Hypochondriasis or panic disorder?

When no organic etiology can be determined for recurrent somatic symptoms, hypochondriasis might be the logical conclusion. However, the primary care physician should be alerted to the possibility of panic disorder if the patient presents with recurrent panic attacks, concern, and worry about having another attack and its consequences, and avoidance of certain places, situations, or activities which comprise the diagnostic criteria for panic disorder. A comprehensive treatment program for panic disorder includes the integration of pharmacotherapy (SSRIs and benzodiazepines), cognitive-behavior therapy, and psychotherapy. In most cases, the primary care physician can successfully treat panic disorder.