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a case presentation
DEMOGRAPHICS
CLINICAL HISTORY
• What
Fortyattack
First five
does years
15 years
Johnago ago
think
• Alcoholism
Highofschool principal
his attacks?
• Anxiety
Father ofClinic
three
Axis I:
300.21 Panic disorder with agoraphobia
Axis II:
No diagnosis on axis II DMS-IV-TR Diagnosis
Based on:
Axis III: 2)Anxiety about
None situations/events
Axis IV: 3)Avoidance of these
situations/events
Relocation to new state, job change, stressful
work schedule 4)Anxiety not better accounted
for by another disorder!
Axis V:
Global assessment of functioning = 58
Genetic factors
Social Factors
Etiology of Panic Disorder
Physiological Factors
with Agoraphobia
Cognition (personality)
Life Events “Fear of Fear” Hypothesis
Behavioral Factors
Exposure treatment
Cognitive behavioral treatment
Panic Control Treatment (PCT)
Situational exposure
(with relaxation technique)