Evaluating the effectiveness of cognitive behavioral therapy in reducing anxiety in girls with panic disorder

INTERVENTION: Intervention 1: Intervention group: Cognitive Behavioral Therap .Duration of each session: 90 minutes; Total number of sessions: 8 sessions; Session sequence: twice a week.Therapeutic tools used:This intervention focuses on education about panic disorder, identifying and correcting maladaptive beliefs associated with panic symptoms, and most importantly, gradual and controlled exposure to physical symptoms and avoided situations. The main tools include psychoeducation, cognitive restructuring, breathing exercises, relaxation techniques, and exposure protocols (interoceptive and situational).Session content:Session 1: Introduction, administration of the pre‐test, and initial education about panic disorder and its cycle.Session 2: Identifying catastrophic thoughts and training in cognitive restructuring.Session 3: Continuation of cognitive restructuring and diaphragmatic breathing training.Session 4: Initiation of interoceptive exposure to physical symptoms.Session 5: Continuation of interoceptive exposure and preparation of a hierarchy of feared situations.Session 6: Initiation of situational exposure to avoided situations.Session 7: Continuation of situational exposure and skill consolidation.Session 8: Conclusion, relapse prevention, post‐test, and follow‐up. Intervention 2: Control group: The control group will not receive any intervention during the research, but will receive the intervention after data collection to prevent factors that threaten the internal validity of the research, such as compensatory competition from the control group or demoralization. CONDITION: F41.0 Panic Disorder. ; Panic disorder [episodic paroxysmal anxiety] without agoraphobia PRIMARY OUTCOME: Anxiety. Timepoint: 1. Pre‐test (before the start of the intervention) 2. Post‐test (immediately after the end of the intervention period) 3. One‐month follow‐up after the intervention. Method of measurement: The measurement method will be the Beck Anxiety Inventory Epstein et al. (1988). Panic Disorder. Timepoint: 1. Pre‐test (before the start of the intervention) 2. Post‐test (immediately after the end of the intervention period) 3. One‐month follow‐up after the intervention. Method of measurement: The method of measurement will be the Panic Disorder Severity Scale by Shear et al. INCLUSION CRITERIA: Definite diagnosis of panic disorder based on DSM‐5‐TR criteria by a psychiatrist or psychologist at the center Having a minimum average score (above 16) on the Beck Anxiety Inventory (BAI) Girls between the ages of 18 and 30