Abstract
Background: Nonfearful panic disorder (NFPD) is a panic condition masked under the appearance of somatic symptoms only, without the component of fear, and it represents a challenging diagnostic task. Method: This is the first case report of NFPD in a male patient with acute gastric pain and gastrointestinal disease (atrophic gastritis and H. pylori infection). Results: The patient showed atypical panic symptoms and demoralization on the Diagnostic Criteria for Psychosomatic Research screening. He was successfully treated with anti-panic medication and cognitive -behavioral therapy. Discussion: The case report shows that accurate psychosomatic assessment may help clinicians avoid diagnostic delay, prevent the administration of unnecessary medications, and give patients more appropriate treatment.
Original language | English |
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Pages (from-to) | 543-545 |
Number of pages | 3 |
Journal | Psychosomatics |
Volume | 49 |
Issue number | 6 |
DOIs | |
Publication status | Published - Nov 2008 |
ASJC Scopus subject areas
- Psychiatry and Mental health
- Applied Psychology