A 30-year-old woman, recently divorced, presents with daily episodes of chest pain, shortness of breath, sweating, and palpitations. She feels very anxious when these episodes occur and worries about having a heart attack. She reports increasing avoidance of social activities, moodiness, poor sleep, and a low level of energy. She takes no medications and reports no drug or alcohol use. Her physical examination is normal. How should this case be managed?
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Wayne Katon (2006) studied this question.
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