Despite the enormous progress in the pharmacological and
cognitive-behavioral treatments of panic disorder over the last 30
years, these treatments often provide only temporary or partial
relief and many patients continue to experience persistent anxiety
symptoms after the discontinuation of treatment. Substantial
evidence exists that intrapsychic conflict and characterological
features play a central role in the genesis and onset of panic
disorder as well as the frequency of relapse after the termination
of treatment. Many clinicians believe that psychodynamic
psychotherapy is the best-suited approach to address these issues.
Based on extensive clinical experience and written by distinguished
experts in the field, the Manual of Panic-Focused Psychodynamic
Psychotherapy is the first manual to comprehensively examine the
usefulness of exploratory psychotherapy in the treatment of panic
disorder. It suggests that psychodynamic approaches can aid both
psychopharmacological and cognitive-behavioral treatments and can
often resolve panic symptoms in many patients when used as the sole
treatment modality. The authors catalog psychological factors
commonly present in panic disorder patients and describe how to
address them within a psychodynamic psychotherapy. A wealth of
clinical vignettes and a complete case example illustrate the
psychodynamic approach to this disorder. Other treatment issues
including defense mechanisms, transference, termination of
treatment, and the use of this method in conjunction with other
therapeutic approaches are also covered.
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