The Case of James Dire: The Problem with Panic

Abstract

Panic disorder typically develops in young adulthood and can be associated with impairment in functioning. This can be particularly debilitating for medical trainees who are striving to work to their full potential in a notably stressful and demanding medical environment. Furthermore, stigma associated with psychiatric diagnosis and treatment may preclude a much needed comprehensive symptoms evaluation and management. Successful engagement, with the use of psychoeducation and alliance building, can allow for important work – management of the presenting anxiety symptoms – and, in some cases, further psychological work to improve emotional health and well-being. Panic disorder can have many underlying psychological themes, which the psychiatrist can be attuned to as potential areas of exploration with the student-patient, who is at an important and complex developmental stage of life.