A 42-year-old patient presenting with chest pain and fears of dying, who has not left his house for months, likely suffers from what condition?

The scenario describes a patient experiencing chest pain, fears of dying, and isolation from the outside world for months. This presentation is highly indicative of Panic Disorder with Agoraphobia.

In Panic Disorder, individuals often experience recurrent panic attacks, which can include physical symptoms such as chest pain, and intense anxiety about the possibility of having another attack. The fear of dying, in this context, aligns with the panic attack experience where individuals often feel they might lose control or suffer a catastrophic event.

Agoraphobia typically develops as a complication of panic disorder, where the person begins to avoid situations that they perceive may trigger a panic attack. This avoidance behavior can result in significant isolation, as the individual may avoid leaving their home entirely, leading to significant impairment in daily functioning.

Other conditions listed, such as Antisocial Personality Disorder, typically involve social disregard and manipulation rather than fear and anxiety about leaving home. Dementia primarily affects cognitive function and is less likely to manifest with acute panic symptoms. Post-Traumatic Stress Disorder involves reliving traumatic experiences but does not inherently include panic attacks or fears of dying as a primary symptom. Therefore, the combination of chest pain, fear of dying, and prolonged avoidance behavior strongly supports a diagnosis of Panic Disorder with Ag