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(p. 35) Session 1 

(p. 35) Session 1
Chapter:
(p. 35) Session 1
Author(s):

Michael W. Otto

and Mark H. Pollack

DOI:
10.1093/med:psych/9780195338546.003.0003
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date: 25 January 2021

Chapter 3 outlines the first treatment session in the stopping anxiety medication (SAM) program. This session aims to introduce the client to the patient to a cognitive-behavioral model for panic disorder and its treatment. Information is provided on confidentiality, and ways to involve partners in treatment. The behavioral model of panic disorder is outlined, including alarm reactions, cognitive reactions, the self-perpetuating cycle, agoraphobia avoidance, anticipatory anxiety. Mechanisms by which pharmacological treatments work are discussed, along with emergence of symptoms with medication discontinuation.

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