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(p. 71) Negative Cycles of Panic and Agoraphobia 

(p. 71) Negative Cycles of Panic and Agoraphobia
Chapter:
(p. 71) Negative Cycles of Panic and Agoraphobia
Author(s):

Michelle G. Craske

, and David H. Barlow

DOI:
10.1093/med-psych/9780197584057.003.0006
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date: 21 May 2022

This chapter focuses on the importance of helping clients understand the negative cycles that contribute to panic attacks and agoraphobia. In addition to being informative, the therapist should give corrective feedback and facilitate the client’s discovery of the pattern of influences across thoughts, behaviors, and physiology, as well as the sequence of events that typify panic attacks and episodes of anxiety. A theme that the therapist will introduce here—and that is central to the entire treatment—is that anxiety and fear are not “all bad.” The purpose of fear and anxiety is to prepare the body and mind to deal with threat. By learning to differentiate between anxiety and fear (panic) on the basis of accurate descriptions of the response components that typically exemplify the respective states, clients acquire even more objective self-awareness and enhance their role as a behavioral scientist of their own reactions. The chapter then looks at the Step-by-Step Analysis of Panic Attack form. Step-by-step analysis is a method of identifying response components and the ways in which they cycle and influence each other.

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