Dizziness is a frequent complaint during the initial worsening of panic patients treated with clomipramine. In order to investigate the relationship between dizziness and initial worsening mechanisms, otoneurological tests were administered to 32 consecutive patients with panic disorder, with or without agoraphobia, before treatment, 36 h after the first dose of 25 mg clomipramine and after treatment and full remission of the panic and agoraphobic symptoms. A pretreatment complaint of 'dizziness during panic attacks' but not the occurrence of otoneurological abnormalities, predicted the occurrence of clinical worsening at the start of treatment. A specific pattern of otoneurological abnormalities was not found, but only three patients had normal results in all three sessions. The inconsistent test results suggest that functional vestibular pathology is frequently associated with panic disorder.
The results of one year of activities of a multidisciplinary staff comprised of five psychiatrists, one urologist, one gynecologist, and seven psychologists, who integrate the Sexuality Project (PRO-SEX) of the Institute of Psychiatric, Hospital das Clfnicas, College of Medicine, University of Sao Paulo (FMUSP), are presented, Different sexual disorders were evaluated and treated in 140 patients (116 men and 24 women). In addition, a standard protocol was established for the medical assistance of patients; four research projects have been initiated; and courses were offered to residents in psychiatry, urology, and obstetrics-gynecology, as well as to undergraduate and postgraduate students of FMUSP.The PRO-SEX staff presented their research at one congress and two symposiums, and published four articles. Furthermore, an extensive program was established for 1995 in order to continue the advanced medical study of human sexuality.
Taking into consideration a study published 10 years ago on sexual disturbances of students at the University of Sao Paulo, the importance of the subject is discussed, along with the creation in 1993 of the Sexuality Project at the university hospital of the University of Sao Paulo School of Medicine. In its first year, this multidisciplinary project attended 140 patients with sexual dysfunctions (associated or not to other clinical manifestations); the majority were younger than 60 years-old, and 80 percent were male.
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