Anxiety Disorders: A Guide for Integrating Psychopharmacology and Psychotherapy

313 Pages·2013·2.43 MB·English

by  Stephen M. Stahl

BEHAVIOR
THOUGHTS
EMOTIONS
ANXIETY
DISORDERS
A Guide for Integrating
Psychopharmacology and Psychotherapy
Edited by
Stephen M. Stahl and Bret A. Moore
ANXIETY DISORDERS
Anxiety Disorders: A Guide for Integrating Psychopharmacology and Psychotherapy is a
comprehensive reference for the psychology and psychiatry student, intern or
resident, early-c areer psychologist or psychiatrist, and the busy clinician. It distills
the most important information regarding combined treatments for anxiety and
presents the material in an easily accessible, understandable, and readable format.
Each chapter addresses a specific type of disorder: posttraumatic stress, panic,
generalized anxiety, obsessive-c ompulsive, and others, and is authored by promi-
nent clinicians with years of experience in providing integrated, individualized
treatments. With its thorough exploration of psychopharmacological treatments,
psychosocial treatments, and, crucially, the integration of the two, Anxiety Dis­
orders is a text no 21st-century clinician or student can afford to be without.
Stephen M. Stahl, MD, is the author of over 450 articles and chapters and
more than 1,300 scientific presentations and abstracts. He is an internationally
recognized clinician, researcher, and teacher in psychiatry with subspecialty
expertise in psychopharmacology. He has edited eight books and written more
than 30 others, including the best-s elling and award- winning textbook Stahl’s
Essential Psychopharmacology, the clinical manual The Prescriber’s Guide, now in
its fourth edition, and the series of clinical cases Case Studies: Stahl’s Essential
Psychopharmacology. Dr. Stahl is adjunct professor of psychiatry at the Univer-
sity of California San Diego and honorary visiting senior fellow at the Univer-
sity of Cambridge.
Bret A. Moore, PsyD, is board-c ertified in clinical psychology by the American
Board of Professional Psychology, and adjunct associate professor in psychiatry at
the University of Texas Health Science Center at San Antonio. He is the author or
editor of nine books, including Pharmacotherapy for Psychologists: Prescribing and
Collaborative Roles, Handbook of Clinical Psychopharmacology for Psychologists, and
Treating PTSD in Military Personnel: A Clinical Handbook. His views and opinions on
clinical psychology have been quoted in USA Today, the New York Times, the
Boston Globe, and on NPR, the BBC, CNN, Fox News, and the CBC.
Psychopharmacology and Psychotherapy in Clinical Practice
Bret A. Moore, PsyD, Series Editor
Anxiety Disorders: A Guide for Integrating Psychopharmacology and Psycho-
therapy, by Stephen M. Stahl and Bret A. Moore
ANXIETY DISORDERS
A Guide for Integrating Psychopharmacology
and Psychotherapy
Edited by
Stephen M. Stahl and Bret A. Moore
First published 2013
by Routledge
711 Third Avenue, New York, NY 10017
Simultaneously published in the UK
by Routledge
27 Church Road, Hove, East Sussex BN3 2FA
© 2013 Taylor & Francis
Routledge is an imprint of the Taylor & Francis Group, an informa business
The right of the editors to be identified as the author of the editorial
material, and of the authors for their individual chapters, has been asserted in
accordance with sections 77 and 78 of the Copyright, Designs and Patents
Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced or
utilized in any form or by any electronic, mechanical, or other means, now
known or hereafter invented, including photocopying and recording, or in
any information storage or retrieval system, without permission in writing
from the publishers.
Trademark notice: Product or corporate names may be trademarks or
registered trademarks, and are used only for identification and explanation
without intent to infringe.
Library of Congress Cataloging in Publication Data
Stahl, S. M., author.
Anxiety disorders : a guide for integrating psychopharmacology and
psychotherapy / author, Stephen M. Stahl and Bret A. Moore.
pages ; cm. – (Psychopharmacology and psychotherapy in clinical
practice)
Includes bibliographical references and index.
1. Anxiety–Chemotherapy. 2. Cognitive therapy. I. Moore, Bret A.,
author. II. Title.
RC531.S682 2013
616.852206–dc23 2012032019
ISBN: 978-0-415-50982-4 (hbk)
ISBN: 978-0-415-50983-1 (pbk)
ISBN: 978-0-203-12459-8 (ebk)
Typeset in Dante
by Wearset Ltd, Boldon, Tyne and Wear
Dedication
To my wife Cindy and my daughters Jennifer and Victoria
S.M.S.
To my wife Lori and my daughter Kaitlyn
B.A.M.

