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Panic disorder — ABFM Board MCQ

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ModerateMental healthPanic disorderABFM Board

A 28-year-old woman has recurrent episodes of intense fear with palpitations, dyspnea, chest tightness, and fear of dying. Episodes peak within minutes and she has begun avoiding grocery stores because she worries an attack will occur. ECG and TSH are normal. Which of the following is the most appropriate initial treatment?

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Correct answer: A — Cognitive behavioral therapy or an SSRI

Panic disorder with avoidance is treated with cognitive behavioral therapy and/or an SSRI. Benzodiazepines can relieve acute symptoms but are not preferred as sole long-term therapy.

Reference: APA Panic Disorder Guideline