Climbing your panic ladder

This resource introduces the concept of a ‘panic ladder’—a graded hierarchy that helps clients gradually confront situations that provoke anxiety, progressing from more manageable scenarios to highly challenging ones.  

This tool is designed to support practitioners in ensuring that children’s exposure tasks are adequately graded and planned.  

Free

Climbing your panic ladder

Free

Climbing your panic ladder

Download

Black & White Version

Specifically designed to keep ink usage low without compromising on great design.

Full Colour Version

Great for sharing on computer screens, phones & tablets.

References and Further Reading

  • Pincus, D. B., Ehrenreich-May, J., Whitton, S. W., Mattis, S. G., & Barlow, D. H. (2010). Cognitive-behavioral treatment of panic disorder in adolescence. Journal of Clinical Child & Adolescent Psychology, 39(5), 638–649 https://doi.org/10.1080/15374416.2010.501288.
  • Peterman, J. S., Carper, M. M., & Kendall, P. C. (2016). Testing the Habituation-Based Model of Exposures for Child and Adolescent Anxiety. Journal of Clinical Child and Adolescent Psychology, pp. 1–11 https://doi.org/10.1080/15374416.2016.1163707.
  • Waite, P. (2022). Protocol for a randomised controlled feasibility study examining the efficacy of brief cognitive therapy for the treatment of panic disorder in adolescents (PANDA). Pilot and Feasibility Studies, 8(1) https://doi.org/10.1186/s40814-022-01009-z.
  • Hoffman , E. C. , & Mattis , S. G. ( 2000 ). A developmental adaptation of panic control treatment for panic disorder in adolescence . Cognitive and Behavioral Practice, 7 , 253 – 261.
  • Micco , J. A. , Choate-Summers , M. L. , Ehrenreich , J. T. , Pincus , D. B. , & Mattis , S. G. ( 2007 ). Identifying efficacious treatment components of Panic Control Treatment for Adolescents: A preliminary investigation . Child & Family Behavior Therapy , 29 ( 4 ), 1 – 23.