This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Donald F. Klein, MD
New York State Psychiatric Institute 722 West 168th St New York, NY 10032

Arch Gen Psychiatry. 1988;45(4):389-392.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Reply.—

Lelliott and Marks make the following points: 1. First, they claim there are no "systematic" data to indicate that, with drug treatment, panic improves before avoidance. The fact that panic decreases before avoidance in a treatment situation that does not emphasize exposure seemed so glaringly obvious that we did not address this point. However, extensive clinical data indicate that, during drug treatment, panic often disappears while avoidance remains.¹ Furthermore, systematic data indicate such a sequence.² Even Marks³ states: "Once agoraphobics have few spontaneous panics or are comfortable away from their phobic situations, it becomes easier to go out repeatedly to try and conquer their fears."^3(p345) 2. In their letter, Lelliott and Marks state that "using Klein's panic scale, Marks et al⁴ found that panic began to improve after avoidance during exposure." The reference to the Klein et al scale is confusing. Marks et al . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?