S.K. is referred to a psychiatrist who decides to initiate treatment with paroxetine 20 mg every…

S.K. is referred to a psychiatrist who decides to initiate treatment with paroxetine 20 mg every morning. Three days later, S.K. calls the doctor complaining that her anxiety and panic attacks have greatly increased since she started taking paroxetine. The psychiatrist prescribes alprazolam 0.5 mg (tablets) and instructs S.K. to take one tablet as needed for the anxiety. What factors should be considered in the selection of an initial medication treatment for panic disorder? Why is the prescribed treatment for S.K. inappropriate?

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