Abstract
Background: Past research has explored the prevalence and detection of panic disorder in emergency medical contexts. Detailed accounts were collected from individuals with panic disorder who have sought care in emergency medical contexts with symptoms related to panic. This research aimed to understand the strengths and limitations in diagnosis and intervention within this context, as well as the impact this had on the patients. Method: Participants were recruited from the Anxiety and Depression Association of America’s (ADAA’s) clinical trial page and social media platforms. Data was collected using semi-structured phenomenological interviews as well as a brief demographic survey. Data analysis involved reflexive thematic analysis. Results: Data collected across six participants included information from over 49 total interactions and visits with emergency medical services for panic symptoms. Analysis of the semi-structured interviews revealed eight primary themes and eleven significant subthemes. They are: Significant Interactions with Emergency Personnel; Patient Perceptions and Emotional Experiences; Symptom Investigation; Receiving and Reacting to Diagnoses; Accessibility of Care; Treatment Plans and Interventions; Physician Understanding Presenting Concern; and Patient Education. Conclusions: Major strengths of the care received identified by participants included strengths in staff interactions, environmental strengths, testing and diagnostic strengths, and strengths related to treatment and outcomes. Negative experiences identified included themes of confusion surrounding their diagnosis, negative environmental factors, ineffective treatment strategies, negative interactions with staff, and general negative patient emotions and thoughts. Implications for care for panic in emergency medical context are discussed along with strengths and limitations of the study.