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Title: Treating Anxiety Disorders in Patients with Cardiovascular Disease: How to Formulate Exposure Therapy When Anxiety Mimics the Heart
Contributor(s): Tully, Phillip J  (author)orcid ; Pedersen, Susanne S (author); Cosh, Susanne M  (author)orcid ; Foldes-Busque, Guillaume (author)
Publication Date: 2022
Early Online Version: 2022-08-14
DOI: 10.1007/978-3-031-04927-9_9
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Patients with cardiovascular disease (CVD) routinely experience panic-like symptoms of shortness of breath, chest pain, and palpitations but also face high medical risk when ignoring chest pain symptoms and delaying seeking medical attention. When devising exposure therapy for anxiety in a patient with known heart disease, cognitive restructuring associated with exposure therapy requires adaption to incorporate this element of risk. Moreover, certain interoceptive symptom induction experiments may be harmful and lead to cardiopathogenesis. This chapter will therefore outline approaches to exposure therapy for anxiety when CVD is a known and medically verified comorbidity. Specifically, this chapter overviews literature pertinent to understanding common symptoms of CVDs and those overlapping with anxiety disorders. Different exposure-based therapy models are described along with required adaptions to safely and successfully undertake exposure therapy in patients with CVD.

Publication Type: Book Chapter
Source of Publication: Clinical Guide to Exposure Therapy: Beyond Phobias, p. 161-182
Publisher: Springer
Place of Publication: Cham, Switzerland
ISBN: 9783031049279
Fields of Research (FoR) 2020: 520304 Health psychology
Socio-Economic Objective (SEO) 2020: 200409 Mental health
HERDC Category Description: B1 Chapter in a Scholarly Book
Editor: Editor(s): Jasper A J Smits, Jolene Jacquart, Jonathan Abramowitz, Joanna Arch and Jürgen Margraf
Appears in Collections:Book Chapter
School of Psychology

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