Toiling in the Herb Garden or Sitting in the Field of Dreams

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Monday TP has been worked into the schedule this afternoon after a frantic call from his wife. This 42-year-old man was driving between work sites this afternoon when he was overcome by an overwhelming sense of doom. He pulled off the road, closed his eyes for a few minutes, and the feeling disappeared as quickly as it had come. At the office, he felt fine. A review of his history and an examination were unremarkable. He had never had an episode like this, and he was quite understandably unnerved. Of interest, his wife has a long history of panic, which is controlled by paroxetine.​

Prim Care Companion J Clin Psychiatry 2000;2(6):223-224