News Release

Treatment for panic disorder has a good long-term effect

Patients report they continued to experience improvement weeks after the treatment was first undertaken

Peer-Reviewed Publication

Norwegian University of Science and Technology

Immediate improvements followed by even more improvement

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Patients report that they feel even better long after treatment than immediately after the therapy, says researcher and psychology specialist Kristen Hagen from the Norwegian University of Science and Technology.

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Credit: Kristen Hagen, NTNU

Panic attacks can be extremely unpleasant and can cause intense fear. If you experience these attacks regularly, professionals call it panic disorder.

A method to treat the disorder was developed some time ago in Bergen. It runs over four days and is called the Bergen 4-Day Treatment (B4DT) .

Previous research has confirmed that this treatment is a good method to quickly help patients with panic disorder. One week after treatment, almost 90 per cent of patients experience a clear improvement.

But what about the long-term effect? New research has good news to report.

Amazing results

"It turns out that the improvement not only persists, but it actually gets stronger over time for many," said Kristen Hagen, a psychologist and associate professor at NTNU. Hagen is the project manager and senior author of two studies recently published in BMC Psychiatry.

"With long-term follow-up, patients report that they feel even better – than immediately after therapy and at the follow-up three months after," says Hagen.

"The fact that patients get even better over time is simply remarkable," he says.

[caption id="attachment_85907" align="aligncenter" width="610"] Patients report that they feel even better long after treatment than immediately after the therapy, says psychology specialist Kristen Hagen. Photo: Private[/caption]

The studies also show that the treatment not only reduces panic disorder symptoms, but also symptoms of general anxiety and depression.

Hagen says that despite the good results of the studies, they need to be confirmed with a larger number of patients.

How the treatment works

Instead of dragging the treatment over many weeks, the B4DT method is carried out intensively over four days in the same week.

Three to six patients meet in groups with a corresponding number of therapists.

The patients receive tailored treatment where they practice seeking out symptoms, situations and situations that can trigger anxiety. The patient has often avoided these situations for a long time.

In this therapy, patients face the difficult in a different and more appropriate way. This gives patients insight into the fact that it is the panic disorder and not real causes that have made them fear situations.

Almost 9 out of 10 patients report great improvement with this method. They have minimal symptoms and function relatively well in everyday life afterwards.

The method was developed to treat obsessive-compulsive disorder, but has been adapted to treat other mental disorders such as panic disorder.

References: Thorstein Olsen Eide, Bjarne Hansen, Kay Morten Hjelle, Stian Solem, Michael G. Wheaton, Thröstur Björgvinsson, Gerd Kvale & Kristen Hagen: The Bergen 4-day treatment for panic disorder: a longer-term follow-up BMC Psychiatry

Thorstein Olsen Eide, Thorbjørn Olsen, Hans Hansen, Bjarne Hansen, Stian Solem & Kristen Hagen: The Bergen 4-Day Treatment for panic disorder patients in a rural clinical setting: a long-term follow-up study BMC Psychiatry


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