Client #7 (Male, 26 Years Old, Married)

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Paradoxical Psychotherapy: A Practitioner’s Guide

Abstract

Mr. ES, a 26-year-old married man, came to the University of Tehran Clinic complaining about panic attacks, fear of driving, and fear of death. He has recently married and is living with her wife with no children. The clinical interview based on DSM-5 (American Psychiatric Association in Diagnostic and statistical manual of mental disorders, fifth edition (DSM-V), American Psychiatric Publishing, Washington DC, 2013), confirmed his panic disorder and agoraphobia. Following panic attacks, ES feels he is about to die. Panic attacks and fear of dying make him go to the hospital all the time to receive sedatives. ES is also taking medication because of his gastro esophageal reflux disease. ES comes from a family in which his mother and elder sister both have had serious anxiety disorders for years. However, ES stated that his panic attacks and fears of death started 2 years ago. Becoming more serious, the disorder has badly influenced his job as well as the relationship with his wife. This is ES’s first time visiting a clinical center to receive a psychological treatment. ES was seen for 5 sessions over a period of 12 weeks.

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Notes

  1. 1.

    This explanation is not the same as the first complement, which plays an anti-anxiety role. Taking into account the strong biological bases of GAD, especially in cases when other family members have similar biological structures and suffer from GAD (at least two other members of the family including his mother and his sister suffer from severe GAD), the patient must accept his limitations so that he can deal with his anxiety and its consequences more readily.

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Correspondence to Mohammad Ali Besharat .

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Besharat, M.A. (2023). Client #7 (Male, 26 Years Old, Married). In: Paradoxical Psychotherapy: A Practitioner’s Guide. University of Tehran Science and Humanities Series. Springer, Cham. https://doi.org/10.1007/978-3-031-27717-7_9

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