Shear M K, Weiner K
Anxiety Disorder Program, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania 15213, USA.
J Clin Psychiatry. 1997;58 Suppl 2:38-43; discussion 44-5.
Although medications and panic-focused cognitive behavior therapy are considered standard treatments for panic disorder, other types of psychotherapy may also be helpful. Many patients with panic disorder have some residual underlying vulnerability, as suggested by the continued occurrence of symptoms. These patients may benefit from a more broad-based psychotherapy, as might those in whom comorbid symptoms occur. Some patients are unable or choose not to participate in a structured prescriptive treatment requiring homework. Our psychotherapeutic approach to treating panic disorder, called emotion-focused treatment, targets identifying and managing negative emotions, especially as they relate to common psychological themes of fear of separation, fear of constriction, and the need for interpersonal control.
尽管药物治疗和针对惊恐障碍的认知行为疗法被视为标准治疗方法，但其他类型的心理治疗可能也有帮助。正如症状持续出现所表明的那样，许多惊恐障碍患者存在一些残留的潜在易感性。这些患者可能会从更广泛的心理治疗中受益，出现共病症状的患者也可能如此。一些患者无法或选择不参与需要做家庭作业的结构化规定治疗。我们治疗惊恐障碍的心理治疗方法，即情绪聚焦疗法，旨在识别和管理负面情绪，尤其是当这些情绪与害怕分离、害怕受限以及人际控制需求等常见心理主题相关时。
