Exploring panic fears

This resource helps young people explore their unspoken fears around panic attacks using a visual ‘bottle’ metaphor. It encourages them to identify, rank, and reflect on their worst fears—and to begin unpacking what makes those fears feel so overwhelming.

It is designed to support therapists in creating a safe space for fear-based psychoeducation, helping young people externalise and make sense of their panic-related beliefs as a first step toward change.

References and Further Reading

  • Birmaher, B., & Ollendick, T. H. (2004). Childhood-onset panic disorder. In T. H. Ollendick, & J. S. March (Eds.), Phobic and anxiety disorders in children and adolescents (pp. 306–333). NewYork:Oxford University Press
  • Clark, D.M., Salkovskis, P.M., Hackmann, A., Wells, A., Ludgate, J. and Gelder, M., 1999. Brief cognitive therapy for panic disorder: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 67(4), p.583.
  • Craske, M. G., & Barlow, D. H. (2001). Panic disorder and agoraphobia. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders: A step-by-step treatment manual (3rd ed., pp. 1–59). The Guilford Press.
  • Craske, M.G. and Barlow, D.H., 2022. Mastery of your anxiety and panic: Therapist guide. Oxford University Press.
  • Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., & Swendsen, J. (2010). Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication-Adolescent © 2020 The Authors. Child and Adolescent Mental Health published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.8 Holly J. Baker & Polly Waite Supplement (NCS-A). Journal of the American Academy of Child &AdolescentPsychiatry, 49, 980–989.
  • National Institute for Health and Care Excellence (NICE) (2014) Anxiety Disorders (Online) Available at: www.nice.org.uk/guidance/qs53.
  • Richards, J.C., Richardson, V. and Pier, C., 2002. The relative contributions of negative cognitions and self-efficacy to severity of panic attacks in panic disorder. Behaviour Change, 19(2), pp.102-111.
  • Vizard, T., Pearce, N., & Davis, J. (2018). Mental Health of Children and Young People in England, 2017. Leeds: Health and Social Care Information Centre.
  • Waite, P. Protocol for a randomised controlled feasibility study examining the efficacy of brief cognitive therapy for the treatment of panic disorder in adolescents (PANDA). Pilot Feasibility Stud 8, 49 (2022). https://doi.org/10.1186/s40814-022-01009-z.