A comprehensive guide that integrates theory, research, and treatment guidelines for using state-of-the-art methods for treating both routine and challenging cases of panic disorder (with or without agoraphobia).

About the Author ix

Foreword Richard J. McNally xi

Preface xiii

Part I Theoretical foundations and empirical findings

Chapter 1 Panic attacks, panic disorder, and agoraphobia 1

Chapter 2 Comorbidity: panic disorder in context 20

Chapter 3 Cognitive models 37

Chapter 4 Feared sensations: what are their causes? 58

Chapter 5 Meta-analyses of treatment outcome 81

Chapter 6 Treatment outcome: a closer look 111

Chapter 7 Combining psychological treatments with drug therapies 155

Chapter 8 Predicting treatment outcome 178

Part II Clinical protocols and procedures

Chapter 9 Assessment 217

Chapter 10 Developing a case formulation 261

Chapter 11 Cognitive-behaviour therapy: an overview 285

Chapter 12 Cognitive interventions 308

Chapter 13 Interoceptive and situational exposure 339

Chapter 14 Adjunctive cognitive-behavioural interventions 366

Chapter 15 Strategies for improving treatment adherence and preventing relapse 388

Chapter 16 Cognitive-behavioural protocols for special populations 401

Chapter 17 Other psychological treatments 427

References 443

Author Index 497

Subject Index 507

This book is a comprehensive text and clinician?s guide which integrates theory, empirical findings, and treatment guidelines, to provide a framework for understanding and treating both routine and complex cases of panic disorder.

The first Part of the book covers the theoretical foundations of cognitive-behavioural treatment (CBT) for panic disorder (with or without agoraphobia), and the relevant empirical findings. Other treatments for panic disorder, such as pharmacotherapies, are also reviewed, as a guide to selecting the most appropriate treatment. Important clinical outcomes, such as treatment dropout, response, and relapse, are also discussed.

The second Part of the book describes the clinical protocols and procedures for cognitive-behavioural assessment and treatment. The author emphasizes a case formulation approach to treatment and includes treatment protocols for uncomplicated cases as well as guidelines and strategies for dealing with more difficult cases. The latter include cases of panic disorder that have failed to respond to conventional CBT approaches, and cases in which panic disorder is comorbid with other disorders (e.g., schizophrenia, posttraumatic stress disorder). Protocols are also described for implementing CBT in specific settings (e.g., emergency rooms, rural settings), specific populations (e.g., children, adolescents, the elderly), and particular cultural milieux (i.e., culture-specific aspects of treatment).

Trainees and practitioners in clinical psychology, psychiatry, nursing and other mental health disciplines will welcome this comprehensive and evidence-based guide to concepts and treatment of panic disorder. This book appears in The Wiley Series in Clinical Psychology

THEORETICAL FOUNDATIONS AND EMPIRICAL FINDINGS. Panic Attacks, Panic Disorders, and Agoraphobia. Comorbidity: Panic Disorder in Context. Cognitive Models. Feared Sensations: What are Their Causes? Meta-Analyses of Treatment Outcome. Treatment Outcome: A Closer Look. Combining Psychological Treatments with Drug Therapies. Predicting Treatment Outcome. CLINICAL PROTOCOLS AND PROCEDURES. Assessment. Developing a Case Formulation. Cognitive-Behaviour Therapy: An Overview. Cognitive Interventions. Interoceptive and Situational Exposure. Adjunctive Cognitive-Behavioural Interventions. Strategies for Improving Treatment Adherence and Preventing Relapse. Cognitive-behavioural Protocols for Special Populations. Other Psychological Treatments. References. Indexes.