The initial management steps for treating panic disorder in primary care include offering treatment promptly, which may involve psychological therapy, medication, or self-help options, based on assessment and shared decision making NICE CG113.
For people with mild to moderate panic disorder, consider offering or referring for low-intensity interventions such as individual non-facilitated self-help or individual facilitated self-help NICE CG113.
Providing information about support groups and discussing the benefits of exercise as part of good health should also be included in initial management NICE CG113.
It is important to conduct a comprehensive assessment to identify the severity, distress, and functional impairment, and to consider comorbidities and individual circumstances NICE CG113.