A 32-Year-Old Man Comes to the Office Due to Disabling

question 51

Multiple Choice

A 32-year-old man comes to the office due to disabling anxiety.  The patient was recently promoted to his company's headquarters, requiring him to work on the 48th floor of the building.  As soon as he steps on the elevator, he feels panicky and faint, sweats profusely, and has heart palpitations.  The patient is worried that he might have to resign if he is unable to control his anxiety.  His fear of elevators dates back to childhood.  He drinks 1 or 2 beers on weekends but does not use tobacco or illicit drugs.  Which of the following is the most effective long-term treatment for this patient's condition?

• A)Alprazolam
• B)Cognitive-behavioral therapy
• C)Escitalopram
• D)Propranolol
• E)Psychodynamic psychotherapy
• F)Supportive psychotherapy
• G)Venlafaxine

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Definitions:

Basic Mistrust

A term associated with Erik Erikson's stages of psychosocial development, referring to the first stage where infants learn whether or not they can trust the world based on their needs being met.

Basic Trust

A fundamental sense of trust in the world and others, often developed during infancy, that is seen as the foundation of healthy psychological development.

Responsive

Showing a positive and quick reaction to something, either emotionally or by taking action.

Sensitive

Easily affected by external conditions or stimuli.