Article April 15, 2005

Cognitive-Behavioral Therapy and the Treatment of Panic Disorder: Efficacy and Strategies

Michael W. Otto, PhD; Christen Deveney, AM

J Clin Psychiatry 2005;66(suppl 4):28-32

Article Abstract

In this article, we review the efficacy and applications of cognitive-behavioral therapy (CBT) forpanic disorder. Research supports CBT as an effective first-line treatment of panic disorder that offersrelatively quick onset of action and long-term maintenance of treatment benefits. These characteristics,plus the acceptability, tolerability, and cost-efficacy of CBT, make it an especially attractive treatmentoption for panic disorder. We review these findings as well as some newer developments in thefield including research on emotional acceptance, the importance of context in extinction learning,and the use of CBT in combination with pharmacotherapy.