Treatment of adolescent agoraphobics: Effects on parent-adolescent relations

Three adolescent agoraphobics, accompanied by their mothers, were treated in a small group. Treatment consisted of self-initiated exposure, panic management and cognitive restructuring, with the parent acting as co-therapist. Measures of adolescent-parent relationships were administered as well as measures of agoraphobia. As with adult agoraphobics treated with their spouse, results indicated a parallel relationship between phobia and family relations; that is, as phobia improved, the relationship improved. Unlike adult agoraphobics, adolescents were unable to comprehend that agoraphobic fears concerning health or dying were unrealistic. This interfered with motivation and underscored the need of the parent as a co-therapist.