Abstract
We report the results of a long-term clinical outcome study testing variations of behavioral treatments for panic disorder without agoraphobic avoidance. Exposure to somatic cues combined with cognitive therapy was compared to relaxation therapy designed specifically for panic disorder. In a third treatment condition, these techniques were combined. All three treatments were superior on a variety of measures to a wait-list control group. In the two treatment conditions containing exposure to somatic cues and cognitive therapy, 85% or more of clients were panic free at posttreatment. These were the only groups significantly better than wait-list control on this measure. Relaxation, on the other hand, tended to effect greater reductions in generalized anxiety associated with panic attacks but was associated with high drop-out rates. These results suggest that we have a successful behavioral treatment for panic disorder, but leave questions on effective components and mechanisms of action unanswered.
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