Successful Psychoanalytic Treatment in a Young Woman with Panic Disorder and Specific Phobia

Anxiety disorders are the most common psychiatric disorders among adults in the United States. Although anxiety disorders generally result in significant psychosocial impairment, most adults do not seek treatment until many years after the onset of the anxiety disorder. The treatment literature for anxiety disorder has grown tremendously since the 1980s, and both psychotherapy and medications may prove beneficial for people with anxiety disorders. This review presents a general overview of the anxiety disorders. This review contains 7 tables, and 33 references. Key words: agoraphobia, anxiety disorder, generalized anxiety disorder, panic disorder, separation anxiety disorder, social anxiety disorder, specific phobia, treatment of anxiety

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Affective Styles in Panic Disorder and Specific Phobia: Changes Through Cognitive Behavior Therapy and Prediction of Remission

Behavior Therapy ◽

10.1016/j.beth.2019.06.006 ◽

2020 ◽

Vol 51 (3) ◽

pp. 375-385

Author(s):

Christina Totzeck ◽

Tobias Teismann ◽

Stefan G. Hofmann ◽

Ruth von Brachel ◽

Xiao Chi Zhang ◽

...

Keyword(s):

Panic Disorder ◽

Behavior Therapy ◽

Cognitive Behavior Therapy ◽

Specific Phobia ◽

Cognitive Behavior

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Pharmacological Treatments for Panic Disorder, Generalized Anxiety Disorder, Specific Phobia, and Social Anxiety Disorder

10.1093/med:psych/9780199342211.003.0015 ◽

2015 ◽

Cited By ~ 2

Author(s):

Ryan J. Kimmel ◽

Peter P. Roy-Byrne ◽

Deborah S. Cowley

Keyword(s):

Anxiety Disorder ◽

Social Anxiety ◽

Panic Disorder ◽

Generalized Anxiety Disorder ◽

Social Anxiety Disorder ◽

Selective Serotonin Reuptake Inhibitors ◽

Specific Phobia ◽

Generalized Anxiety ◽

Pharmacological Treatments ◽

First Line

Selective serotonin reuptake inhibitors (SSRIs) are the first-line pharmacological treatment for panic disorder based on their low rate of side effects, lack of dietary restrictions, and absence of tolerance. SSRIs and venlafaxine are attractive first-line treatments for social anxiety disorder. Pharmacological treatments of choice for generalized anxiety disorder are buspirone and antidepressants, including SSRIs and venlafaxine. Benzodiazepines, although effective for all these disorders, lack efficacy for comorbid depression and carry the risk of physiological dependence and withdrawal symptoms. Their greatest utility seems to be as an initial or adjunctive medication for patients with disabling symptoms requiring rapid relief and for those unable to tolerate other medications. Chronic treatment with benzodiazepines is generally safe and effective but should probably be reserved for patients nonresponsive or intolerant to other agents. Larger trials are necessary to determine whether pharmacological agents might be useful as monotherapies, or adjuncts to exposure psychotherapy, for specific phobia.

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Psychoanalytic Treatment of a Woman With Anxiety Attacks and Conversion

CNS Spectrums ◽

10.1017/s1092852900012372 ◽

1999 ◽

Vol 4 (10) ◽

pp. 61-66

Author(s):

David Goldstein

Keyword(s):

Young Woman ◽

Clinical Supervision ◽

Critical Junctures ◽

Psychoanalytic Treatment

AbstractThis case study describes the psychoanalytic treatment of a young woman presenting with symptoms of overwhelming anxiety, panic, and conversion. The emphasis is on technique with detailed reporting on the psychoanalytic process. Attention is paid to transference-countertransference paradigms at critical junctures in the treatment. The role of clinical supervision in the unfolding of the process is described also. This patient developed an identifiable transference neurosis during the course of the treatment, which became the focus of the analysis. Follow-up observations on this patient are also presented, as she returned for a brief course of treatment 4 years following initial termination.

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Anxiety Symptoms

Understanding the Emotional Disorders ◽

10.1093/med:psych/9780199301096.003.0008 ◽

2017 ◽

pp. 206-231

Author(s):

David Watson ◽

Michael W. O’Hara

Keyword(s):

Anxiety Disorder ◽

Social Anxiety ◽

Panic Disorder ◽

Social Phobia ◽

Convergent Validity ◽

Discriminant Validity ◽

Specific Phobia ◽

Incremental Validity ◽

Self Report ◽

Symptom Measures

This chapter reviews the convergent, discriminant, criterion, and incremental validity of symptoms of the DSM-5 anxiety disorders; these include panic disorder, agoraphobia, social anxiety disorder/social phobia, specific phobia, and generalized anxiety disorder (GAD). Symptom measures of social anxiety/social phobia, panic disorder, claustrophobia, and GAD generally displayed impressive construct validity in these data. Specifically, they tended to show strong convergent validity and significant discriminant validity across both self-report and interview-based measures; moreover, they displayed substantial criterion validity and impressive incremental validity in relation to conceptually linked DSM diagnoses. One problem, however, is that they generally showed poor diagnostic specificity; that is, although they correlated substantially with their target diagnoses, they often displayed equally strong relations with at least some other internalizing disorders. In contrast, self-report measures of agoraphobia and specific phobia (particularly the latter) generally exhibited unimpressive criterion and incremental validity in these analyses.

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Functional Neurocircuitry and Neuroimaging Studies of Anxiety Disorders

Neurobiology of Mental Illness ◽

10.1093/med/9780199934959.003.0045 ◽

2013 ◽

pp. 606-620

Author(s):

Madeleine S. Goodkind ◽

Anett Gyurak ◽

Amit Etkin

Keyword(s):

Posttraumatic Stress Disorder ◽

Emotion Regulation ◽

Anxiety Disorder ◽

Panic Disorder ◽

Anxiety Disorders ◽

Emotional Reactivity ◽

Specific Phobia ◽

Generalized Anxiety ◽

Cognitive Responses ◽

Anxiety And Fear

Anxiety and fear serve adaptive functions and include wide-ranging subjective, physiological, behavioral, and cognitive responses. When these reactions are present chronically, and to a heightened degree that generalizes to signals beyond those that are objectively dangerous, one sees emergence of clinical anxiety disorders. Historically, anxiety disorders have been conceptualized as disruptions in fear processing, though more recent accounts also highlight changes in emotional reactivity beyond fear and deficits in emotion regulation. In this chapter, we review the neural circuitry relevant for fear processing and for emotional reactivity and regulation more broadly. We then review neuroimaging studies of social anxiety disorder, specific phobia, generalized anxiety disorder, panic disorder, and posttraumatic stress disorder. We highlight areas of overlap between disorders as well as disorder-specific perturbations.

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