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Pánico y agorafobia son dos de los trastornos de los que con más frecuencia se ocupa la práctica clínica. Existe una intervención claramente eficaz para estos problemas denominada terapia cognitivo-conductual, con la que mejoran más del 70 por 100 de los pacientes tratados y, además, las mejoras conseguidas se mantienen a medio y largo plazo. Sin embargo, en su aplicación pueden surgir numerosas dificultades que, de no solventarse, pueden reducir o anular la eficacia de dicha terapia. Esta obra se ocupa de esas dificultades y comienza presentando un caso ilustrativo del trastorno de pánico con agorafobia y un repaso de los aspectos básicos del problema (tipología, naturaleza, frecuencia, curso, problemas asociados), así como de su explicación, evaluación y tratamiento. A continuación, se describen muchas de las dificultades que pueden surgir en la evaluación y tratamiento del pánico y la agorafobia y se ofrecen unas guías orientativas muy útiles para resolverlas. Las dificultades están agrupadas en apartados y cada uno se corresponde con un capítulo: evaluación inicial, modelo explicativo, objetivos terapéuticos y tratamiento propuesto, respiración controlada, reestructuración cognitiva, exposición a las situaciones y sensaciones temidas, y otras dificultades que pueden surgir durante el tratamiento. Finalmente, se ofrecen pautas a seguir cuando los resultados no han sido satisfactorios.
Arturo Bados Lopez
Arturo Bados es doctor en Psicología y profesor titular de Personalidad, Evaluación y Tratamiento Psicológico de la Universidad de Barcelona. Ha publicado varios libros, capítulos de libros y artículos en revistas científicas, la mayoría sobre trastornos de ansiedad. Es psicólogo especialista en Psicología Clínica y codirector de la Unidad de Terapia de Conducta, un servicio de asistencia psicológica de la Facultad de Psicología de la Universidad de Barcelona, donde trabaja en tareas de investigación, labor clínica y formación de terapeutas.
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