[Cognitive-behavioral therapy in panic disorder].
OBJECTIVE
Panic disorder is a chronic and recurrent condition that impairs an individual's psychosocial functioning and quality of life. Despite the efficacy of psychopharmacological treatment in reducing panic attacks, many patients fail to respond adequately to these interventions. Cognitive behavioral therapy provides an alternative and efficacious method for treating panic disorder and agoraphobic avoidance. The objective of the study is to describe the use of cognitive behavioral therapy for panic disorder.


METHODS
Narrative review of data collected from Medline, SciELO and PsycInfo and specialized textbooks.


RESULTS
We describe the cognitive-behavioral model for the treatment of panic disorder, and review both short and long-term efficacy findings. We also discuss the role of combined treatment (cognitive behavioral therapy and psychopharmacology).


CONCLUSIONS
Cognitive behavioral therapy, either individual or in group, can be used as first-line therapy for panic disorder. This treatment modality can also be indicated as a next step for patients failing to respond to other treatments.
Manfro
Gisele Gus
GG
Programa de Transtornos de Ansiedade, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil. gmanfro@portoweb.com.br
Heldt
Elizeth
E
Cordioli
Aristides Volpato
AV
Otto
Michael W
MW
D000379:Agoraphobia / Q000523:psychology / Q000628:therapy; D000963:Antimetabolites / Q000627:therapeutic use; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003523:Cycloserine / Q000627:therapeutic use; D006801:Humans; D016584:Panic Disorder / Q000209:etiology / Q000523:psychology / Q000628:therapy*; D012008:Recurrence; D016896:Treatment Outcome
D000963:Antimetabolites; D003523:Cycloserine