"My new Alfa Romeo GT is not in the garage any more": Cognitive behavioural therapy of panic disorder with agoraphobia co morbid with psychosis.
This paper describes a case of co-morbid panic disorder and psychosis with a focus on the successful treatment of the panic disorder via a CBT approach. The patient has had only one episode of psychosis. The cognitive model of panic disorder is used as a template to consider this young man's psychotic experiences, in the context of some types of delusional beliefs, especially those involving the catastrophic and atypical misinterpretation of the physiological sensations associated with anxiety. This case emphasises the therapeutic value for certain patients of focussing therapy on the non-psychotic symptoms once the acute psychotic state has been managed.
Gruber
Ema N
EN
Neuropsychiatry hospital Dr. I. Barbot, PP 30, 44317 Popovaca, Croatia. emagruber2000@yahoo.com
Dordević
Veljko
V
Biocina-Martić
Sanja
S
Agius
Mark
M
D000328:Adult; D000379:Agoraphobia / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001262:Atenolol / Q000627:therapeutic use; D001569:Benzodiazepines / Q000627:therapeutic use; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D003887:Desensitization, Psychologic; D003975:Diazepam / Q000627:therapeutic use; D006760:Hospitalization; D006801:Humans; D008297:Male; D000077152:Olanzapine; D016584:Panic Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D017374:Paroxetine / Q000627:therapeutic use; D011618:Psychotic Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D011936:Reality Testing; D012951:Socialization
D014150:Antipsychotic Agents; D001569:Benzodiazepines; D017374:Paroxetine; D001262:Atenolol; D000077152:Olanzapine; D003975:Diazepam