Ray: A Man Fearful of Panic Attacks

  • James W. Drisko
  • Melissa D. Grady
Part of the Essential Clinical Social Work Series book series (ECSWS)


This chapter illustrates how the EBP practice decision-making process is undertaken in work with Ray, a 27-year-old white man who has had panic attacks and fears that they will continue and intensify. Ray is self-referred and has no history of mental health concerns, making his panic attacks novel and frightening. Issues of assessment are addressed, and the six steps of the EBP process are each explored in detail. How EBP is done in practice is examined fully as it applies to the specifics of Ray’s needs and strengths.


Evidence-based practice The steps of evidence-based practice Doing EBP in clinical social work practice Case example of doing the EBP process with a man having panic attacks 


  1. Ballenger, J. (2003). Selective serotonin reuptake inhibitors in the treatment of anxiety disorders. In D. Nutt & J. Ballenger (Eds.), Anxiety disorders (pp. 339–361). Malden, MA: Blackwell.Google Scholar
  2. Berger, P., Sachs, G., Amering, M., Holzinger, A., Bankier, B., & Katschnig, H. (2004). Personality disorder and social anxiety predict delayed response in drug and behavioral treatment of panic disorder. Journal of Affective Disorders, 80, 75–78.CrossRefGoogle Scholar
  3. Bighelli, I., Castellazzi, M., Cipriani, A., Girlanda, F., Guaiana, G., Koesters, M., et al. (2018). Antidepressants versus placebo for panic disorder in adults. Cochrane Database of Systematic Reviews, 2018(4), CD010676.Google Scholar
  4. Bighelli, I., Trespidi, C., Castellazzi, M., Cipriani, A., Furukawa, T. A., Girlanda, F., et al. (2016). Antidepressants and benzodiazepines for panic disorder in adults. Cochrane Database of Systematic Reviews, 2016(9), CD011567.Google Scholar
  5. Clinical Research Unit for Anxiety Disorders (CRUFAD) of St Vincent’s Hospital, Sydney, Australia. (2010). Anxiety and panic disorder patient treatment manual. Retrieved from
  6. Davenloo, H. (Ed.). (1978). Basic principles and techniques of short-term dynamic psychotherapy. New York: Jason Aaronson.Google Scholar
  7. Milrod, B., Leon, A., Busch, F., Rudden, M., Schwalberg, M., Clarkin, J., et al. (2007). A randomized controlled clinical tail of psychoanalytic psychotherapy for panic disorder. American Journal of Psychiatry, 164, 265–272.CrossRefGoogle Scholar
  8. Pompoli, A., Furukawa, T. A., Imai, H., Tajika, A., Efthimiou, O., & Salanti, G. (2016). Psychological therapies for panic disorder with or without agoraphobia in adults: A network meta-analysis. Cochrane Database of Systematic Reviews, 2016(4), CD011004.Google Scholar
  9. Strupp, H., & Binder, J. (1985). Psychotherapy in a new key. New York: Basic Books.Google Scholar
  10. Watanabe, N., Churchill, R., & Furukawa, T. A. (2009). Combined psychotherapy plus benzodiazepines for panic disorder. Cochrane Database of Systematic Reviews, 2009(1), CD005335.Google Scholar
  11. Wiborg, I., & Dahl, A. (1996). Does brief dynamic psychotherapy reduce the relapse rate of panic disorder? Archives of General Psychiatry, 53(8), 689–694.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • James W. Drisko
    • 1
  • Melissa D. Grady
    • 2
  1. 1.School for Social WorkSmith CollegeNorthamptonUSA
  2. 2.School of Social ServiceCatholic University of AmericaWashington, DCUSA

Personalised recommendations