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A 32-Year-Old Man Arrives to the Office with Crippling Anxiety

Question 158

Multiple Choice

A 32-year-old man arrives to the office with crippling anxiety. The patient was just promoted to his company's headquarters, which required him to work on the building's 48th level. He feels panicked and dizzy as soon as he walks onto the elevator, sweats tremendously, and has heart palpitations. The patient is concerned that if he cannot control his anxiety, he will be forced to retire. His aversion to elevators stretches back to his youth. On weekends, he has one or two beers but does not use cigarettes or illegal substances. Which of the following long-term treatments is the most successful 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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