Panic disorder and agoraphobia. Nondrug treatment options for primary care physicians.

Panic disorder, including agoraphobia, is a common psychiatric illness that can be successfully treated by primary care physicians. Although medication for this disorder is available, many investigators advocate behavior therapy or other nonpharmacologic treatment initially. Patients can learn techniques to control the anxiety they feel about having an attack and to deal with issues in their life that may cause panic. Referral to a psychiatrist may be indicated for patients with resistant or complex cases.