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Sandra Coleman posted Mar 1, 2023 3:56 PM
According to Perese (2012) panic disorder is present when panic attacks are recurrent in nature and the diagnosed individual has overwhelming concern for future attacks which leads to avoidance of any situation that may trigger an attack. While there are many pharmacotherapy options to treat or mitigate the symptoms of a panic attack, Cognitive-Behavioral Therapy (CBT) in one of most known and effective psychotherapies for treating panic disorder and anxiety related symptoms (Broman-Fulks et al, 2023).
CBT works by restructuring response to anxiety inducing stimuli by helping the patient to relearn positive adaptive responses to anxiety inducing triggers (Broman-Fulks, 2023). Patients who experience panic attacks often experience physical symptoms of chest tightness, difficulty breathing, and dizziness (Perese, E., 2012). The physical symptoms often cause the patient to seek medical assistance fearing that they are having a heart attack or other physical illness (Perese, E., 2012). According to Perese (2012), the physical response can lead to the patient to develop fear about future attacks. In CBT, psychoeducation is given to explain the physical symptoms of the panic attack to start reducing the fear and anxiety about the attack and in future attacks (Perese, E., 2012). Patients are also taught to retrain their breathing to avoid hyperventilation in future attacks and journal about their panic attacks by keeping a daily diary on their thoughts of what caused the attack and responses (Perese, E., 2012). When fear and anxiety are reduced that can help the patient avoid feelings of terror that could present if panic attacks are left unchecked. CBT works on the patientâs emotional response by using cognitive restructuring to help the patient consider other explanations or evidence for symptoms that do not lead to terrifying event that the patient currently anticipates as outcome (Perese, E., 2012). Patients who suffer avoidance related panic disorder are exposed to known triggers to help them develop a more positive response and eliminating the need to avoid situations previously known to trigger an attack (Perese, E., 2012).
References:
Broman-Fulks, J. J., Bergquist, J. J., Hall, C. A., Thomas, K., & Kelso, K. C. (2023). Incremental Validity of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy for Anxiety and Panic Symptomology. Journal of Psychotherapy, 37(1) 43-62. https://doi-org.wilkes.idm.oclc.org/10.1891/JCPSY-D-20-00056
Perese, E. F. (2012), Psychiatric Advanced Practice Nursing: A Biopsychosocial Foundation for Practice.Sandra Coleman posted Mar 1, 2023 3:56 PM
respond to this post Sandra Coleman posted Mar 1, 2023 3:56 PM According to Pere
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