This book uniquely combines CBT with the Department of Health stepped care model to provide the first comprehensive case study-approach textbook. A step-by-step guide to using CBT, the book is structured around case examples of clients who present with the most commonly encountered conditions; from mild depression and GAD to more complex, enduring symptoms and diagnosis like OCD, personality disorder and social phobia.
The distinctive practical format is ideal in showing how to put the principles of CBT and stepped care into effect. As well as echoing postgraduate level training, it provides an insight into the experiences the trainee will encounter in real-world practice. Each chapter addresses a specific client condition and covers initial referral, presentation and assessment, case formulation, treatment interventions, evaluation of CBT strategies and discharge planning.
The book also includes learning exercises and clinical hints, as well as extensive reference to further CBT research, resources and reading. It will be invaluable for trainees on Improving Access to Psychological Therapies (IAPT) programs, and anyone studying graduate CBT courses.
Chapter 2: Client Presenting with Panic Disorder (without Agoraphobia)
Client Presenting with Panic Disorder (without Agoraphobia)
By the end of this chapter you should be able to:
- Identify the symptoms and nature of panic disorder
- Explain the development of panic disorder from a cognitive perspective
- Describe the way in which panic is maintained by the vicious cycle
- Discuss the main components of a guided self-help approach
- Outline the main cognitive and behavioural strategies used in the treatment of panic disorder
- Recognise the central role of safety behaviours and avoidance
DSM-IV-TR (APA, 2000) identifies the central features of panic disorder as recurrent, uncued panic attacks followed by at least one month of persistent concern about having other attacks, worry about the consequences of such attacks and behavioural change as a result. The ICD-10 (WHO, ...