A 32-Year-Old Man Comes to the Office Due to Disabling

A 32-year-old man comes to the office due to disabling anxiety.  The patient was recently promoted to his company's headquarters, requiring him to work on the 48th floor of the building.  As soon as he steps on the elevator, he feels panicky and faint, sweats profusely, and has heart palpitations.  The patient is worried that he might have to resign if he is unable to control his anxiety.  His fear of elevators dates back to childhood.  He drinks 1 or 2 beers on weekends but does not use tobacco or illicit drugs.  Which of the following is the most effective long-term treatment for this patient's condition?

A) Alprazolam
B) Cognitive-behavioral therapy
C) Escitalopram
D) Propranolol
E) Psychodynamic psychotherapy
F) Supportive psychotherapy
G) Venlafaxine

Correct Answer:

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