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The diagnosis of HVS was made, and the patient began breathing retraining exercises and a selective serotonin reuptake inhibitor (SSRI), fluoxetine. At her subsequent visit 1\u2009month later, the patient reported significant improvement in both her shortness of breath and anxiety. Her GAD-7 score had decreased to 4, consistent with minimal anxiety. We believe that early recognition, behavioural interventions and SSRIs improved the patient\u2019s outcome.<\/jats:p>","DOI":"10.1136\/bcr-2024-263409","type":"journal-article","created":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T07:46:34Z","timestamp":1746171994000},"page":"e263409","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Use of breathing retraining exercises and SSRIs in patients with hyperventilation syndrome"],"prefix":"10.1136","volume":"18","author":[{"given":"Christelle Erlande","family":"Wharram","sequence":"first","affiliation":[{"name":"Family Medicine, Trinity Health, Livonia, Michigan, USA"},{"name":"Wayne State University School of Medicine, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mani","family":"MovaseghiGargari","sequence":"additional","affiliation":[{"name":"Family Medicine, Trinity Health, Livonia, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David Michael","family":"Smeenge","sequence":"additional","affiliation":[{"name":"Family Medicine, Trinity Health, Livonia, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,5,2]]},"reference":[{"key":"2025082723222681000_18.5.e263409.1","doi-asserted-by":"crossref","first-page":"e349","DOI":"10.1097\/MAO.0000000000002531","article-title":"Hyperventilation Syndrome: Investigating the Relationship Between Nijmegen Questionnaire, Vestibular Function Tests, and Patient Symptoms","volume":"41","author":"Williams","year":"2020","journal-title":"Otol Neurotol"},{"key":"2025082723222681000_18.5.e263409.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcrj.2004.10.007"},{"key":"2025082723222681000_18.5.e263409.3","doi-asserted-by":"crossref","first-page":"106329","DOI":"10.1016\/j.rmed.2021.106329","article-title":"Comparative analysis between available challenge tests in the hyperventilation syndrome","volume":"179","author":"Tiotiu","year":"2021","journal-title":"Respir Med"},{"key":"2025082723222681000_18.5.e263409.4","article-title":"Breathing exercises for dysfunctional breathing\/hyperventilation syndrome in adults","volume":"2013","author":"Jones","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"2025082723222681000_18.5.e263409.5","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"2025082723222681000_18.5.e263409.6","doi-asserted-by":"crossref","first-page":"i1","DOI":"10.1136\/thx.2008.110726","article-title":"Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient","volume":"64 Suppl 1","author":"Bott","year":"2009","journal-title":"Thorax"},{"key":"2025082723222681000_18.5.e263409.7","first-page":"733","article-title":"Hyperventilation syndrome: a diagnosis begging for recognition","volume":"138","author":"Magarian","year":"1983","journal-title":"West J Med"},{"key":"2025082723222681000_18.5.e263409.8","first-page":"429","volume-title":"Handbook of clinical neurology","volume":"19","author":"Beumer","year":"1996"},{"key":"2025082723222681000_18.5.e263409.9","unstructured":"Kern B , Rosh AJ . 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