Cognitive-behavioral therapy for comorbid generalized anxiety disorder and panic disorder with agoraphobia.

Three adults lived with both generalized anxiety and panic attacks that kept them home-bound.

The team gave each person a 12-week CBT package: exposure trips outside, breathing drills, and thought logs.

They tracked panic days, worry minutes, and how far each person could walk alone.

Two adults hit high-end recovery and stayed there for a full year.

The third cut panic days by half but still needed help with crowded stores.

All three kept their diaries and breathing skills long after sessions ended.

Madsen et al. (1968) showed that feedback during exposure keeps phobia gains alive. Joane et al. add CBT tools and prove the combo lasts a year.

Peters et al. (2013) erased dog phobia in preschoolers with 10–13 exposure sessions. The adult package took the same length, showing exposure works across ages.

Sasson et al. (2022) found mindful emotion training helped some adults but not all. Joane’s package skipped mindfulness yet still worked for two of three, hinting that core CBT pieces may carry the load.

If you treat adults who worry nonstop and fear panic, a short CBT bundle can give two-thirds of them normal lives for a year. Track panic days and distance walked each week; when numbers stall, add live feedback like H et al. did. Skip extras until data say you need them.