Treatment-Resistant Panic Disorder

Although effective pharmacologic and psychosocial treatments are available for panic disorder,many patients continue to experience residual anxiety symptoms, recurrent panic attacks, or continuingimpairment and distress. Selecting the appropriate treatment for such patients can be confoundedby factors such as comorbid disorders (both psychiatric and medical), psychosocial complications,and physiologic provocations. The clinician must assess these factors before an optimal therapeuticstrategy can be designed.