@u.washington. edu.

Related Letters:

Panic Disorder
Hoffman I., Katon W. J.
Extract | Full Text | PDF  
N Engl J Med 2006; 355:1067, Sep 7, 2006. Correspondence

This article has been cited by other articles:

• Hurley, R. A., Fisher, R., Taber, K. H. (2006). Sudden Onset Panic: Epileptic Aura or Panic Disorder?. J. Neuropsychiatry Clin. Neurosi. 18: 436-443 [Full Text]  
• Hoffman, I., Katon, W. J. (2006). Panic disorder.. NEJM 355: 1067-1067 [Full Text]