Incorporating the Family in the Cognitive-Behavioral Treatment of an African-American Female Suffering from Panic Disorder with Agoraphobia

Abstract

This article highlights interpersonal aspects of panic disorder with agoraphobia (PDA) and discusses some family dynamics implicated in the creation and maintenance of panic symptomatology. A case of complex PDA is presented to demonstrate Panic Control Treatment and the integration of family therapy approaches. Treatment techniques included psycho-education, breathing retraining, cognitive restructuring, interoceptive exposure, in vivo exposure and discussion of secondary gains and family dynamics. The importance of a flexible approach to treatment of PDA using multidimensional techniques is emphasized.