A 34-year-old woman comes to the clinic after two emergency department visits in the past 3 months for episodes of palpitations, chest tightness, shortness of breath and a feeling that she was going to die. The episodes occur unexpectedly about twice a week, peak within 10 minutes and resolve within 30 minutes. She now avoids crowded places such as the subway and shopping malls for fear of having another episode. She has an alcohol use disorder that has been in remission for 7 months and she is worried about relapse. She takes no medications and has no allergies. ECG, troponin and TSH at the emergency department visits were normal. She asks for alprazolam because it helped a friend immediately.
| Heart rate | 78/min |
| Respiratory rate | 14/min |
| Temperature | 36.8 °C |
| O2 saturation | 99%, room air |
| Blood pressure | 118/72 mm Hg |
Question 1 of 6
Which of the following are the most appropriate initial treatment options for this patient?
Select 2. (0 / 2 selected)
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