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Panic Attacks in soldiers in Combat Situations was inspired by the article aptly named Panic Attacks in Soldiers in Non-combat Situations presented at the 2nd International Conference. Soldiers in combat experience many stressors. The management and treatment of the panic attacks in a combat environment presents some unique challenges. Additional illustrative case histories to complement the original article's thought on the possible mechanism of the causes of the attacks are presented. Three soldiers experiencing panic attacks were seen and treated in a combat mental health clinic in a war zone. Every effort is made to treat mental health issues as far forward in the combat theater as possible, ideally by the local military mental health officers (a Psychiatrist and Ph.D. Clinical Psychologist). The deployed hostile environment adds both positives and negatives to treatment. The interventions utilized the same form of brief therapy focused on "problem solving," inspired by the model used previously on the nondeployed soldiers. Possible mechanisms of the causes are discussed as well as the progress of treatment and outcomes. The cases are presented with the hope of more discussion on factors that cause panic unique to the combat environment.
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