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.
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
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.
Gorman JM. A 28-Year-Old Woman With Panic Disorder. JAMA. 2001;286(4):450-457. doi:10.1001/jama.286.4.450