Educational Objectives:
1) To identify four attitudes that support panic.
2) To list five types of interceptive exposure that can be conducted in the treatment office.
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Cognitive therapy was originally developed for the treatment of Depression and Anxiety. Since its early beginnings various clinicians and investigators have extended its use to a wide variety of disorders and populations. Systematic outcome studies have demonstrated its efficacy not only in the garden variety of disorders such as Depression, Anxiety and Panic but also in medical disorders such a low back pain, diabetes, chronic fatigue syndrome and chronic hypertension.
Ten myths, some contradictory, some interconnected, are outlined, followed by a fairly detailed exposition and rebuttal. The treatment of a young man with panic disorder is discussed as an exemplar of the need to apply data-based treatments of choice within the context of clinical artistry. Technical eclecticism is defined and is offered as a possible solution to many common misconceptions.
Social anxieties are the most common constituent of neuroses. Their different dynamics in a spectrum of cases will be described, and their role in agoraphobia and panic disorder will be presented. It will be seen how treatments, dictated by dynamics revealed in case analyses, are correspondingly successful.
The Cognitive Model of anxiety as applied to acute and chronic anxiety, post-traumatic disorders, agoraphobias, panic disorders and simple phobias will be presented.
Cognitive-behavioral strategies include identification and evaulation of dysfunctional cognition, induced imagery, induced panic attacks, and cognitive monitoring of exposure treatment. A videotaped demonstration of the treatment of panic disorders will be shown.