The American Psychiatric Association Practice Guideline for the Treatment of Patients With Panic Disorder: Recommendations and Controversies

Fredric N. Busch, MD and Barbara L. Milrod, MD

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In This Article

Applicability of Research to Community Practice

The guideline implies that the results of research studies used to make treatment recommendations can immediately translate to the clinical practice of most psychiatrists. Randomized controlled trials, however, may not accurately reflect either patient populations treated or treatment approaches used in the community. In the studies cited, for example, many patients were not studied because of exclusion criteria; therefore, patients treated may not have the degree of comorbidity found in many patients in naturalistic settings. A critical issue omitted in the guideline is the type of appropriate training for individuals who administer the various treatments, an important aspect which is highly likely to alter treatment outcome.

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