Case Study: Psychological Dynamics and the Role of Cognitive Behavioral Therapy in Reducing Anxiety in Individuals with Generalized Anxiety Disorder with Panic Attacks

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Roselli Kezia Ausie

Abstract

This study aims to provide an overview of the psychological mechanisms of individual with Generalized Anxiety Disorder (GAD) accompanied by panic attacks. Cognitive Behavioral Therapy (CBT) was provided in an effort to reduce anxiety symptoms. The intervention was conducted over eight sessions, consisting of psychoeducation, relaxation, cognitive restructuring, and problem-solving exercises. The research method used was a qualitative approach with a case study design involving one participant. Measurements were conducted through interviews, observations, and the Beck Anxiety Inventory questionnaire. The results of the study indicate how cognitive distortions play a role in anxiety disorders. Cognitive Behavioral Therapy found to be an effective approach in reducing anxiety symptoms from severe to moderate. Cognitive distortions, such as the belief in always needing to control everything, changed to a more adaptive way of thinking, where the participant learned to distinguish between things that can and cannot be controlled. Changes in daily activities and problem-solving actions were also observed in the subject. A follow-up three weeks after the intervention showed that cognitive, emotional, and behavioral changes were sustained. Panic attacks were not reported by subject post-intervention.

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Ausie, R. K. (2025). Case Study: Psychological Dynamics and the Role of Cognitive Behavioral Therapy in Reducing Anxiety in Individuals with Generalized Anxiety Disorder with Panic Attacks. Humanitas (Jurnal Psikologi), 9(1), 57–74. https://doi.org/10.28932/humanitas.v9i1.11533
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References

APA. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.).

Asmadi. (2008). Kebutuhan Dasar Manusia. Salemba Medika.

Beck, A. T., & Steer, R. A. (1990a). Manual for the Beck Anxiety Inventory.

Beck, A. T., & Steer, R. A. (1990b). Manual for the Beck Anxiety Inventory.

Bhattacharya, S., Goicoechea, C., Heshmati, S., Carpenter, J. K., & Hofmann, S. G. (2023). Efficacy of Cognitive Behavioral Therapy for Anxiety-Related Disorders: A Meta-Analysis of Recent Literature. In Current Psychiatry Reports (Vol. 25, Issue 1, pp. 19–30). Springer. https://doi.org/10.1007/s11920-022-01402-8

Clark, D. A. (2011). Cognitive Therapy of Anxiety Disorders: Science and Practice. Guilford Press.

Creswell, J. W., & David Creswell, J. (2018). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches.

De Graaf, L. E., Roelofs, J., & Huibers, M. J. H. (2009). Measuring dysfunctional attitudes in the general population: The dysfunctional attitude scale (form A) revised. Cognitive Therapy and Research, 33(4), 345–355. https://doi.org/10.1007/s10608-009-9229-y

Dewinta, P., & Menaldi, A. (2018). Cognitive Behavior Therapy for Generalized Anxiety Disorder: A Case Study of Arrhythmia Patient. Humaniora, 9(2), 161. https://doi.org/10.21512/humaniora.v9i2.4715

Greer, J. A., Park, E. R., Prigerson, H. G., & Safren, S. A. (2010). Tailoring cognitive-behavioral therapy to treat anxiety comorbid with advanced cancer. Journal of Cognitive Psychotherapy, 24(4), 294–313. https://doi.org/10.1891/0889-8391.24.4.294

Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. In Cognitive Therapy and Research (Vol. 36, Issue 5, pp. 427–440). Springer New York LLC. https://doi.org/10.1007/s10608-012-9476-1

Kaplan, S. C., Morrison, A. S., Goldin, P. R., Olino, T. M., Heimberg, R. G., & Gross, J. J. (2017). The Cognitive Distortions Questionnaire (CD-Quest): Validation in a Sample of Adults with Social Anxiety Disorder. Cognitive Therapy and Research, 41(4), 576–587. https://doi.org/10.1007/s10608-017-9838-9

M. Turki, J. Ben Thabet, N. Charfi, M. Mezghanni, M. Maalej Bouali, N. Zouari, L. Zouari, & M. Maalej. (2020). Generalized anxiety disorder comorbidities: Panic and depressive disorder. European Psychiatry.

McLean, C. P., Asnaani, A., Litz, B. T., & Hofmann, S. G. (2011a). Gender differences in anxiety disorders: Prevalence, course of illness, comorbidity and burden of illness. Journal of Psychiatric Research, 45(8), 1027–1035. https://doi.org/10.1016/j.jpsychires.2011.03.006

McLean, C. P., Asnaani, A., Litz, B. T., & Hofmann, S. G. (2011b). Gender differences in anxiety disorders: Prevalence, course of illness, comorbidity and burden of illness. Journal of Psychiatric Research, 45(8), 1027–1035. https://doi.org/10.1016/j.jpsychires.2011.03.006

Powell, C. L. Y. M., Chiu, C. Y., Sun, X., & So, S. H. wai. (2024). A meta-analysis on the efficacy of low-intensity cognitive behavioural therapy for generalised anxiety disorder. BMC Psychiatry, 24(1). https://doi.org/10.1186/s12888-023-05306-6

Rachman, S. (2004). Fear of contamination. Behaviour Research and Therapy, 42(11), 1227–1255. https://doi.org/10.1016/j.brat.2003.10.009

Ranjit Kumar. (2010). Research Methodology - A step-by-step guide for beginners.

Stevanovic, D., & Zalsman, G. (2019). Changes in cognitive distortions and affectivity levels in adolescent depression after acute phase fluoxetine treatment. Cognitive Neuropsychiatry, 24(1), 4–13. https://doi.org/10.1080/13546805.2018.1532284

Sugiyono. (2013). Metode penelitian pendidikan pendekatan kuantitatif, kualitatif dan R&D. Alfabeta.

Sugiyono. (2019). Metode Penelitian Pendidikan (kuantitatif, kualitatif, kombinasi, R&D dan penelitian pendidikan). Metode Penelitian Pendidikan.

Van Ameringen, M., Simpson, W., Patterson, B., & Mancini, C. (2013). Panic attacks in generalized anxiety disorder. Journal of Nervous and Mental Disease, 201(1), 52–55. https://doi.org/10.1097/NMD.0b013e31827ab1f6

West Brook David, Kennerley Helen, & Kirk Joan. (2011). An Introduction to Cognitive Behaviour Therapy.

Yin, R. K. (2018). Case Study Research and Applications: Design and Methods (6th ed.).

Yousefy, A., Khayyam-Nekouei, Z., Sadeghi, M., & Roohafza, H. (2010). The effect of cognitive-behavioral therapy in reducing anxiety in heart disease patients. THE EFFECT OF COGNITIVE-BEHAVIORAL THERAPY IN REDUCING ANXIETY IN HEART DISEASE PATIENTS. https://www.researchgate.net/publication/277244261