American Board of Internal Medicine (ABIM) Certification Practice Exam

What is the therapeutic approach for panic disorder according to standard recommendations?

1. Medication alone

2. Psychoeducation alone

3. Combination therapy

4. Supportive therapy alone

The correct answer is: Combination therapy

The recommended therapeutic approach for panic disorder is combination therapy, which involves both medication and psychotherapy. This dual approach addresses the complex nature of panic disorder, as it often benefits from the immediate symptom relief provided by pharmacological treatments, such as selective serotonin reuptake inhibitors (SSRIs) or benzodiazepines, alongside the long-term coping skills and cognitive restructuring offered through psychotherapy, particularly cognitive-behavioral therapy (CBT). Combination therapy not only enhances the effectiveness of treatment by targeting different aspects of the disorder but also helps reduce the likelihood of relapse once treatment is concluded. Evidence shows that while medication can alleviate symptoms quickly, psychotherapy can equip individuals with the strategies needed to manage anxiety and prevent future panic attacks. This comprehensive approach aligns with standard recommendations, making it the most effective strategy for treating panic disorder.