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Old 08-24-2011
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Default panic attack sec to specific phobia

ihave a q in uw for panic attack for specific phobia he ask what is most effective rx
the answer is systematic desensitization

confusing me this q it is panic disorder we should rx with ssri or alprazolam

??????????
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Old 08-24-2011
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Originally Posted by miss patho View Post
ihave a q in uw for panic attack for specific phobia he ask what is most effective rx
the answer is systematic desensitization

confusing me this q it is panic disorder we should rx with ssri or alprazolam

??????????
i saw that too....but phobia to one thing is always managed by desensitization....When u think alprazolam thats for acuta panic disorders and SSRi is never used acutely...
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Old 08-24-2011
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i saw that too....but phobia to one thing is always managed by desensitization....When u think alprazolam thats for acuta panic disorders and SSRi is never used acutely...
so y not ssri ??and they didnt put in the choices ssri that y

i know about alprazolam for acute and this patient had chronic condition
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Old 08-24-2011
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For specific phobias treatment of choice is Exposure Therapy which includes systemic desensitization & flooding. Pharmacotherapy is of no use.
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Originally Posted by step1an View Post
For specific phobias treatment of choice is Exposure Therapy which includes systemic desensitization & flooding. Pharmacotherapy is of no use.
she had panic attack (palpation and chest pain and sweeting ...... sec to phobia )
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Old 08-24-2011
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Panic attacks with or with out agoraphobia can be managed by Pharmacotherapy or Cognitive behavior therapy or their combination.

For more details..
http://www.aafp.org/afp/2005/0215/p733.html
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Old 08-24-2011
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Originally Posted by miss patho View Post
she had panic attack (palpation and chest pain and sweeting ...... sec to phobia )
yea but its the word specific that sets it apart..and you use desensitization...When its panic attack not defined as a specific phobia you can use meds....the course provided by the link above is explains it really well...

Since specific phobias arent disabling because the person doesnt have that exposure all the time..Its incorrect to use long term meds for something specific when desensitization of that thing can accomplish a treatment..
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