Cognitive-behavioural therapy (CBT) is a type of counselling. It is based on the theory that by changing habitual thoughts and behaviours, you can control and improve the symptoms of your condition.

During cognitive-behavioural therapy for panic attacks, you learn about panic disorder, its symptoms, and how to predict when a panic attack may occur. Your therapist will help you learn appropriate behaviours for responding to a panic attack and help you work through the fear of having another attack. You and your therapist work together to identify and change your patterns of thinking and behaviour that may trigger your panic disorder or make it worse.

You may be taught exercises to help reduce the physical symptoms of the attack. For example, when you start to experience the symptoms of a panic attack, you consciously change the way you respond. Instead of thinking, "My heart is pounding, and I feel like I can't breathe. I think I am going to die," you might instead think, "My heart is pounding, and I feel like I can't breathe, so I must be having a panic attack. Even though it is uncomfortable, I know I will be okay and the symptoms will pass." When the effects of a panic attack seem less severe, anxiety about having another attack is reduced.

Cognitive-behavioural therapy is helpful if you also have agoraphobia, which occurs when you fear and avoid public situations or places that you think may trigger a panic attack. After you are able to handle the symptoms of panic disorder, you will be exposed to controlled situations or places that have triggered panic attacks in the past. This type of treatment, known as exposure therapy, takes longer for people who have many fears, especially people with social anxiety disorder (a fear of certain social situations).

ByHealthwise Staff
Primary Medical Reviewer Anne C. Poinier, MD - Internal Medicine
Donald Sproule, MDCM, CCFP - Family Medicine
Specialist Medical Reviewer Lisa S. Weinstock, MD - Psychiatry
Christine R. Maldonado, PhD - Behavioral Health

Current as ofMay 3, 2017