{"id":1643,"date":"2015-06-28T02:16:02","date_gmt":"2015-06-28T02:16:02","guid":{"rendered":"https:\/\/treatmentmaps.net\/?page_id=1643"},"modified":"2015-08-22T22:26:49","modified_gmt":"2015-08-22T22:26:49","slug":"anxiety-and-panic-section-16","status":"publish","type":"page","link":"https:\/\/treatmentmaps.net\/?page_id=1643","title":{"rendered":"Anxiety and Panic Section 16"},"content":{"rendered":"<div style=\"overflow: auto; width: 482px; height: 740px; float: left;\">\n<div style=\"height: 740px;\"><a id=\"anxietymap1a\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2084\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1A.jpg\" alt=\"anx1A\" width=\"450\" height=\"533\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1A.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1A-253x300.jpg 253w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1613\/#anxietymap1a\">1<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1615\/#anxietymap1a\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1617\/#anxietymap1a\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1619\/#anxietymap1a\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1621\/#anxietymap1a\">5<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap1b\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2085\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1B.jpg\" alt=\"anx1B\" width=\"450\" height=\"664\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1B.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1B-203x300.jpg 203w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1619\/#anxietymap1b\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1623\/#anxietymap1b\">6<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1625\/#anxietymap1b\">7<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1627\/#anxietymap1b\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1629\/#anxietymap1b\">9<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1631\/#anxietymap1b\">10<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1635\/#anxietymap1b\">12<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1637\/#anxietymap1b\">13<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1649\/#anxietymap1b\">19<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1659\/#anxietymap1b\">24<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap2\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2086\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx2.jpg\" alt=\"anx2\" width=\"450\" height=\"681\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx2.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx2-198x300.jpg 198w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1617\/#anxietymap2\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1619\/#anxietymap2\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1633\/#anxietymap2\">11<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1639\/#anxietymap2\">14<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1641\/#anxietymap2\">15<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1643\/#anxietymap2\">16<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1647\/#anxietymap2\">18<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1651\/#anxietymap2\">20<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1653\/#anxietymap2\">21<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1657\/#anxietymap2\">23<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1705\/#anxietymap2\">47<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap3\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2087\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx3.jpg\" alt=\"anx3\" width=\"450\" height=\"448\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx3.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx3-150x150.jpg 150w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx3-300x300.jpg 300w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1655\/#anxietymap3\">22<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1705\/#anxietymap3\">47<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap4\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2088\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx4.jpg\" alt=\"anx4\" width=\"450\" height=\"590\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx4.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx4-229x300.jpg 229w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1625\/#anxietymap4\">7<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1655\/#anxietymap4\">22<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1659\/#anxietymap4\">24<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap5\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2089\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx5.jpg\" alt=\"anx5\" width=\"450\" height=\"516\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx5.