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Adding Cognitive-Behavioral Therapy to Pharmacotherapy for Panic Disorder: Issues and Strategies

Published online by Cambridge University Press:  07 November 2014

Michael W. Otto ,
Mark Powers  and
Jasper A. J. Smits
Michael W. Otto*
Affiliation:
Dr. Otto is professor of psychology and Mr. Powers is research associate in the Department of Psychology at. Boston University in Massachusetts
*
Michael W. Otto, PhD, Center for Anxiety and Related Disorders, Boston University, 648 Beacon St, 4th floor, Boston, MA 02114; Tel: 617-358-0761; Fax: 617-353-9609; E-mail: mwotto@bu.edu.
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Abstract

Despite ample evidence of the efficacy of cognitive-behavioral therapy (CBT) for the treatment of patients with panic disorder (PD), dissemination of this evidence is proceeding slowly. This article highlights some of the issues surrounding the dissemination of CBT for PD and suggests strategies for integrating CBT with pharmacotherapy. Treatment principles, with attention to the modification of CBT protocols for use in a brief-contact format, are reviewed. The principles and application of exposure interventions are discussed for both in vivo (situational) and interoceptive (feared anxiety sensations) exposure, with emphasis on the learning of safety in the context of feared sensations of anxiety. Contextual factors that may affect the success of exposure interventions and cognitive and informational interventions are also discussed.

Type
Research Article
Information
CNS Spectrums , Volume 10 , Issue S12 , September 2005 , pp. 32 - 39
Copyright
Copyright © Cambridge University Press 2005

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