A patient with severe panic attacks refuses to come to the mental health clinic to get help even after being assured there is no charge for the initial assessment. Which of the following provides the best explanation for this behavior?
a. People know that the treatment is to confront your fears in small doses, and the very idea is overwhelming and frightening.
b. Such persons have anticipatory anxiety, so they try to avoid situations that may lead to a panic attack, such as leaving their house.
c. The recurring symptoms such as tachycardia, chest pain, nausea, and sweating are seen as symptoms of a physical illness, not a mental illness.
d. They are too depressed to take action.
ANS: B
As the avoidance behavior intensifies, the client begins to withdraw further to avoid being in places or situations from which escape may be difficult. Individuals with agoraphobia frequently progress to the point where they cannot leave their homes without experiencing anxiety.
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