A 23-year-old woman has panic attacks with palpitations, dyspnea, chest tightness, and fear of dying. Cardiac evaluation is normal. She avoids

Question

A 23-year-old woman has panic attacks with palpitations, dyspnea, chest tightness, and fear of dying. Cardiac evaluation is normal. She avoids exercise because it may trigger symptoms. Which of the following is the most appropriate next step in management?

Accepted Answer

Cognitive behavioral therapy or SSRI treatment

Answer

Daily antipsychotic injections

Answer

Beta-blocker monotherapy as definitive treatment

Answer

Chronic opioid therapy

Answer

Reassurance without follow-up

Panic disorder — USMLE Step 3 MCQ

A 23-year-old woman has panic attacks with palpitations, dyspnea, chest tightness, and fear of dying. Cardiac evaluation is normal. She avoids exercise because it may trigger symptoms. Which of the following is the most appropriate next step in management?