Psychotherapy is a discipline very uneven, and there are dozens of forms of individual psychotherapy, family, couple and group. In the treatment of panic disorder with or without agoraphobia and anxiety disorders in general, the form of psychotherapy that scientific research has shown to be more effective in the shortest time possible, is that "cognitive-behavior."
This is a short-term psychotherapy, usually twice a week, in which the patient plays an active role in solving your problem and, together with the therapist focuses on learning the ways of thinking and behavior more functional in order to break the vicious cycle of panic.
For panic and agoraphobia, a cure based on cognitive is highly recommended and grade.
The drug treatment of panic attacks and dell'agorafobia, as often advisable (at least as the only treatment), is based primarily on two classes of drugs: antidepressants and benzodiazepines, often used in combination. In mild forms the prescription of benzodiazepines alone may be sufficient. The molecules used are alprazolam, the etizolam, clonazepam, lorazepam. Such drugs, however, in case of panic attacks and agoraphobia, are likely to give highly addictive and maintain the disorder, especially if you do not make a parallel cognitive behavioral psychotherapy. Antidepressants have been shown effective for panic and agoraphobia tricyclics - TCA - (clorimipramina eg, imipramine, desimipramina), mono amino oxidase inhibitors inhibitors (MAOIs) and selective serotonin reuptake inhibitors - SSRIs - (eg citalopram , escitalopram, paroxetine, fluoxetine, fluvoxamine, sertraline).
This class has, compared to previous, better handling and fewer side effects.
In cases of panic attacks and agoraphobia who do not respond to SSRIs, the TCA can be used, although many clinicians use these molecules as therapy of first use. MAOIs, although very effective drugs, are almost completely fallen into disuse for serious side effects that may occur if there is the association of certain molecules or failure to follow prescribed dietary restrictions.
This is a short-term psychotherapy, usually twice a week, in which the patient plays an active role in solving your problem and, together with the therapist focuses on learning the ways of thinking and behavior more functional in order to break the vicious cycle of panic.
For panic and agoraphobia, a cure based on cognitive is highly recommended and grade.
The drug treatment of panic attacks and dell'agorafobia, as often advisable (at least as the only treatment), is based primarily on two classes of drugs: antidepressants and benzodiazepines, often used in combination. In mild forms the prescription of benzodiazepines alone may be sufficient. The molecules used are alprazolam, the etizolam, clonazepam, lorazepam. Such drugs, however, in case of panic attacks and agoraphobia, are likely to give highly addictive and maintain the disorder, especially if you do not make a parallel cognitive behavioral psychotherapy. Antidepressants have been shown effective for panic and agoraphobia tricyclics - TCA - (clorimipramina eg, imipramine, desimipramina), mono amino oxidase inhibitors inhibitors (MAOIs) and selective serotonin reuptake inhibitors - SSRIs - (eg citalopram , escitalopram, paroxetine, fluoxetine, fluvoxamine, sertraline).
This class has, compared to previous, better handling and fewer side effects.
In cases of panic attacks and agoraphobia who do not respond to SSRIs, the TCA can be used, although many clinicians use these molecules as therapy of first use. MAOIs, although very effective drugs, are almost completely fallen into disuse for serious side effects that may occur if there is the association of certain molecules or failure to follow prescribed dietary restrictions.
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