Can Cognitive Behavioural Therapy (CBT) Help with Panic Attacks?

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Afeefa Rafath
Practicing Psychologist | EAP Counsellor | Content Writer
8 Aug 20244 min read
cbt helping with panic attacks.

Can Cognitive Behavioural Therapy (CBT) Help with Panic Attacks?

Yes, Cognitive Behavioural Therapy (CBT) has been proven effective in treating panic attacks and managing their symptoms. Numerous studies have shown that CBT helps reduce the frequency and severity of panic attacks by addressing the underlying thought patterns and behaviours that contribute to anxiety and panic disorders. A person may be unable to control when they experience a panic attack but they can learn effective coping skills to manage their symptoms.

Understanding Cognitive Behavioural Therapy (CBT) & Panic Attacks

What is Cognitive Behavioural Therapy (CBT)?

Cognitive Behavioural Therapy (CBT) is a form of psychotherapy that focuses on identifying and challenging negative thought patterns and behaviours. By helping individuals understand the connections between their thoughts, emotions, and actions, CBT aims to develop healthier ways of thinking and responding to stressful situations.

The Connection Between Anxiety and Panic Attacks

Anxiety and panic attacks are closely linked. Panic attacks often occur as an acute manifestation of underlying anxiety disorders. Panic attacks are sudden, intense episodes of fear, including physical symptoms such as a rapid heartbeat, sweating, and shortness of breath. These attacks can be triggered by specific situations or without apparent cause. Some people who experience panic attacks may develop panic disorder, a type of anxiety disorder.

How Does a Panic Attack feel? 

A panic attack can be a terrifying experience, both physically and emotionally. During a panic attack, individuals may feel a sense of confusion and loss of control. The physical symptoms can be so intense that many people mistakenly believe they are having a heart attack.

For example, imagine feeling so anxious that your heart races like running a marathon, yet you're standing still, drenched in sweat, and struggling to catch your breath.

How Cognitive Behavioural Therapy (CBT) May Help with Panic Attacks

The Science Behind CBT and Panic Attacks

CBT helps individuals manage panic attacks by teaching them to recognise and modify the thoughts and behaviours that trigger these episodes. By addressing these cognitive distortions, CBT can reduce the fear and avoidance behaviours that perpetuate panic attacks.

Techniques such as exposure therapy and cognitive restructuring are commonly used to help individuals confront their fears in a controlled manner and develop healthier coping mechanisms.

5 Benefits of Cognitive Behavioural Therapy (CBT) for Panic Attacks in Anxiety

1. Teaches effective coping mechanisms to manage panic symptoms in real-time.

2. Identifies and challenges irrational thoughts that contribute to panic attacks.

3. Reduces avoidance behaviours by gradually exposing individuals to feared situations.

4. Improves emotional regulation and overall resilience to stress.

5. Provides long-term strategies for preventing future panic attacks.

Types of CBT and Their Benefits for Panic Attacks

1. Exposure Therapy: Involves gradual exposure to feared situations to reduce anxiety and avoidance behaviours.

2. Cognitive Restructuring: Focuses on changing negative thought patterns that contribute to anxiety and panic attacks.

3. Mindfulness-Based CBT: Combines traditional CBT techniques with mindfulness practices to help individuals stay present and manage their anxiety more effectively.

4. Dialectical Behavior Therapy (DBT): Includes techniques to manage intense emotions and improve interpersonal relationships.

5. Acceptance and Commitment Therapy (ACT): Encourages individuals to accept their thoughts and feelings rather than fighting them, while committing to actions aligned with their values.

Limitations and Potential Drawbacks of Cognitive Behavioural Therapy (CBT) for Panic Attacks

While CBT is effective for many individuals, it may not work for everyone. Some potential limitations and drawbacks include:

1. Time-Intensive: CBT requires a significant time commitment and effort to see results.

2. Initial Anxiety Increase: Confronting feared situations can initially increase anxiety before improvement occurs.

3. Variable Effectiveness: Some individuals may not respond to CBT, requiring alternative treatments.

4. Accessibility Issues: Access to qualified CBT therapists may be limited in some areas.

Conclusion

Cognitive Behavioural Therapy (CBT) is a well-established treatment for panic attacks, offering significant benefits by addressing the underlying thoughts and behavioural factors that contribute to anxiety and panic disorders.

While it may not work for everyone and requires a substantial commitment, CBT has the potential to provide long-term relief and improved quality of life for many individuals.

Seeking support and information is an important step toward managing anxiety symptoms effectively. If you've experienced panic attacks or have questions about CBT, share your thoughts and experiences in the comments below. 

Citation

  1. Panic Attacks and Panic Disorders (N.d.-a). Retrieved 6 August 2024, from https://www.helpguide.org/articles/anxiety/panic-attacks-and-panic-disorders.htm
  2. Panic Disorder: Answers to your most important questions (N.d.-b). Retrieved 6 August 2024, from https://www.apa.org/topics/anxiety/panic-disorder
  3. Cognitive behavioral therapy. (2019, March 16). Retrieved 6 August 2024, from https://www.mayoclinic.org/tests-procedures/cognitive-behavioral-therapy/about/pac-20384610
  4. Kaczkurkin, A. N., & Foa, E. B. (2015). Cognitive-behavioral therapy for anxiety disorders: an update on the empirical evidence. Dialogues in Clinical Neuroscience, 17(3), 337–346. doi:10.31887/dcns.2015.17.3/akaczkurkin
  5. Nall, R., MSN, & CRNA. (2020, August 27). Panic attack and panic disorder: What you need to know. Retrieved 6 August 2024, from https://www.medicalnewstoday.com/articles/8872
  6. Panic attacks & panic disorder. (n.d.). Retrieved 6 August 2024, from Cleveland Clinic website: https://my.clevelandclinic.org/health/diseases/4451-panic-attack-panic-disorder
  7. Panic disorder. (n.d.). Retrieved 6 August 2024, from nhs.uk website: https://www.nhs.uk/mental-health/conditions/panic-disorder/
  8. Star, K. (2013, January 29). Cognitive behavioral therapy for panic disorder. Retrieved 6 August 2024, from Verywell Mind website: https://www.verywellmind.com/cognitive-behavioral-therapy-2584290
  9. Vandergriendt, C. (2017, November 15). What’s the difference between a panic attack and an anxiety attack? Retrieved 6 August 2024, from Healthline website: https://www.healthline.com/health/panic-attack-vs-anxiety-attack
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