ACT for Panic Disorder: Working With Client Beliefs

ACT interoceptive exposure

Key Points

  1. It’s important to clarify the client’s beliefs, goals, and expectations, and know what they’ve tried in the past, to understand how to approach treatment and be able to create a safe space in which to do exposure work.
  2. It’s a good sign if a client seeks to understand their experience, because they’ll be open to psychoeducation and engage with exposure therapy if they understand its rationale.
  3. It’s important when starting therapy to set realistic expectations. Clients need to know that they can live meaningful lives even while experiencing adverse symptoms.
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Client Perceptions

When developing a treatment plan for someone with panic disorder with agoraphobia, it’s important to look at:

  • Their specific beliefs and thoughts around treatment
  • Their goals and expectations
  • The things they’ve tried in the past
  • Things they might need for reassurance and support

It’s important to be a source of safe space so they can face the risks of exposure work.

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