0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Phobic Anxiety Syndrome Complicated by Drug Dependence and Addiction:  A Treatable Form of Drug Abuse

Frederic M. Quitkin, MD; Arthur Rifkin, MD; Joel Kaplan, MD; Donald F. Klein, MD
Arch Gen Psychiatry. 1972;27(2):159-162. doi:10.1001/archpsyc.1972.01750260013002.
Text Size: A A A
Published online

The evidence of the efficacy of antidepressants in the treatment of the "phobic anxiety syndrome" is reviewed. This syndrome, characterized by panic attacks, subsequent development of anticipatory dread and consequent emergence of phobias, is seen most often in the patient with evidence of having been a fearful dependent child with a great deal of separation anxiety and the patient with some type of endocrine imbalance. A malignant complication of this synarome is the abuse of sedatives and alcohol. We view this form of drug abuse as an incorrect attempt at self-medication whereas proper psychopharmacologic treatment with imipramine is enormously helpful. The clinical courses of two groups of patients followed from six months to three years are compared. The patients on imipramine did well and did not return to drug or alcohol abuse, but those not maintained on imipramine tended to return to drug abuse, were rehospitalized, and responded poorly to ECT and phenothiazines.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();