Table 2.
Advantages and disadvantages of pharmacotherapy and cognitive-behavior therapy (CBT) in the treatment of panic disorder
Pharmacotherapy | CBT | |
---|---|---|
Side-effects | ++ | 0 |
Rapid onset of action | ++* | + |
Efficacy on more severe panic attacks and anticipatory anxiety | ++ | + |
Efficacy on phobic avoidance | + | ++ |
Efficacy on severe depression | ++§ | + |
Persistence of effect after stopping treatment | 0 | + |
Use in primary care setting | ++ | 0 |
Used by experienced therapist | + | ++ |
Need to perform “homework” or to confront feared situations | 0 | ++ |
Note: Particularly benzodiazepines
antidepressants.