Somatic sensations, anxiety, and control in panic disorder.

This case study of a woman with panic disorder with agoraphobia illustrates the relationships among somatic sensations, anxiety, and the subjective sense of control, and of these three factors to panic disorder. Helping the client alter her caffeine intake and dietary habits led to a significant reduction in panic attacks, but had less impact on her anxiety levels and sense of control. In the second stage of treatment, enhancing the client's sense of control through problem-solving training led to lower levels of anxiety. Implications for treatment and the prevention of relapse in panic disorder are discussed.