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 |

The Cause and Treatment of Agoraphobia-Reply

Donald F. Klein, MD
Arch Gen Psychiatry. 1988;45(4):389-392. doi:10.1001/archpsyc.1988.01800280107017.
Text Size: A A A
Published online

Reply.—  Lelliott and Marks make the following points: 1. First, they claim there are no "systematic" data to indicate that, with drug treatment, panic improves before avoidance. The fact that panic decreases before avoidance in a treatment situation that does not emphasize exposure seemed so glaringly obvious that we did not address this point. However, extensive clinical data indicate that, during drug treatment, panic often disappears while avoidance remains.1 Furthermore, systematic data indicate such a sequence.2 Even Marks3 states: "Once agoraphobics have few spontaneous panics or are comfortable away from their phobic situations, it becomes easier to go out repeatedly to try and conquer their fears."3(p345) 2. In their letter, Lelliott and Marks state that "using Klein's panic scale, Marks et al4 found that panic began to improve after avoidance during exposure." The reference to the Klein et al scale is confusing. Marks et al

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

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.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
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();