Improving Access To Services to Community Based Outpatient Clinics (CBOC's)

Improving Access To Services With An Intensive Two-Day Treatment For Panic

The purpose of this study is to examine the feasibility of delivering IPCT in three rural VA community based outpatient clinics (CBOCs).

We will first need to develop a more thorough understanding of the potential barriers associated with implementing this novel form of treatment in these settings by conducting focus groups at each facility. This information will then be used to modify the treatment, which will then be piloted with Veterans enrolled in these clinics who have panic disorder.

Inclusion Criteria:

• OEF/OIF/OND Veteran with current diagnosis of panic disorder with or without agoraphobia (presence of other anxiety disorders is acceptable)

Exclusion Criteria:

• Current substance dependence
• psychosis
• symptomatic bipolar disorder
• severe depression with suicidal intent or plan