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Panic disorder — USMLE Step 3 MCQ

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EasyPsychiatry (outpatient management)Panic disorderUSMLE Step 3

A 29-year-old man has recurrent episodes of sudden palpitations, trembling, dyspnea, and fear of dying. Episodes peak within 10 minutes and he worries between attacks. ECG and TSH are normal. He avoids grocery stores because of fear of attacks. Which of the following is the most appropriate next step in management?

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Correct answer: A — Start cognitive behavioral therapy and an SSRI

Panic disorder is treated with CBT and/or SSRIs; chronic benzodiazepine monotherapy is not preferred.

Reference: American Psychiatric Association Clinical Practice Guidelines: https://www.psychiatry.org/psychiatrists/practice/clinical-practice-guidelines