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Delivering cognitive-behavior therapy for panic disorder with agoraphobia in videoconference
Stéphane Bouchard1, Belle Paquin, Richard Payeur
1Department of Psychoeducation and Psychology, Université du Québec en Outaouais, Gatineau, Quebec, Canada. stephane.bouchard@uqo.ca
Summary
Videoconference cognitive-behavior therapy (CBT) is as effective as in-person treatment for panic disorder with agoraphobia (PDA). This approach significantly improves access to evidence-based care, with high success rates in panic symptom reduction.
Area of Science:
- Psychiatry
- Clinical Psychology
- Telehealth
Background:
- Cognitive-behavior therapy (CBT) is an empirically validated treatment for panic disorder with agoraphobia (PDA).
- Increasing accessibility of evidence-based treatments is a significant public health goal.
- Videoconferencing offers a potential modality to expand treatment reach.
Purpose of the Study:
- To compare the effectiveness of CBT for PDA delivered via videoconference versus face-to-face.
- To assess treatment outcomes and therapeutic alliance in both delivery formats.
Main Methods:
- A sample of 21 participants with PDA received CBT either face-to-face or by videoconference.
- Effectiveness was measured using standardized outcome measures.
- Therapeutic alliance was assessed by participants.
Main Results:
- CBT delivered by videoconference was found to be as effective as face-to-face CBT.
- Statistically significant reductions in PDA symptoms were observed in the videoconference group.
- Participants in the videoconference group reported excellent therapeutic alliances.
- High rates of panic-free status were achieved (81% post-treatment, 91% at 6-month follow-up).
Conclusions:
- Videoconference CBT is a viable and effective alternative for treating PDA.
- This modality significantly enhances treatment accessibility without compromising efficacy.
- The rapid development of strong therapeutic alliances is possible in videoconference psychotherapy.