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Clinical Case Studies
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Cognitive-Behavioral Treatment of Panic Attacks

Terry Michael McClanahan

Veterans Affairs, Sierra Nevada Healthcare System

David O. Antonuccio

Veterans Affairs, Sierra Nevada Healthcare System and University of Nevada School of Medicine

Anxiety affects approximately 30 million Americans at some point in their lives. The most common treatment modalities used to treat the continuum are the administration of psychotropic medications and the application of behavioral therapy. The following case details an adult female who suffered from severe panic attacks for a period of 10 years wherein numerous interventions, including psychotropic medications, had failed to ameliorate her suffering. The patient was treated using the Mastery of Your Anxiety and Panic protocol. Prior to treatment, the patient reported that she experienced an average of seven panic attacks per week, her Beck Anxiety Inventory score was 58, and her Beck Depression Inventory was 23. At the completion of treatment, the patient reported that the number of panic attacks was reduced to one per week. At 4-week, 6-week, and 16-week follow-up, the patient had not experienced any panic attacks.

Key Words: panic disorder • cognitive-behavioral therapy • behavioral therapy • cognitive restructuring • exposure therapy • relaxation therapy

Clinical Case Studies, Vol. 1, No. 3, 211-223 (2002)
DOI: 10.1177/15350102001003002


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