Hyland presented the case of a young married woman who complained of acute panic attacks and related symptoms. The discussants told how they would treat this patient. Namnum focused on the differential diagnosis of anxiety symptoms from a psychoanalytic point of view. His assessment emphasized ego psychological and developmental issues, as he needed to judge the patient's analyzability. He discussed other dynamic and biologic treatments that he would consider if psychoanalysis was not feasible. Simpson organized his thinking around accurate DSM-III diagnosis. He would initiate pharmacotherapy early in the contact with the patient, before the evaluation had been completed. He would assess the patient's psychological mindedness and her motivation for psychotherapy, but he would not routinely prescribe it. This approach, he suggested, will become the national standard of care for anxiety disorders.