Situational exposure treatment versus panic control treatment for agoraphobia. A case study.
Situational in vivo exposure has been widely used in the treatment of agoraphobia. However, only a low to moderate proportion of individuals treated with this approach have shown a high level of therapeutic gain. The recent recognition of panic as central to the development and maintenance of a great many cases of agoraphobic avoidance suggests that treatments focused directly on panic may contribute to a more comprehensive approach to agoraphobia. The present single case demonstrates that whereas two modes of situational exposure produced only limited improvement an approach focused directly on panic had greater effectiveness. The specific effects of the treatment components within the panic control package are analyzed in detail.
Zarate
R
R
Center for Stress and Anxiety Disorders, Albany, New York 12203.
Craske
M G
MG
Barlow
D H
DH
D000223:Adaptation, Psychological; D000328:Adult; D000379:Agoraphobia / Q000523:psychology / Q000628:therapy*; D000525:Alprazolam / Q000008:administration & dosage; D001143:Arousal / Q000187:drug effects; D001521:Behavior Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D003887:Desensitization, Psychologic / Q000379:methods*; D004316:Doxepin / Q000008:administration & dosage; D005239:Fear / Q000187:drug effects; D006801:Humans; D008297:Male; D010200:Panic / Q000187:drug effects; D012931:Social Environment
D004316:Doxepin; D000525:Alprazolam