Waxman D
J Int Med Res. 1977;5(1 Suppl):24-31.
The problem of phobic anxiety is viewed in the context of the entire area of mental illness and of its epidemiology in the general population. The importance of the diagnosis of depression in phobic patients and its simultaneous treatment is emphasized. Psychotherapeutic and psychopharmacological methods are discussed and some results of recent trials of clomipramine (Anafranil) are reported. The author concludes that for the successful outcome of treatment an eclectic approach must be considered. The combination of behavioural techniques of desensitization along a hierarchy of anxiety-provoking situations, together with psychotherapeutic support and the simultaneous exhibition of the more specific antidepressant and antiphobic preparation clomipramine would offer the best hope of symptom relief.
恐惧焦虑问题是在精神疾病的整个领域及其在普通人群中的流行病学背景下看待的。强调了对恐惧症患者进行抑郁症诊断及其同时治疗的重要性。讨论了心理治疗和心理药理学方法，并报告了氯米帕明（安拿芬尼）近期试验的一些结果。作者得出结论，为了治疗取得成功，必须考虑采用折衷方法。沿着引发焦虑的情境层次进行脱敏的行为技术，与心理治疗支持以及同时使用更具特异性的抗抑郁和抗恐惧制剂氯米帕明相结合，将为缓解症状提供最大希望。
