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 |

Panic Attacks in Phobia Treatment Studies-Reply

Donald F. Klein, MD
Arch Gen Psychiatry. 1983;40(10):1151-1152. doi:10.1001/archpsyc.1983.01790090113024.
Text Size: A A A
Published online

ABSTRACT

In Reply.—  Dr Marks acknowledged that a substantial proportion of his agoraphobic patients, following improvement during exposure treatment, still had active panic disorder. Although his scale defined what proportion of the patients no longer had any spontaneous panic attacks, he did not reply to Dr Grunhaus' request for this information.Dr Marks asserted that the handicap in agoraphobia is due to phobic avoidance; however, these patients also complain bitterly about their panic attacks, crave relief, and experience exacerbations of their avoidant patterns with recurrent panic attacks. The idea that the first priority is to remove behaviorally the avoidant patterns seems misguided to us, since the panic attacks can be regularly and entirely alleviated by appropriate pharmacologic intervention. The addition of imipramine in our studies markedly improved behavioral treatment. Dr Marks' treatment strategy depends on his belief that pharmacologic interventions with spontaneous panic attacks are useless.Each practitioner should decide the weight of

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

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also 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.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
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();