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Diagnosis, management and operational impact of panic disorder in the UK Armed Forces
  1. Fiona E Smith and
  2. R H Coetzee
  1. Department of Community Mental Health, Her Majesty's Naval Base Portsmouth, Portsmouth, UK
  1. Correspondence to Surg Lt Cdr Fiona E Smith RN, Department of Community Mental Health, Her Majesty's Naval Base, Portsmouth PO1 3LT, UK; f.smith{at}


Panic Disorder, with or without agoraphobia, is a common anxiety disorder found in patients presenting in the Primary Care setting, and there is some evidence to suggest that it may not be a rare phenomenon in military populations. This article aims to discuss recognition of the disorder, awareness of its differential diagnoses, and management in Primary Care, particularly if secondary care referrals are not readily available. The National Institute for Clinical Excellence (NICE) Guidelines, both pharmacological and psychological, will be considered. Finally, the impact of Panic Disorder in relation to the Armed Forces in the training and deployed environment will be considered.

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