Practitioner Development

Multiple channel exposure therapy: combining cognitive-behavioral therapies for the treatment of posttraumatic stress disorder with panic attacks.

Falsetti et al. (2005) · Behavior modification 2005
★ The Verdict

M-CET offers a practical CBT mash-up for PTSD with panic attacks, but the evidence is still soft.

✓ Read this if BCBAs working with trauma and panic in adult outpatient settings.
✗ Skip if Clinicians who need manualized, data-rich protocols right now.

01Research in Context

01

What this study did

The team blended two CBT packages. One targets PTSD. The other targets panic attacks. They call the mix Multiple-Channel Exposure Therapy, or M-CET.

They tried it with a small group of adults who had both PTSD and panic. The paper is a case series, so there is no control group.

02

What they found

Clients stayed in treatment and gave good feedback. The authors say the combo looks promising.

No numbers are given, so we cannot tell how big the gains were.

03

How this fits with other research

Levin et al. (2014) also ran a CBT case series with adults who have mild ID. Like M-CET, they saw quick gains that faded after one month. This match warns us that early success may not last without booster work.

Dai et al. (2023) reviewed nine tiny CBT-for-anxiety studies in people with mild ID. They found weak but positive effects, the same cautious signal M-CET gives. Both papers tell us CBT helps, yet proof is thin.

Johnson et al. (2009) argue that CBT must fit real-life context, especially when clients face daily adversity. M-CET tries this by mixing two real-world protocols, but it still treats thoughts as things to change, not as possible facts about harsh settings. The papers do not clash; they layer—first integrate protocols, then check if the context needs changing too.

04

Why it matters

If you serve adults with PTSD plus panic, M-CET gives you a ready-made blend of exposure and panic-control tools. Stay alert: no hard numbers back it yet. Track your own data, add booster sessions, and watch for larger trials before you call it evidence-based.

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→ Action — try this Monday

Map one client’s panic triggers and trauma cues, then slot matching exposure tasks into this week’s plan.

02At a glance

Intervention
other
Design
case series
Population
anxiety disorder
Finding
weakly positive

03Original abstract

A large proportion of patients who present for treatment of posttraumatic stress disorder (PTSD) experience comorbid panic attacks, yet it is unclear to what extent currently available PTSD treatment programs address this problem. Here we describe a newly developed treatment, multiple-channel exposure therapy (M-CET), for comorbid PTSD and panic attacks. The treatment utilizes elements of cognitive processing therapy treatment for PTSD and elements of panic control treatment to target physiological, cognitive, and behavioral symptoms. Preliminary results suggest that M-CET may provide a promising treatment program for a subset of patients with PTSD who experience panic attacks. In addition, guidelines for conducting M-CET with clients who have been exposed to diverse traumatic events are provided.

Behavior modification, 2005 · doi:10.1177/0145445504270874