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Panic disorder in general medical practice- A narrative review

The under-or misdiagnosis, and symptomatic treatment of the panic disorder (PD), despite high prevalent medical illness, is common among non-psychiatric physicians. The non-psychiatrist physician’s role is vital in the care of PD as most patients initially approach general medical settings for medic...

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Detalles Bibliográficos
Autores principales: Manjunatha, Narayana, Ram, Dushad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9051703/
https://www.ncbi.nlm.nih.gov/pubmed/35495823
http://dx.doi.org/10.4103/jfmpc.jfmpc_888_21
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author Manjunatha, Narayana
Ram, Dushad
author_facet Manjunatha, Narayana
Ram, Dushad
author_sort Manjunatha, Narayana
collection PubMed
description The under-or misdiagnosis, and symptomatic treatment of the panic disorder (PD), despite high prevalent medical illness, is common among non-psychiatric physicians. The non-psychiatrist physician’s role is vital in the care of PD as most patients initially approach general medical settings for medical help, including primary care. However, a significant proportion is undiagnosed and undergoes either unnecessary investigation, misdiagnosed, or mismanaged even among post-Coronary Artery Bypass Grafting patients, which profoundly affects the patients functioning and quality of life. This article aims to provide overviews of relevant epidemiological aspects, presenting features across medical specialties with respective diagnostic dilemmas, assessment, and management of the PD in their general medical settings, including emergency visits. Apart from psychiatrists, this will also assist non-psychiatrist physicians across all medical specialties, including general practitioners, to understand, identify, and provide the first line evidence-based pharmacotherapy and address the unmet need of patients with PD in their day-to-day busy clinical practice. This paper also provides a referral guide for non-psychiatrist physicians to refer to psychiatrists for further management after their first-line management.
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spelling pubmed-90517032022-04-30 Panic disorder in general medical practice- A narrative review Manjunatha, Narayana Ram, Dushad J Family Med Prim Care Review Article The under-or misdiagnosis, and symptomatic treatment of the panic disorder (PD), despite high prevalent medical illness, is common among non-psychiatric physicians. The non-psychiatrist physician’s role is vital in the care of PD as most patients initially approach general medical settings for medical help, including primary care. However, a significant proportion is undiagnosed and undergoes either unnecessary investigation, misdiagnosed, or mismanaged even among post-Coronary Artery Bypass Grafting patients, which profoundly affects the patients functioning and quality of life. This article aims to provide overviews of relevant epidemiological aspects, presenting features across medical specialties with respective diagnostic dilemmas, assessment, and management of the PD in their general medical settings, including emergency visits. Apart from psychiatrists, this will also assist non-psychiatrist physicians across all medical specialties, including general practitioners, to understand, identify, and provide the first line evidence-based pharmacotherapy and address the unmet need of patients with PD in their day-to-day busy clinical practice. This paper also provides a referral guide for non-psychiatrist physicians to refer to psychiatrists for further management after their first-line management. Wolters Kluwer - Medknow 2022-03 2022-03-10 /pmc/articles/PMC9051703/ /pubmed/35495823 http://dx.doi.org/10.4103/jfmpc.jfmpc_888_21 Text en Copyright: © 2022 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Manjunatha, Narayana
Ram, Dushad
Panic disorder in general medical practice- A narrative review
title Panic disorder in general medical practice- A narrative review
title_full Panic disorder in general medical practice- A narrative review
title_fullStr Panic disorder in general medical practice- A narrative review
title_full_unstemmed Panic disorder in general medical practice- A narrative review
title_short Panic disorder in general medical practice- A narrative review
title_sort panic disorder in general medical practice- a narrative review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9051703/
https://www.ncbi.nlm.nih.gov/pubmed/35495823
http://dx.doi.org/10.4103/jfmpc.jfmpc_888_21
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