Mastery of Your Anxiety and Panic : Therapist Guide for Anxiety, Panic, and Agoraphobia

by Michelle G. Craske; David H. Barlow

• ISBN13: 9780158132310
• ISBN10: 0158132319
• Edition: 3rd
• Format: Paperback
• Copyright: 2000-06-01
• Publisher: Psychological Corp

Summary

MAP-3 is a systematic cognitive-behavioral program, which uses behavioral self-monitoring to increase awareness of circumstances that trigger panic symptoms. Clients learn specific intervention skills, including how to slow down physiological reactivity through breathing retraining and muscle relaxation training; how to decatastrophise through actual prediction testing; and how to lessen fearfulness through exposure to feared sensations in safe settings.

MAP-3 program revisions result from feedback from skilled clinicians who have used the MAP-II program as a clinical tool for treating anxiety, panic, and agoraphobia. Revisions reflect the most cutting-edge knowledge and empirical findings.

The new MAP-3 program offers a deeper exploration of the origins of anxiety and panic and an explanation of how the physiology of breathing affects symptoms and treatment. MAP-3 includes recent findings on the integration of medication and treatment, particularly the enduring effect of the MAP-3 program, and has more explanations of the interrelationship of thoughts and

Table of Contents

Preface	vii
About the Authors	viii
Acknowledgments	ix
Introduction	1	(10)
Development of a New Treatment for Panic Attacks	1	(5)
Panic Control Treatment	1	(1)
Efficacy of Panic Control Treatment	1	(4)
Efficacy of Cognitive--Behavioral Treatment for Agoraphobia	5	(1)
Dismantling of Tratments for Panic and Agoraphobia	6	(1)
Cost-Effectiveness of Treatments for Panic and Agoraphobia	6	(1)
Psychological and Pharmacological Treatments for Panic and Agoraphobia	7	(4)
Structure of the MAP--3 and Practical Issues for Its Implementation	11	(10)
Structure of the Program	11	(1)
Practical Issues	12	(9)
Practical Issues for Participation	12	(1)
Who Will Benefit From This Program?	12	(1)
What If Other Problems Are Present?	13	(1)
Medication	14	(1)
Does Every Client Require the Entire Program?	15	(1)
Practical Issues for Using the MAP--3 Client Workbooks	15	(1)
Who Should Read Which Chapters?	15	(1)
Benefits of Using a Workbook	16	(1)
Practical Issues for Administration	17	(1)
Who Should Administer the MAP-3 Program?	17	(1)
Group Versus Individual Sessions	18	(1)
Frequency of Sessions	18	(3)
Nature of Panic Disorder and Agoraphobia	21	(12)
Features of Panic Disorder and Agoraphobia	21	(2)
Factors Contributing to Panic Disorder	23	(7)
Psychobiological Conceptualization	23	(1)
Psychological Vulnerability Factors	23	(1)
Initial Panic Attacks	24	(1)
Maintenance Factors	25	(2)
Development of Agoraphobia	27	(1)
Nocturnal Panic	28	(1)
Types of Panic Attacks	28	(2)
Assessment of Panic Disorder and Agoraphobia	30	(3)
Outline of Treatment Procedures and Basic Principles Underlying Treatment	33	(16)
Treatment Targets	34	(1)
Treatment Components	35	(4)
Breathing Retraining and Progressive Muscle Relaxation	35	(1)
Cognitive Therapy	36	(1)
Exposure Therapy	37	(2)
Therapeutic Mechanisms	39	(3)
Habituation	39	(1)
Extinction	39	(1)
Self-Efficacy and Control	40	(1)
Cognitive Shift	41	(1)
Emotional Processing	41	(1)
Important Treatment-Related Concepts	42	(5)
Outline of the Therapist Guide	47	(2)
Panic Attacks: What Are They and Where Do They Come From?	49	(8)
How To Take Charge by Tracking	57	(6)
Why Doesn't It Go Away?	63	(8)
Why Panic Attacks Are Not Harmful	71	(8)
Taking Charge of Your Body	79	(6)
More Taking Charge of Your Body	85	(4)
Taking Charge of Your Mind as Well as Your Body	89	(8)
Blowing Things Out of Proportion	97	(6)
Facing the Fear	103	(12)
Facing the Fear---Out There	115	(8)
More of Facing the Fear	123	(6)
Facing the Fear---Alone and Away From Home	129	(6)
Medications: What They Do, Their Best Use, Stopping Them	135	(4)
Recognizing Accomplishments and Planning for the Future	139	(6)
Introduction to Agoraphobia Treatment	145	(2)
Whats and Whys of Agoraphobia	147	(4)
Preparing To Face Your Fear---Alone and Away From Home	151	(6)
Taking Control of Scary Thoughts---Alone and Away From Home	157	(6)
Taking the Plunge	163	(8)
Troubleshooting and Extending	171	(6)
Involving Others	177	(6)
Medications and the Future	183	(6)
References	189	(8)
Additional Readings	197