If frightening objects or situations are avoided, they will become more frightening over time.If the avoidance is overcome, and frightening objects or situations are repeatedly confronted without leading to the anticipated dangerous outcome, they become less frightening.
In conducting cognitive therapy, the therapist works together with the patient to build a compelling argument that the patient's fears are irrational.
Several sources of information are used to help patients think more accurately when their anxiety symptoms increase.
(about 3,000 at last count), How many panic attacks in total? Most patients with panic disorder use several strategies in order to control their panic and prevent a catastrophe, including, fleeing the situation, taking a drink of water, eating something, or distracting themselves.
During behavioral experiments, patients are asked to allow panic attacks to run their course, without interruption, in order to learn first hand that their panic attacks, like other patient's panic attacks, only seem to signal an impending calamity.
Print this page Synopsis of treatment for anxiety disorders: Many variables influence the selection of medication for individual patients.
The following is general information regarding beginning treatment.Benzodiazepines remain widely used drugs for panic and other anxiety disorders in both primary care and mental health settings.While they have clear value in some circumstances, we avoid them as first line treatments because they so powerfully reinforce the anxious patient's wish for a simple and quick way to avoid the distressing experience of his or her anxiety.We have experience using fluoxetine (Prozac) in very high doses (up to 120 mg/day), so it is often preferred in treatment-resistant OCD.That said, its long duration of action and tendency to be activating undermine our ability to use it as first line treatment for all anxiety disorders.This can be advantageous in selected cases, but it also seems to more often produce weight gain and unusual cognitive effects, as well as higher rates of discomfort during discontinuation efforts.