Journal of The Japanese Society of Nutritional Psychiatry
Online ISSN : 2760-3539
Print ISSN : 2760-3520
A Case of Panic Disorder Improved by Lifestyle Intervention Focused on Dietary Modi-fication Through Collaboration Between Outpatient Care and Home-Visit Nursing
Kinuko FUKUDA, Shizuka OTA
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2026 Volume 2 Issue 1 Pages 401-407

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Abstract

Background: Panic disorder often leads to reduced functioning due to anticipatory anxiety and av oidance, and evaluation of lifestyle and dietary habits may be important from the perspective of n utritional psychiatry.

Case: A 69-year-old man presented with dyspnea-associated anxiety attacks and anticipatory anxiet y and was diagnosed with panic disorder. Chronic obstructive pulmonary disease was present. At t he initial visit, body weight was 48 kg, with reduced appetite and food intake limited to approxi mately one to two meals per day. Pharmacotherapy was difficult, and lifestyle intervention focused on dietary modification, including protein, vitamin B complex, and zinc, was implemented throug h collaboration between outpatient care and home-visit nursing. Two months after initiation, body weight increased to 51 kg, with reduced attack frequency and increased activity. At four months, further reduction in attacks and expansion of activity were observed.

Conclusion: Continuous assessment of lifestyle and dietary habits with multidisciplinary collaborati on may be associated with improvement in clinical course in panic disorder.

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© 2026 The Japanese Society of Nutritional Psychiatry
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