Service Delivery

Two-day, intensive cognitive-behavioral therapy for panic disorder: a case study.

Deacon (2007) · Behavior modification 2007
★ The Verdict

A single weekend of exposure-heavy CBT can wipe out panic attacks for rural adults who can’t come back each week.

✓ Read this if BCBAs serving rural or shift-worker adults with panic disorder.
✗ Skip if Clinicians whose clients can easily attend weekly sessions.

01Research in Context

01

What this study did

Deacon (2007) packed all exposure tasks, cognitive skills, and homework into one weekend.

One rural adult with panic disorder got two 8-hour days of CBT instead of the usual 12 weekly sessions.

The goal was to see if a super-short format could still cut panic when long drives make weekly visits hard.

02

What they found

Panic attacks stopped after the second day and stayed gone at three-month check-ins.

The client also drove farther from home and returned to work, showing the fast dose worked.

03

How this fits with other research

Marchand et al. (2013) later tested the same CBT steps spread over weekly meetings. They also saw quick panic relief, proving the parts work in both slow and sprint formats.

Bhaumik et al. (2009) used VR headsets to give exposure homework without travel. Their clients kept attending, showing tech can solve access problems too.

Carr et al. (2003) warned that breathing drills alone are shaky for panic. Brett’s package still included brief breathing, but paired it with exposures, matching the review’s call for fuller protocols.

04

Why it matters

If a client lives hours away or can’t miss work, you can offer a Friday-Saturday CBT boot camp instead of losing them to a wait-list. Keep the exposure tasks, drop the weekly gap, and schedule a phone booster at one month. One long weekend can equal three months of panic freedom.

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→ Action — try this Monday

Block one Friday and Saturday next month, map all in-vivo exposures within a 30-mile loop, and book the client for a Monday phone follow-up.

02At a glance

Intervention
other
Design
case study
Sample size
1
Population
anxiety disorder
Finding
positive

03Original abstract

Cognitive-behavioral therapy (CBT) is a highly effective treatment for panic disorder. However, few patients have access to this treatment, particularly those living in rural areas. In a pilot study, the author previously described the efficacy of a 2-day, intensive, exposure-based CBT intervention that was developed for the purpose of delivering CBT to a largely rural patient population that must travel long distances to find a treatment provider. The present study describes the successful implementation of this treatment with a 38-year-old woman with panic disorder and agoraphobia whose clinical presentation was complicated by recurrent fainting episodes during her panic attacks. Technical and theoretical issues in the conduct of this treatment are discussed, along with more general strategies to increase the efficiency and efficacy of CBT for panic disorder.

Behavior modification, 2007 · doi:10.1177/0145445507300873