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What Keeps Panic Going?

The "What Keeps It Going?" series is a set of one-page diagrams explaining how common mental health conditions are maintained. Friendly and concise, they provide an easy way for clients to understand at a glance why their disorders persist, and how they might be interrupted. What Keeps Panic Going? is designed to help clients experiencing panic attacks and panic disorder understand more about their condition.

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Notice: The 'Fillable PDF' format has been retired. For resources with form elements, both the 'Professional' and 'Client' versions are now available as fillable PDFs by default.

Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

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Languages this resource is available in

  • Bulgarian
  • Chinese (Simplified)
  • English (GB)
  • English (US)
  • Greek
  • Italian
  • Polish

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Introduction & Theoretical Background

A panic attack is a sudden surge of intense fear which is accompanied by strong body feelings (such as your heart beating rapidly, or finding it hard to breathe) and catastrophic thoughts (such as thinking that you will lose control or die). Panic attacks feel terrifying, but they are not dangerous. Some people might just have a single panic attack and not experience any more. People who worry about their panic, and who take steps to try to prevent the possibility of having more, are said to suffer from panic disorder. 

 

Research studies have shown that Cognitive Behavioral Therapy (CBT) is probably the most effective treatment for panic disorder (Pompoli et al, 2016). CBT therapists work a bit like firefighters: while the fire is burning they aren’t very interested in what caused it, but are more focused on what is keeping it going. This is because if they can

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Therapist Guidance

“One interesting way of thinking about panic is to look at why, for some people, it does not get better by itself. This handout shows some of the most common reasons why some people’s panic persists. I wonder if we could look at it together and think about whether it describes what is happening for you?”

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References And Further Reading

  • Clark, D. M. (1986). A cognitive approach to panic. Behaviour Research and Therapy, 24(4), 461-470.
  • Pompoli, A., Furukawa, T. A., Imai, H., Tajika, A., Efthimiou, O., & Salanti, G. (2016). Psy- chological therapies for panic disorder with or without agoraphobia in adults: a network meta‐ analysis. Cochrane Database of Systematic Reviews, (4).

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