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx5-262x300.jpg 262w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1637\/#anxietymap5\">13<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1645\/#anxietymap5\">17<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1705\/#anxietymap5\">47<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap6\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2090\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx6.jpg\" alt=\"anx6\" width=\"450\" height=\"659\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx6.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx6-205x300.jpg 205w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1661\/#anxietymap6\">25<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1663\/#anxietymap6\">26<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1665\/#anxietymap6\">27<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1667\/#anxietymap6\">28<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1669\/#anxietymap6\">29<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1671\/#anxietymap6\">30<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1673\/#anxietymap6\">31<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1675\/#anxietymap6\">32<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1677\/#anxietymap6\">33<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1679\/#anxietymap6\">34<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1681\/#anxietymap6\">35<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1683\/#anxietymap6\">36<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1685\/#anxietymap6\">37<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1689\/#anxietymap6\">39<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1693\/#anxietymap6\">41<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1705\/#anxietymap6\">47<\/a><\/div>\n<\/div>\n<div style=\"overflow: auto; width: 458px; height: 740px; float: right;\">\n<strong>16. GENERALIZED ANXIETY DISORDER [GAD]<\/strong><\/p>\n<ul><em>Follows <a title=\"Anxiety and Panic Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=1641\/#anxietymap2\">Section 15<\/a> on Map 2<\/em><\/ul>\n<p><strong>16a. Symptoms and Diagnosis<\/strong><\/p>\n<p>We use this diagnosis to describe a person who has excessive anxiety about a wide range of real or imagined situations or events.<\/p>\n<p>The anxiety is diffuse, and not usually related to specific objects or situations. However, people with this diagnosis may also have simple phobias [which are more focused] and\/or social phobia.<\/p>\n<p>The person may worry about many of the same things as other people: jobs, family, money. He\/she is more likely to worry about sickness and health than other people, as well as general issues, such as being criticized, being anxious, being unable to cope. He\/she is likely to focus on dangerous and threatening situations more than most people do and tend to see them as uncontrollable.<\/p>\n<p>The generally anxious person tends to expect the worst; but the worst seldom happens, and his\/her belief that he\/she has somehow staved off disaster by worrying about it is constantly reinforced.(<a href=\"https:\/\/treatmentmaps.net\/?page_id=1015\/#anxietyref_borkovec01\">Borkovec and Roemer<\/a>, 1996, p. 84)<\/p>\n<p>A person with generalized anxiety may also have a variety of vague and\/or somatic complaints, including-<\/p>\n<ul>\n<li>irritability.<\/li>\n<li>restlessness.<\/li>\n<li>constant vigilance and scanning.<\/li>\n<li>sweating, heart pounding, frequent urination.<\/li>\n<li>chronic fatigue.<\/li>\n<li>difficulty concentrating.<\/li>\n<li>muscle tension.<\/li>\n<li>difficulty sleeping.<\/li>\n<\/ul>\n<p>The pattern of worry and anxiety is chronic, possibly lifelong. The DSM uses a cutoff of six months or more in applying this diagnosis, in part to distinguish it from adjustment reactions. If the person is anxious in the face of time-limited life stresses, it may make sense to place greater emphasis on adaptation or environmental modification strategies than on the treatments typically recommended for generalized anxiety disorder.<\/p>\n<p><strong>16b. Comorbid Conditions<\/strong><\/p>\n<p>Additional issues to watch for include<\/p>\n<ul>\n<li>phobias or social phobia ( <a title=\"Anxiety and Panic Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=1639\/#anxietymap2\">Section 14<\/a> )<\/li>\n<li>panic attacks [ <a title=\"Anxiety and Panic Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=1637\/#anxietymap1b\">Section 13<\/a> ].<\/li>\n<li><u>depression<\/u>. This could happen as a reactive sense of being overwhelmed and helpless in the face of pervasive and catastrophic dangers. Treatment for anxiety could reduce depression as well.<\/li>\n<li>mood disorders.<\/li>\n<li>substance abuse- especially alcohol &#8211; as a form of self-medication.<\/li>\n<li>psychotic disorders.<\/li>\n<li>stress disorder ( see <a title=\"Anxiety and Panic Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=1629\/#anxietymap1b\">Section 9<\/a> ).<\/li>\n<\/ul>\n<p><strong>16c. Treatment Approaches<\/strong><\/p>\n<p>If you see the person&#8217;s anxiety as a pervasive issue that should be treated as primary, or if your goal is to reduce the anxiety as much as possible without delving into deeper issues (<a href=\"https:\/\/treatmentmaps.net\/?page_id=1661\/#anxietymap6\">Section 25<\/a> ), then symptom reduction is the direction of choice.