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Sommer, Michael; Hiller, Thomas S.; Breitbart, Jörg; Schneider, Nico; Teismann, Tobias; Freytag, Antje and Gensichen, Jochen (2018): Standardtherapie für Panikstörung mit/ohne Agoraphobie in der Hausarztpraxis. In: Psychiatrische Praxis, Vol. 45, No. 3: pp. 160-163

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Abstract

Objective To describe therapy as usual (TAU) for panic disorder with/without agoraphobia (PDA) in primary care. Method Written survey of 38 general practitioners (GPs) who provided TAU to 189 patients with PDA as part of an interventional study. Data were analyzed descriptively. Results The most common TAU-interventions were: exploration of psychosocial problems (83 %), recommendation not to avoid anxiety-provoking stimuli (72 %), prescription of SSRIs (62 %). Common reasons for referrals were various psychiatric comorbidities and treatment-refractory anxiety (77%). GPs rarely used validated diagnostic tools such as structured interviews (18%) or questionnaires (14%). Conclusions TAU mostly involved guideline-recommended psychosocial and pharmacological interventions. Study-related procedures may limit the generalizability of findings.

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