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"Panic disorder" in schizophrenia
Authors:L Sandberg  S G Siris
Affiliation:Department of Psychiatry, Mount Sinai School of Medicine, City University of New York, New York.
Abstract:A patient is described with operationally diagnosed chronic schizophrenia who simultaneously experienced repeated "attacks" during which times he had intense apprehension and autonomic hyperactivity entirely similar to that usually described under the rubric of "panic attacks" in nonschizophrenic patients. Delusional and hallucinatory symptoms were also transiently exacerbated during these episodes. Alprazolam, as an adjunct to fluphenazine decanoate, was effective in ameliorating these symptoms. Diagnostic and treatment implications are discussed.
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