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Panic Disorder and Its Treatment presents a concise yet thorough review of the epidemiology of panic disorder, its clinical presentation, the genetics and biology of panic disorder, and the influence of environmental factors on the genesis of the condition. These initial chapters thoughtfully develop the groundwork for later sections on the complex relation between coexisting alcohol and drug disorders and panic disorder and on the state of the art of pharmacotherapy and psychotherapy of panic disorder.
Two important topics covered in this book are particularly relevant to students and clinicians: the chapter on the course and treatment of panic disorder during pregnancy and the postpartum period and the chapter about quality of life, cost effectiveness, and the effect of managed care on the treatment of panic disorder. Since women of childbearing age constitute the largest group of patients with panic disorder, this book's practical review and guidelines for treatment are critically important, especially because the subject has been ignored in most other books. As the authors discuss, there are distressingly few data on the long-term effects of psychotropic medications on the fetus, and there is a tremendous need for more research in this area.
The chapter on quality of life and managed care clearly outlines the tremendous social consequences of untreated panic disorder. It succinctly reviews the studies demonstrating that effective treatment of panic disorder markedly improves quality of life and decreases use of medical services. This chapter is important not only for clinicians but also for anyone who has an interest in cost-effective treatment of patients.
This is a well-written book. The individual chapters can serve as independent summaries of specific topics, yet when read as a whole the book presents a clear and impressive review of panic disorder and its treatment. It is an important addition to the library of any primary care clinician.
Reviewed by Mark Hyman Rapaport, M.D.
Copyright © 1998 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.
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