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Vol 13, Issue 1, 2023
Pages: 540 - 556
Original scientific paper
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Received: >> Accepted: >> Published: 18.06.2023. Original scientific paper

CASE REPORT OF COGNITIVE-BEHAVIORAL THERAPY OF PANIC DISORDER IN COMORBIDITY WITH HYPOCHONDRIA

By
Tanja Todorovi ,
Tanja Todorovi

Faculty of Philosophy, University PIM Banja Luka , Banja Luka , Bosnia and Herzegovina

Mitra Mirković-Hajdukov
Mitra Mirković-Hajdukov

Faculty of Philosophy, University PIM Banja Luka , Banja Luka , Bosnia and Herzegovina

Abstract

 Cognitive-behavioral therapy is a science-based principle that research shows is effective for a wide range of problems. The therapist and client work together to identify and understand the problem in terms of the relationship between thoughts, feelings and behavior. The approach is usually focused on the „here and now“ difficulties. The problem to be approached must be precisely defined, as well as the goal to be worked on during the therapy. The development of this approach went through three waves: the first represented behavioral therapies based on classical and operant conditioning, the second were cognitive therapies based on changing cognitions and social learning, and the third were "mindfulness" therapies based on acceptance and full awareness. This paper presents a case of panic disorder in a 22-year-old girl, with the use of cognitivebehavioral therapy (CBT), especially the third wave (ACT). The paper describes the plan and course of treatment, with appropriate techniques. An essential characteristic of panic disorder is repeated attacks of severe anxiety that are not limited to a particular situation or set of circumstances and are therefore unpredictable. Panic anxiety refers to situations where there is no objective danger. Comorbidity refers to the psychiatric disorders in the same person, regardless of the time and relationship between the occurrence of these disorders.The treatment lasted three and a half months, divided into thirteen sessions. All set goals were achieved, and the client reports on subjective improvement. The assessment of the effect of the implemented cognitive-behavioral treatment was done on the basis of clinical evaluation, as well as standard questionnaires for psychological assessment, namely: AAQII, SGSE, CORE, YSQ, SCL-90 and UPH. 

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