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Evaluation of a Cognitive-Behavioral Treatment Protocol for Panic Disorder

The authors describe the case of a 34-year-old woman diagnosed with panic disorder and depression who was treated with a cognitive-behavioral protocol derived from clinical practice guidelines. Using a single-case (baseline-treatment) evaluation design, the effects of therapy were assessed for the frequency of panic attacks per week and selfreported ratings of anxiety, depression, and fear of panic. The 24-weekcourse of treatment included multiple procedures but emphasized physiological self-monitoring, cognitive restructuring, situational exposure, and anxiety regulation. Results were an elimination of panic attacks and clinically significant reductions in intensity ratings of panic fear and anxiety intensity. These outcomes were maintained 3 months posttreatment. Improvements were also documented on the BeckDepression Inventory and BeckAnxiety Inventory administered before and after therapy. Implications and recommendations are presented.