Panic Disorder and Anxiety in Adolescence

Martin Herbert, is Honorary Consultant Clinical Psychologist at the Royal and Devon Exeter Health Care Trust and Emeritus Professor at the University of Exeter.

• Introduction. Aims.Objectives.PART I: PANIC IN ADOLESCENTS.What Are Panic Attacks?.Non-Clinical Panic Attacks.Prevalence of Panic Attacks and Symptoms.What is Panic Disorder?.PART II: OTHER ANXIETY DISORDERS ASSOCIATED WITH PANIC IN ADOLESCENTS.Social Phobia.Obsessive-Compulsive Disorder.Generalized Anxiety Disorder.Specific Phobia.PART III. THE THREE COMPONENTS OF ANXIETY.The Physical Component (‘What I Feel’).The Cognitive Component (‘What I Think’).The Behaviroural Component (‘What I Do’).The Cycle of Panic.PART IV: UNDERSTANDING THE CAUSES OF PANIC IN ADOLESCENTS.A Model of the Aetiology of Panic.Temperament, Attachment and Separation: Implications for the Development of Panic.PART V: ASSESSING ADOLESCENTS WITH PANIC AND ANXIETY.The Anxiety Disorders Interview Schedule for DSM-IV, Child Version (ADIS-IV, Child Version).Panic Attributional Checklist.Self-Report Measures of Panic, Anxiety and Fear.Childhood Anxiety Sensitivity Index.Spence Children’s Anxiety Scale.Fear Survey Schedule for Children - Revised.Multidimensional Anxiety Scale for Children.Behavioural Assessment: A Behavioural Approach Task for an Adolescent with Panic Disorder.PART VI: TREATING ADOLESCENTS WITH PANIC AND ANXIETY.Panic Control Treatment for Adolescents.Sessions 1 and 2.Sessions 3-5.Sessions 6-8.Sessions 9-11.How helpful is PCT for adolescents? The case of Beth.Treating Other Anxiety Disorders in Adolescents.PART VII: WORKING WITH PARENTS.PART VIII: HELPING ADOLESCENTS WITH ANXIETY: SOME FINAL THOUGHTS.References.Further Reading.Sources of Instruments.APPENDICES.Appendix 1. Brief Screening Instrument for Panic Attacks and Panic Disorder in Adolescents.Appendix 2. Panic Attributional Checklist.Appendix 3. Childhood Anxiety Sensitivity Index.Appendix 4. Fear Survey Schedule for Children - Revised.Appendix 5. Treating My Teenager’s Panic Disorder: A Guide for Parents.

"Some of these [books in the PACTS series 2] are quite outstanding guides for practitioners, full of practical steps to take and worldly wisdom as well as good theretical grounding ... The one on panic disorders has Tom Ollendick as a co-author and is up to date in using the latest cognitive and behavioural approaches ... Overall I would recommend that this series is present for anybody working with adolescents, as they provide a very useful guide for trainees to get stuck in with treatment." Stephen Scott, Institute of Psychiatry, London, Child and Adolescent Mental Health, Volume 9, No. 2, 2004, pp 92-96