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Biomedical subjects

B Gitlin

Publications and source records attributed to B Gitlin.

3 recordsLinked to original sources

Vulnerability to sodium lactate in panic disorder patients given cognitive-behavioral therapy.

Six patients with panic disorder who had panicked during sodium lactate infusion were given cognitive-behavioral treatment for 12-24 weeks. After treatment they underwent another lactate infusion, and four patients were rates as having no panic, suggesting that reduced vulnerability to lactate accompanies remission of panic. Controlled trials of cognitive-behavioral therapy and use of lactate infusion as a measure of remission are recommended.

Adolescent

Behavior therapy for panic disorder.

Eleven patients who met DSM-III criteria for panic disorder were treated with behavior therapy techniques. Seven patients had mixed phobic avoidance and none were agoraphobic; three had no phobic symptoms. Mean duration of symptoms was 3.4 years. Treatment lasted a mean of 14 weeks and consisted of 1) education about physiology and management of panic symptoms; 2) relaxation, abdominal breathing, and cognitive anxiety management skills; and 3) imaginal and in vivo exposure. Upon termination of treatment, 10 of 11 patients were panic-free and six of seven mixed phobics showed complete remission or significant improvement of phobias. Follow-up data revealed excellent stability of remission. Clinical implications for the use of behavior therapy for panic disorder and directions for future research are discussed.

Adult

Behavior therapy of anxiety disorders: motivating the resistant patient.

The authors discuss several psychotherapy techniques that mix well and are often indispensable adjuncts in the behavioral therapy of treatment-resistant anxiety-disorder patients. These include psychoeducation, family therapy, psychodynamic interpretations, paradoxical injunctions, and assertiveness training. Multimodal approaches are often indicated with patients who would otherwise not tolerate exposure treatment.

Adult