ACT for Panic Disorder: The Case of Sarah

ACT interoceptive exposure

Key Points

  1. Sarah is a 25-year-old, Caucasian, cis heterosexual woman seeking therapy after first experiencing a panic attack four months previously.
  2. While on a trip to Las Vegas with her friends, Sarah started to feel overwhelmed, hot and flushed, disoriented, and short of breath, leading to a panic attack.
  3. Since that incident, Sarah has experienced further panic attacks once or twice weekly, which has significantly affected her life and well-being.
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The faculty member presenting this clinical case is Dr. Jessica Borushok. She’s a clinical psychologist and peer-reviewed acceptance and commitment therapy (ACT) trainer practicing in California. The client has been given the name Sarah, and is a 25-year-old, Caucasian, cis heterosexual woman presenting to therapy with chronic panic attacks.

Client Presentation

Background

Sarah came to therapy after first experiencing a panic attack four months earlier. She had no prior history of mental health difficulties, other than being a self-described “nervous kid” when she was younger. So this was the first time she sought any kind of therapeutic support.

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