Contents
List of Contributors ix
Series Editor’s Foreword xii
Foreword by Mark H. Pollack xiv
Preface xvi
Acknowledgments xviii
PART I
THE NATURE OF ANXIETY 1
1 BENEFITS AND CHALLENGES OF INTEGRATED
TREATMENT 3
MARK D. MUSE, BRET A. MooRE, AND STEPHEN M. STAHL
2 A BIOPSYCHOSOCIAL APPROACH TO ANXIETY 25
ALLISoN M. GREENE, CHRISToPHER R. BAILEY, AND
ALExANDER NEUMEISTER
3 PHARMACOLOGICAL TREATMENT OF ANXIETY
DISORDERS ACROSS THE LIFESPAN 51
RoBERT M. JULIEN
4 PSYCHOSOCIAL TREATMENT OF ANXIETY
DISORDERS ACROSS THE LIFESPAN 71
MICHAEL SWEENEY, JESSICA LEVITT, RoBERT WESTERHoLM,
CLARE GASKINS, AND CHRISTINA LIPINSKI
viii CoNTENTS
PART II
TREATMENT 95
5 GENERALIZED ANXIETY DISORDER 97
JoSEPH E. CoMATY AND CLAIRE ADVoKAT
6 OBSESSIVE- COMPULSIVE DISORDER 133
JoNATHAN S. ABRAMoWITz AND RYAN J. JACoBY
7 ACUTE STRESS DISORDER 155
ANGELA NICKERSoN AND RICHARD A. BRYANT
8 POSTTRAUMATIC STRESS DISORDER 176
AMY M. WILLIAMS, GREER RICHARDSoN, AND TARA E. GALoVSKI
9 PANIC DISORDER 201
MEREDITH E. CHARNEY, M. ALExANDRA KREDLoW, ERIC BUI, AND
NAoMI M. SIMoN
10 SOCIAL ANXIETY DISORDER 221
CATHERINE M. KARIUKI AND DAN J. STEIN
11 SPECIFIC PHOBIA 240
DAVID S. SHEARER, S. CoRY HARMoN, RoBERT D. YoUNGER, AND
CHRISToPHER S. BRoWN
12 SEPARATION ANXIETY DISORDER 260
GEoRGE M. KAPALKA AND CALLANDRA PETERS
Index 285
Contributors
Jonathan S. Abramowitz, PhD, professor and associate chair of psychology,
University of North Carolina at Chapel Hill.
Claire Advokat, PhD, professor emerita, department of psychology, Louisiana
State University, Baton Rouge, Louisiana.
Christopher R. Bailey, Johns Hopkins University School of Medicine, Balti-
more, Maryland.
Christopher S. Brown, PsyD, captain, United States Army, clinical psychol-
ogy resident, department of behavioral health, Madigan Army Medical Center,
Tacoma, Washington.
Richard A. Bryant, PhD, University of New South Wales, Sydney, Australia.
Eric Bui, MD, PhD, research fellow in psychiatry, Massachusetts General Hos-
pital and Harvard Medical School.
Meredith E. Charney, PhD, assistant in psychology, Massachusetts General
Hospital and an instructor in psychiatry at Harvard Medical School.
Joseph E. Comaty, PhD, MP, director, division of quality management,
Louisiana State Department of Health and Hospitals, Baton Rouge, Louisiana.
Tara E. Galovski, PhD, department of psychology, Center for Trauma Recov-
ery, University of Missouri–St. Louis.
Clare Gaskins, PhD, Metropolitan Center for Cognitive Behavioral Therapy
and New York Presbyterian Hospital–Columbia University Medical Center,
New York, New York.
Allison M. Greene, New York University.