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The treatment described in this Therapist Guide is specifically designed for adolescents with panic disorder and agoraphobia. Panic disorder often first appears in adolescence, making effective treatment for this age group a priority. Left untreated, panic disorder can severely impair an adolescent's development and functioning. It can put an adolescent at risk for depression and have consequences into adulthood.
The program was developed at the Center for Anxiety and Related Disorders at Boston University and targets patients ages 12-17. It is comprised of 12 sessions to be delivered over an 11-week period. Adolescents learn about the nature of panic and anxiety and how to challenge their panic thoughts. Exposure sessions help them face their fears and stop avoiding situations that cause heightened anxiety. An adaptation chapter addresses how to modify the program for intensive (8 day) treatment, as well as how to tailor the treatment to different ages. Each session includes an optional parent component and an appendix provides handouts for parents. The corresponding workbook is specifically designed for adolescent use, with easy to understand explanations and teen-friendly forms.
About the Author
Donna B. Pincus is Associate Professor and the Director of Research for the Child and Adolescent Fear and Anxiety Treatment Program at the Center for Anxiety and Related Disorders at Boston University.
Jill T. Ehrenreich is Associate Professor, Child Division at University of Miami.
Table of Contents
Chapter 1 Introductory Information for Therapists 1
Chapter 2 Assessment 17
Chapter 3 Involving Parents 23
Chapter 4 Session 1 Introduction to Treatment and the Three Component Model 27
Chapter 5 Session 2 Physiology of Panic and Breathing Awareness 41
Chapter 6 Session 3 Cognitive Component of Anxiety: Probability Overestimation and Catastrophic Thinking 51
Chapter 7 Session 4 Cognitive Restructuring (Thinking Like a Detective) 59
Chapter 8 Session 5 Interoceptive Exposure (Not Letting How We Feel Scare Us) 67
Chapter 9 Session 6 Introduction to Situational Exposure 77
Chapter 10 Session 7 Safety Behaviors and Exposures 89
Chapter 11 Sessions 8-10 Exposure Sessions 97
Chapter 12 Session 11 Relapse Prevention and Therapy Termination 111
Chapter 13 Adaptation 121
Appendix A Panic Disorder Severity Scale for Adolescents (PDSS-A) 131
Appendix B Parent Handouts 135
About the Authors 155