<\/p>\n<p>If you see the anxiety as a whole-person character or personality problem, or if symptom reduction therapy has been ineffective, then psychodynamic therapy may be the treatment of choice (<a href=\"https:\/\/treatmentmaps.net\/?page_id=1661\/#anxietymap6\">Section 25<\/a>)<\/p>\n<p><u>Calming Techniques<\/u><\/p>\n<p>If symptoms are mild, then calming techniques [ <a title=\"Anxiety and Panic Map 6\" href=\"https:\/\/treatmentmaps.net\/?page_id=1663\/#anxietymap6\">Section 26<\/a> ] can be helpful:<\/p>\n<p>However, if the person also has a more intense comorbid condition, you should probably avoid the relaxation therapies, as the procedure may lead to an increase in symptoms &#8211; flashbacks, for instance &#8211; without an effective approach for processing them. This could in turn cause the person to think that the therapy is making things worse, and lead him\/her to abandon treatment.<\/p>\n<p><u>Exposure Techniques<\/u> are in general probably not helpful for GAD, because it is difficult to find specific situations or objects to focus on.<\/p>\n<p><u>Cognitive Treatment,<\/u> which focuses on thinking, beliefs and attitudes, can be of value. Borkovec and Roemer outline a cognitive approach for GAD that applies coping strategies to stresses produced in-session (See <a href=\"https:\/\/treatmentmaps.net\/?page_id=1663\">Section 26<\/a>).<\/p>\n<p><u>Psychodynamic Therapy<\/u><\/p>\n<p>It may be helpful to look at some of the following issues within a psychodynamic context:<\/p>\n<ul>\n<li>history of trauma in childhood, leading to poor coping skills or expectations of danger.<\/li>\n<li>poor tolerance of ambiguity and uncertainty.<\/li>\n<li>difficulty determining when a situation is safe &#8211; which can lead to a need for constant vigilance (<a href=\"https:\/\/treatmentmaps.net\/?page_id=1015\/#anxietyref_mineka01\">Mineka and Zinbarg<\/a>, 2006).<\/li>\n<li>belief that worry helps avoid dangers (Mineka and Zinbarg, 2006).<\/li>\n<li>superstitiousness.<\/li>\n<li>attempts to control one&#8217;s thoughts.<\/li>\n<li>incomplete processing of the situations worried about.<\/li>\n<\/ul>\n<p><strong>16d. Diagnosis<\/strong><br \/>\nFor formal reports and third party payers, use 300.02 with DSM IV and ICD-9-CM. Use F41.1 for ICD-10-CM and DSM V.<\/p>\n<p><strong>16e. Adjunctive Treatment<\/strong><\/p>\n<p><u>With Cognitive or Psychodynamic Therapy as Primary<\/u><\/p>\n<p>Calming techniques [ <a title=\"Anxiety and Panic Map 6\" href=\"https:\/\/treatmentmaps.net\/?page_id=1663\/#anxietymap6\">Section 26<\/a> ], such as <u>relaxation techniques<\/u> or <u>autogenic training<\/u> can be helpful in reducing the person&#8217;s overall level of arousal, as well as giving the person a greater sense of control over his\/her thoughts and emotions. (Linden and Lenz, 1997, p. 141] With greater control, a person can find variations in his\/her experience of anxiety, providing greater opportunity for cognitive or psychodynamic work. (<a href=\"https:\/\/treatmentmaps.net\/?page_id=1015\/#anxietyref_linden01\">Linden and Lenz<\/a>, 1997, p. 142; <a href=\"https:\/\/treatmentmaps.net\/?page_id=1015\/#anxietyref_lehrer01\">Lehrer and Carr<\/a>, 1997, p. 84)<\/p>\n<p>If there are no associated panic attacks, an <u>exercise program<\/u> can also be helpful as an adjunct. If the person also has panic attacks, exercise may lead to the kind of internal stimuli that symbolize a panic attack, and possibly even bring one on.<\/p>\n<p><u>With All Approaches<\/u><\/p>\n<p>For some patients, adjunctive treatment ( <a title=\"Anxiety and Panic Map 6\" href=\"https:\/\/treatmentmaps.net\/?page_id=441\/#anxietysection30\">Section 30<\/a> ) with an SSRI may be helpful (<a href=\"https:\/\/treatmentmaps.net\/?page_id=1015\/#anxietyref_preston01\">Preston, O&#8217;Neal and Talaga<\/a>, 2002, p. 104)<\/p>\n<\/div>\n<div style=\"overflow: auto; width: 458px; float: right;\"><div class=\"divider\" style=\"margin-bottom:10px;border-bottom-width:1px\"><\/div>\n<a href=\"http:\/\/www.treatmentmaps.com\/topics\/anxiety-panic\/\" target=\"_blank\"><strong>CLICK HERE TO MAKE COMMENTS OR SUGGESTIONS<\/strong> <\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>ANXIETY AND PANIC MAPS: 1A | 1B | 2 | 3 | 4 | 5 | 6 SECTIONS: 1 | 2 | 3 | 4 | 5 ANXIETY AND PANIC MAPS: 1A | 1B | 2 | 3 | 4 | 5 | 6 SECTIONS: 4 | 6 | 7 | 8 | 9 | &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":427,"menu_order":16,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-1643","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1643","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1643"}],"version-history":[{"count":9,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1643\/revisions"}],"predecessor-version":[{"id":2552,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1643\/revisions\/2552"}],"up":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/427"}],"wp:attachment":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1643"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}