Panic and the Congenital Heart

Abstract

Panic disorder is commonly encountered in primary care and specialty clinics, with prevalence rates of 10%-60%. Frequently, no organic pathology is discovered. When organic conditions are present, they must be addressed both medically and with respect to their contextual relevance to the psychiatric disorder. A collaborative approach is often needed among several professionals and across disciplines. The authors present the case of a young man with comorbid anxiety and tetralogy of Fallot. Coordinated care between family physician, psychologist, and specialists expanded treatment interventions, improved medical prognosis, and contributed to the resolution of panic activity.