雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A Case of Panic Disorder Who had been Unable to Go Out for More Than Ten Years Because of Agoraphobia Masatoshi IKEDA 1 , Tatsuo TAKEUCHI 1 1Department of Psychiatry, Ichihara Hospital, Teikyo University School of Medicine Keyword: Panic disorder , Agoraphobia , Housebound , Family dynamics , Inpatient treatment pp.517-525
Published Date 2000/5/15
DOI https://doi.org/10.11477/mf.1405902223
  • Abstract
  • Look Inside

 Investigating the factors of the longevity of symptoms and the therapeutic process, we reported a case of panic disorder who had been unable to go out for more than ten years because of agoraphobia. Her first panic attack occurred when she was 44 years old, followed by agoraphobia and cardiophobia. Her phobias were so severe that she finally became bedridden and could not take a bath or even go to toilet. She managed her excretions in the bed and asked a housekeeper to clean her up.

 After ten years of being in such a situation, she was admitted to hospital at the age of 55. Her panic attacks were well controlled by 75 mg of imipramine, 2.4 mg of alprazolam and 30 mg of propranolol, and the activities of her daily life began to improve soon after the admission.

 However, the behavioral therapy with an anxiety hierarchy broke down half-way through. It was suspected that her marital problems had been related to her long-term symptoms and resistance against the therapy. For this reason, marital counselling was conducted regularly with the therapist helping the patient to verbalize her emotions and asking her husband to accept them. Her activities expanded again through this process. This enabled her to finish the inpatient treatment in one year and to return home. It is speculated that her improvement was obtained by psychotherapy as well as because of the change of family dynamics resulting from her husband's retirement and her son's engagement.


Copyright © 2000, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-126X 印刷版ISSN 0488-1281 医学書院

関連文献

もっと見る

文献を共有