The Diagnosis and Treatment of Panic Disorder in Alcoholics: Three Cases

Baron, David H.; Sands, Brian F.; Ciraulo, Domenic A.; Shader, Richard I.

doi:10.3109/00952999009001590

Cited by 10 publications

(2 citation statements)

References 14 publications

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“…Quitkin and co-workers [23] found limited improvement in five patients' anxiety symptoms and alcohN use with imipramine treatment. Baron et al [32] found three alcoholics with panic disorders whose symptoms were alleviated with clonazepam. Brady el al.…”

Section: Mechanisms Of Alcohol Abuse and Dependence And Anxiety Disormentioning

confidence: 99%

Management of co‐morbid anxiety and alcohol disorders: parallel treatment of disorders

Oei¹,

Loveday²

1997

Drug and Alcohol Review

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Co-morbid alcohol-related disorders and anxiety disorders have been found to occur in alcohol treatment populations, anxiety treatment populations and the general community. People suffering from co-occurring alcohol-related and anxiety disorders are more prone to relapse to alcohol abuse, and more likely to re-enter the treatment system for either disorder than sufferers of either disorder without a co-morbid disorder. To review the current state of the management of this disorder, evidence of the prevalence of this co-morbid condition in clinical and community populations is examined, then the theoretical mechanisms that might explain this connection are reviewed. A comparison of the few treatment studies of co-morbid alcohol and anxiety disorders shows a limited number of pharmacological treatment trials and no psychotherapy outcome trials. This review shows that it is no longer sustainable to conceptualize co-morbidity of alcohol and anxiety disorders as a unitary concept, i.e. lumping alcohol-related and anxiety disorders as one global condition, but as separate distinct combinations of particular anxiety disorders, e.g. alcohol dependence and panic disorder, alcohol dependence and generalize anxiety disorder. The recommended treatment approach, supported by the evidence, is to offer separate and parallel therapy for the alcohol-related and anxiety disorder, until empirical evidence from treatment outcome studies suggest otherwise. There is an urgent need to conduct treatment outcome research for the subtypes of co-morbid alcohol and anxiety disorders.

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Section: Mechanisms Of Alcohol Abuse and Dependence And Anxiety Disormentioning

confidence: 99%

Management of co‐morbid anxiety and alcohol disorders: parallel treatment of disorders

Oei¹,

Loveday²

1997

Drug and Alcohol Review

View full text Add to dashboard Cite

show abstract

“…However, better tests may become available. In addition, a nascent literature suggests that physiologic challenge with sodium lactate infusion (Baron et al 1990;Cowley et al 1989;George et al 1989) may have promise for identifying panic disorder in alcoholics.…”

Section: Future Directionsmentioning

confidence: 99%