Clinical Crossroads
July 25, 2001

A 28-Year-Old Woman With Panic Disorder

Author Affiliations

Author Affiliation: Dr Gorman is Lieber Professor and Vice-Chair for Research, Department of Psychiatry, Columbia University, New York, NY.


Clinical Crossroads Section Editor: Margaret A. Winker, MD, Deputy Editor.

JAMA. 2001;286(4):450-457. doi:10.1001/jama.286.4.450

DR BURNS: Ms M is a 28-year-old woman with symptoms of palpitations and chest discomfort. She is a full-time student and works 2 jobs. She has Massachusetts free care insurance coverage and receives her primary care from Dr G, a general internist at the Beth Israel Deaconess Medical Center.

When Ms M first came to see Dr G, she reported that during the prior 3 weeks she experienced 4 episodes of palpitations and chest discomfort that occurred both at rest and with exertion. Following 2 of these episodes, she went to the emergency department for treatment. There, she was told that her symptoms were due to anxiety and panic.

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