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Published online by Cambridge University Press: 02 January 2018
I have been treating a 55-year-old man suffering from a 21 year history of agoraphobia. The treatment has been cognitive-behavioural, primarily based around a systematised graded exposure to different transport systems and increasing distances from home. An accident recently occurred which serves to remind us that no matter how controlled an exposure programme is intended, we cannot protect either our patients, or ourselves, from the occasional chance encounter with unmitigated disaster.
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