30 yo F presents after acute onset of dizziness, lightheaded | Figure 1

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30 yo F presents after acute onset of dizziness, lightheadedness, diaphoresis, blurry vision, SOB, and CP/tightness, and eventual syncope. Symptoms were typical of her panic attacks but this time without panic or anxiety.

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Talking therapies for panic disorder, with or without agoraphobia, are more effective than no treatment, but there is no strong evidence to show that one is better than another. Cognitive behavioural therapy (CBT), psychodynamic therapy and supportive psychotherapy may be better than other talking treatments in the short term, but more research is needed. Cochrane review; 60 studies with >3000 adults.

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