Skip to main content
Log in

The management of severe agoraphobia: A comparison of iproniazid and systematic desensitization

  • Published:
Psychopharmacologia Aims and scope Submit manuscript

Abstract

Sixty out-patients with severe agoraphobia took part in a controlled prospective clinical trial of combinations of methohexitone-assisted and standard systematic desensitization and monoamine oxidase inhibitor. Severity of agoraphobia in terms of avoidance and anxiety was rated both by the patients themselves and by an independent assessor during the eight weeks of treatment.

The monoamine oxidase inhibitor produced a significant reduction in severity of anxiety but not of avoidance. Methohexitone-assisted systematic desensitization appeared to produce significantly greater improvement than either standard systematic desensitization or no systematic desensitization in both anxiety and avoidance. Assessors' ratings showed that the monoamine oxidase inhibitor used in conjunction with methohexitone-assisted systematic desnsitization produced slightly greater clinical improvement than the other treatment combinations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Boulougouris, J. C., Marks, I. M.: Implosions (flooding)—a new treatment for phobias. Brit. med. J. 1969 II, 721–723

    Google Scholar 

  • Cole, J. O., Jones, R. T., Klerman, G. L.: Drug Therapy. In: Spiegal E. A. (ed.): Progress in neurology and psychiatry 16, 539–574. New York: Grune and Stratton 1961

    Google Scholar 

  • Dally, P.: Chemo-therapy of psychiatric disorders. London: Logus Press Limited 1967

    Google Scholar 

  • Friedman, D. E.: A new technique for systematic desensitization of phobic patients. Behav. Res. Ther. 4, 139–140 (1966)

    Google Scholar 

  • Friedmann, D. E.: Personal Communication (1969)

  • Friedman, D. E., Lipsedge, M. S.: Treatment of phobic anxiety and psychogenic impotence by systematic desensitization employing methohexitone induced relaxation. Brit. J. Psychiat. 118, 87–90 (1971)

    Google Scholar 

  • Gelder, M. G., Marks, I. M., Wolff, H. H.: Desensitization and pyschotherapy in the treatment of phobic states. A controlled enquiry. Brit. J. Psychiat. 113, 53–73 (1967)

    Google Scholar 

  • Gelder, M. G., Marks, I. M.: Severe agoraphobia: A controlled prospective trial of behaviour therapy. Brit. J. Psychiat. 112, 309–319 (1966)

    Google Scholar 

  • Hussar, A. E., Pachter, M.: Myocardial infarction and fatal coronary insufficiency during electro-convulsive therapy. J. Amer. med. Ass. 204, 1004–1007 (1968)

    Google Scholar 

  • Kelly, D., Guirguis, W., Frommer, E., Mitchell-Heggs, N., Sargant, W.: Treatment of phobic states with antidepressants, a retrospective study of 246 patients. Brit. J. Psychiat. 116, 387–398 (1970)

    Google Scholar 

  • Mawson, A. B.: Methohexitone-assisted desensitization in treatment of phobias. Lancet 13, 1084–1086 (1970a)

    Google Scholar 

  • Mawson, A. B.: Correspondence. Brit. J. Psychiat. 116, 117 (1970b)

    Google Scholar 

  • Pare, C. M. B.: Toxicity of psychotropic drugs. Proc. roy. Soc. Med. 57, 757–758 (1964)

    Google Scholar 

  • Rachman, S.: Phobias. Their nature and control. Springfield, Ill. Ch. C. Thomas 1968

    Google Scholar 

  • Sargant, W., Slater, E.: An introduction to physical methods of treatment in Psychiatry. Edinburgh-London: Churchill Livingstone 1972

    Google Scholar 

  • Salkind, M.: Personal Communication (1972)

  • Stern, R.: Personal Communication (1972)

  • Tyrer, P., Candy, J., Kelly, D.: Phenelzine in phobic anxiety: controlled trial. Psychol.Med. 1973 III, 120–124

    Google Scholar 

  • Willcox, D. R. C., Gillon, R., Harer, E. H.: Do psychiatric outpatients take their drugs? Brit. med. J. 1965 II, 790–792

    Google Scholar 

  • Yorkston, N. J., Sergant, H. G. S., Rachman, S.: Methohexitone relaxation for desensitizing agoraphobic patients. Lancet 11, 651–653 (1968)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lipsedge, M.S., Hajioff, J., Huggins, P. et al. The management of severe agoraphobia: A comparison of iproniazid and systematic desensitization. Psychopharmacologia 32, 67–80 (1973). https://doi.org/10.1007/BF00421708

Download citation

  • Received:

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00421708

Key words

Navigation