A Cognitive-Behavioral, Biofeedback-Assisted Relaxation Treatment for Panic Disorder With Agoraphobia

Abstract

A 39-year-old man diagnosed with panic disorder with agoraphobia, comorbid with depression, was treated successfully with cognitive-behavioral, biofeedback-assisted relaxation therapy. Treatment consisted of 22 individual sessions over the course of 10 months. Of those, 18 sessions included biofeedback with electrodermal response as the primarymodality and finger temperature monitored as a general index of relaxation. The core interventions utilized during treatment included psychophysiological monitoring, relaxation techniques, cognitive restructuring, and exposure to feared cues. Results were cessation of panic attacks, full remission of agoraphobia, and alleviation of depressive symptoms. Assessments used during the course of treatment included the Beck Anxiety Inventory, State-Trait Anxiety Inventory Form Y-2, Agoraphobic Cognitions and Body Sensations Questionnaires, and the Beck Depression Inventory-II. A treatment formulation that combined the most effective interventions with cognitive-behavioral underpinnings is discussed along with recommendations for practice.