According to A.D.A.M. (2010), "panic disorder with agoraphobia is an anxiety disorder in which there are repeated attacks of intense fear and anxiety, and a fear of being in places where escape might be difficult, or where help might not be available. Agoraphobia usually involves fear of crowds, bridges, or of being outside alone." (A.D.A.M., p. 1) The fear of the outside world has inclined the subject in this case to increasingly shut himself off from others and from opportunities to experience life. The result, A.D.A.M. (2010) reports, is a deepening sense of isolation and a further descent into the irrational response mechanisms that have come to control Mr. Wiley's life.
Demographic Implications:
One major demographic concern for Mr. Wiley might be fear of the stigma connected to seeking therapy as an adult male. For one who fears constantly the loss of control in his own life, giving one's self over to the support of therapy may be challenged by certain cultural constructs.
Crisis Intervention:
That said, because Mr. Wiley has actively sought out the assistance of Dr. Leo Marvin, it is reasonable to assess that he is prepared to obtain the help needed to make improvements. Thus, it is first necessary to provide the subject with a number of coping mechanisms relating to the onset of panic. Here, cognitive behavioral therapy is recommended in the text by A.D.A.M. And implies the need to alter reflexive panic responses to triggers such as crowds, unfamiliar social situations or situations that disrupt routinized behavior. A.D.A.M. also indicates that pairing this with anti-depressant pharmacy treatment is...
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