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Clinical Management of Panic Disorder

1. Diagnosis of Panic Disorder
2. Initiation of Treatment
3. Patient Education
4. Family Education
5. Cognitive and Behavioral Treatment
6. Medication Treatment
   1. First Choice
      SSRI (selective serotonin re-uptake inhibitor)
   2. Second Choice
      SSRI with Augmentation
      1. Add buspirone
      2. Add HPB (high potency benzodiazepine)
      3. Add beta-blocker with tachycardia
   3. Third Choice
      Switch to Different Medication
      1. TCA (tricyclic antidepressant)
      2. HPB (high potency benzodiazepine)
      3. MAOI (monoamine oxidase inhibitor)
   4. Fourth Choice
      Valproate
   (Go to Medication Scorecard to begin differential examination of medication management.)