Non-fearful panic disorder in gastroenterology

Piero Porcelli, Massimo De Carne

Research output: Contribution to journalArticlepeer-review


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 languageEnglish
Pages (from-to)543-545
Number of pages3
Issue number6
Publication statusPublished - Nov 2008

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Applied Psychology


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