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Family therapy is usually unnecessary and inappropriate.Therapy can also teach relaxation and imagery techniques. These buy cheap runescape gold can be used during a panic attack to decrease immediate physiological distress and the accompanying emotional fears. Discussion of the client irrational fears (usually of dying, passing out, becoming embarrassed) during an attack is appropriate and often beneficial in the context of a supportive therapeutic relationship.
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A cognitive or rational emotive approach in this area is best. A behavioral approach emphasizing graduated exposure to panic inducing situations is most often associated with related anxiety disorders, such as agoraphobia or social phobia. It may or may not be appropriate as a treatment approach, depending upon the client specific issues.
Group therapy can often be used just as effectively to teach relaxation and related skills. Psychoeducational groups in this area are often beneficial. Biofeedback, a specific technique which allows the client to receive either audio or visual feedback about their body physiological responses while learning relaxation skills, is also an appropriate psychotherapeutic intervention.
All relaxation skills and assignments taught in a therapy session must be reinforced by daily exercises on the patient part. This cannot be emphasized enough. If the client is unable or unwilling to complete daily homework assignments in practicing specific relaxation or imagery skills, then therapy emphasizing such skill sets will likely be unsuccessful or less successful.
This proactive approach to change (and the expectations of the therapist that the client will agree to this approach) needs to be clearly explained at the onset of therapy.Typically, the patient undergoing cognitive behavioral therapy meets with a therapist for one to three hours a week. In the cognitive portion of the therapy,
the therapist usually conducts a careful search for the thoughts and feelings that accompany the panic attacks. These mental events are discussed in terms of the model of panic attacks.The cognitive model states that individuals with panic disorder often have distortions in their thinking, of which they may be unaware, and these may give rise to a cycle of fear.
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