Abstract
Panic disorder is a common and debilitating illness in which unexpected panic episodes are the core feature. Medication treatment is of proven efficacy in this disorder. Cognitive behavioral treatment is also effective and can be administered without medication with good results. This paper reviews the techniques and strategies used in cognitive behavioral treatment and outcome results from studies utilizing this approach. The efficacy of other psychotherapeutic approaches is less well established. However, we recently conducted a study comparing cognitive behavioral treatment to an emotion focused brief psychotherapy and found them to be equivalent. We describe the theoretical background and the strategies and techniques for this treatment, and review the results of the prospective comparison.
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References
Bowlby J: Attachment and Loss, vol. II. Separation Anxiety and Anger. New York, Basic Books, 1973.
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th ed (DSM-IV) Washington D.C., American Psychiatric Association, 1994.
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (DSM III) Washington D.C., American Psychiatric Association, 1980.
Klein DF: Anxiety Reconceptualized in Anxiety New Research and Changing Concepts. Edited by Klein DF and Rabkin JG. New York, Raven Press, 1981.
Klein DF: Delineation of Two Drug-Responsive Anxiety Syndromes. Psychopharmacology 5:397–408, 1964.
Ballenger J: Pharmacotherapy of the Panic Disorders. Journal of Clinical Psychiatry 47 (suppl 6) 27–31, 1986.
Chambless DL, Caputo GC, Bright P, et al.: The Assessment of Fear of Fear in Agoraphobics: The Body Sensations Questionnaire and the Agoraphobic Cognitions Questionnaire. Journal of Consulting and Clinical Psychology 52:1090–1097, 1984.
Clark DM: A cognitive Approach to Panic. Behavior Research and Therapy 24:461–470, 1986.
Barlow DH, Cohen AS, Waddell MT, et al.: Panic and Generalized Anxiety Disorders: Nature and Treatment. Behavior Therapy 15:431–449, 1984.
Gitlin B, Martin J, Shear MK, Frances AJ, Ball G, Josephson S: Behavior therapy for panic disorder. Journal of Nervous and Mental Disease 173:742–743, 1986.
Shear MK, Ball G, Fitzpatrick M, Josephson S, Klosko JS, Frances AJ: Cognitivebehavioral therapy for panic: An open study. Journal of Nervous and Mental Disease 179:467–471, 1991.
Shear MK, Ball G, Fitzpatrick M, Josephson S, Klosko JS, Frances AJ: Vulnerability to sodium lactate in panic disorder patients given cognitive-behavior therapy. American Journal of Psychiatry 146:795–797, 1991.
Barlow DH, Craske MG, Cerny, JA, Klosko JS: Behavioral treatment of panic disorder. Behavior Therapy 20:261–282, 1989.
Shear MK, Pilkonis PA, Cloitre M, et al.: Cognitive Behavioral Treatment Compared with Nonprescriptive Treatment of Panic Disorder. Archives of General Psychiatry 51:395–401, 1994.
Rice LN, Saperia EP: Task analysis of the resolution of problematic reactions, in Patterns of change: Intensive analysis of psychotherapy process. Edited by Rice LN, Greenberg, LS. New York, Guilford, 1984.
Noyes R, Garvey MJ, Cook BL: Follow-up study of patients with panic disorder and agoraphobia with panic attacks treated with tricyclic antidepressants. Journal of Affective Disorders 6:249–257, 1989.
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Shear, M.K. Psychotherapy for panic disorder. Psych Quart 66, 321–328 (1995). https://doi.org/10.1007/BF02238752
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DOI: https://doi.org/10.1007/BF02238752