Panic Disorder Treatment: What the Evidence Actually Shows

Specialist CBT therapy for anxiety, OCD, depression and more in West London

CBT based and medication options may be considered for panic disorder after individual assessment. A plan may discuss panic symptoms, interpretations, avoidance and relevant medical factors. Group level research cannot establish one universally suitable treatment or predict an individual outcome. A guide cannot diagnose panic disorder, determine the cause of symptoms or decide which treatment is appropriate for one person. Panic like symptoms can include a sudden surge of fear, breathlessness, chest sensations, dizziness, trembling, nausea, a feeling of unreality or fear of losing control. Similar symptoms can also have physical, medication related or other explanations. New, severe or concerning symptoms need appropriate medical assessment and should not automatically be attributed to panic. Interoceptive exposure is one CBT technique that may be considered where clinically appropriate. It is not a self directed exercise and should not be used to dismiss new, severe or concerning physical symptoms. A clinician may need to consider medical history, current symptoms, medication, trauma, safety, pregnancy, work, caring responsibilities and access to healthcare before behavioural work is considered. An assessment can explore when symptoms occur, what they mean to the person, avoidance, reassurance, the impact on routines and any medical advice already received. This is not a request to provoke symptoms, stop necessary medical care or decide on a diagnosis from an online guide. It may help to note the situations that have become difficult, the effects on travel, work, sleep or relationships, and any questions raised by a GP or another clinician. This can support a more grounded discussion without assuming that every episode has the same cause or that one treatment approach is right for everyone. The next step can be reviewed as new information becomes available. Urgent appropriate help is needed if you feel unable to stay safe, have thoughts of suicide or self harm, experience psychosis, a sudden marked change in mental state or acute physical symptoms. For related information, see <a href="/therapy/panic attacks/">panic support</a> and <a href="/guides/panic attack vs anxiety attack/">panic attacks and anxiety attacks</a>. The Lyceum provides CBT based support in West London and online where clinically appropriate. Enquire directly about current arrangements and whether an assessment, medical review or another form of support may be relevant.