Mastery Of Your Anxiety And Panic (Fifth Edition): Workbook

A structured cognitive behavioral therapy (CBT) program for individuals experiencing panic disorder and agoraphobia. This workbook supports clients as they work through an evidence-based program to understand and manage their panic attacks, reduce avoidance behaviors, and develop effective coping strategies.

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Chapter 1: The Nature of Panic Disorder and Agoraphobia

Chapter 2: Learning to Record Panic and Anxiety

Chapter 3: Negative Cycles of Panic and Agoraphobia

Chapter 4: Panic Attacks Are Not Harmful

Chapter 5: Establishing Your Hierarchy of Agoraphobia Situations

Chapter 6: Breathing Skills

Chapter 7: Thinking Skills

Chapter 8: Facing Physical Symptoms

Chapter 9: Facing Agoraphobia Situations

Chapter 10: Involving Others

Chapter 11: Medications

Chapter 12: Accomplishments, Maintenance, and Relapse Prevention

Appendix

Front Matter

Forms & Worksheets: Fillable PDF

Overview

Panic disorder and agoraphobia can significantly impact an individual’s daily functioning and quality of life. The Mastery of Your Anxiety and Panic workbook is part of the Treatments That Work™ series and presents a well-established CBT program designed to help clients systematically reduce panic symptoms and avoidance behaviors. This structured, step-by-step guide is suitable for use in both individual and group therapy settings, supporting clinicians in delivering evidence-based treatment.

Through psychoeducation, cognitive restructuring, breathing skills, and graded exposure to feared sensations and situations, clients will learn how to break the cycle of panic and regain control. The workbook emphasizes inhibitory learning principles to enhance the effectiveness of exposure exercises.

Why Use This Resource?

The Mastery of Your Anxiety and Panic workbook provides a structured and clinically validated program that aligns with best practices in treating panic disorder and agoraphobia.

  • Based on cutting-edge cognitive behavioral therapy (CBT) principles.
  • Integrates inhibitory learning strategies to enhance exposure outcomes.
  • Developed by leading experts in anxiety treatment.
  • Includes worksheets and exercises to facilitate client engagement and progress tracking.

Key Benefits

Structured

Provides a clear, step-by-step guide for both clinicians and clients.

Evidence-Based

Developed from thoroughly-researched CBT principles.

Practical

Includes practical exercises to support skill development.

Flexible

Adaptable for individual client presentations.

Who is this for?

Panic Disorder (PD)

Characterized by recurrent unexpected panic attacks and persistent worry about future attacks.

Panic Attacks

Acute episodes of intense anxiety marked by a rapid onset.

Agoraphobia

Marked by intense fear of situations where escape may be difficult.

Integrating it into your practice

01

Assessment

Identify client-specific panic triggers and avoidance patterns.

02

Psychoeducation

Teach clients about panic disorder, anxiety, and avoidance cycles.

03

Skills

Implement breathing and cognitive strategies to manage panic symptoms.

04

Exposure

Gradually reintroduce clients to feared situations and physical sensations.

05

Monitoring

Use structured worksheets to track progress and refine interventions.

06

Relapse Prevention

Equip clients with long-term strategies for maintaining gains.

Theoretical Background & Therapist Guidance

This program is grounded in cognitive behavioral therapy (CBT), a well-established, evidence-based approach for anxiety disorders. It emphasizes cognitive restructuring to challenge catastrophic misinterpretations of bodily sensations and behavioral exposure to reduce avoidance.

Key principles include:

  • Interoceptive exposure: clients confront feared bodily sensations (e.g., dizziness, heart palpitations) in a controlled manner to reduce fear responses.
  • Situational exposure: gradual engagement with avoided situations to build tolerance.
  • Cognitive restructuring: identifying and modifying maladaptive thought patterns associated with panic.
  • Inhibitory learning model: focuses on developing new, non-threatening associations with anxiety-provoking stimuli to enhance exposure effectiveness.

Therapists are encouraged to use a collaborative and client-centered approach, tailoring interventions to individual client needs and pacing exposure exercises appropriately.

What's inside

  • Comprehensive psychoeducation on panic disorder and agoraphobia.
  • Guided worksheets for tracking panic attacks and avoidance behaviors.
  • Breathing retraining and cognitive restructuring exercises.
  • Step-by-step exposure therapy protocols.
  • Strategies for relapse prevention and long-term maintenance.
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FAQs

While it can be used as a self-help resource, it is most effective when the treatment program is guided by a trained therapist.
The program is designed to be completed over 12 weeks, but pacing can be adjusted based on client needs.
Yes, the program is compatible with pharmacological treatments, and guidance is provided on integrating therapy with medication use.
Therapists can use motivational interviewing techniques and graded exposure to build confidence gradually.

How This Resource Improves Clinical Outcomes

By incorporating this workbook into therapy, clinicians can:

  • Enhance client understanding of panic disorder and agoraphobia.
  • Facilitate structured and measurable progress.
  • Improve treatment adherence through engaging exercises.
  • Strengthen long-term relapse prevention strategies.

Clients benefit from:

  • Reduced panic frequency and intensity.
  • Increased confidence in managing anxiety symptoms.
  • Greater willingness to engage in everyday activities.
  • Lasting improvements in overall well-being.

References And Further Reading

  • Barlow, D. H., & Craske, M. G. (2022). Mastery of Your Anxiety and Panic: Workbook (5th ed.). Oxford University Press.
  • Clark, D. M. (1999). Anxiety disorders: Why they persist and how to treat them. Behavior Research and Therapy, 37(Suppl 1), S5-S27.
  • Salkovskis, P. M. (1991). The importance of behaviour in the maintenance of anxiety and panic: A cognitive account. Behavioural Psychotherapy, 19, 6–19.
  • Wells, A. (2000). Emotional disorders and metacognition: Innovative cognitive therapy. Wiley.