Which therapy is the most appropriate for a patient experiencing panic attacks?

Citalopram is an appropriate choice for a patient experiencing panic attacks because it is a selective serotonin reuptake inhibitor (SSRI) that is commonly used to treat anxiety disorders, including panic disorder. SSRIs like Citalopram work by increasing serotonin levels in the brain, which can help stabilize mood and reduce anxiety symptoms, making them effective for managing panic attacks.

Panic disorder often requires a treatment approach focused on managing anxiety and preventing future attacks, and SSRIs are well-studied and established as first-line treatments for this condition. The efficacy of Citalopram in treating both the acute symptoms of panic attacks and the underlying anxiety makes it a suitable option for patients experiencing this challenge.

Other medications listed, such as Carbamazepine, Imipramine, and Risperidone, are either not primarily indicated for panic attacks or are more commonly used for different conditions, such as mood stabilization or psychotic disorders. Imipramine, while it has some history of use in anxiety, is a tricyclic antidepressant and is often not the first choice due to its side effect profile and other newer treatments available.