Training general practitioners in cognitive behavioural therapy for panic disorder: Randomized-controlled trial

Background: Cognitive Behavioural Therapy (CBT) is an effective treatment for panic disorder and other common mental health problems, however its availability in British General Practice is limited. Work is needed to identify ways to improve access to patients in primary care. Aim: A pilot study to measure the effectiveness of a training programme in CBT for GPs for the treatment of panic disorder. Method: Randomized-controlled trial. GPs were randomized to early or late entry into a training programme in CBT, consisting of formal teaching and clinical supervision. Outcome measures were: knowledge of panic disorder using a multiple-choice questionnaire; evidence of ability to assess and plan management of patients with panic disorder using responses to role-played consultations; assessment of change in practice by analysis of patient records. Results: GPs significantly increased their ability to assess and plan management of panic disorder. There was no significant increase in knowledge. There was evidence for an increased use of CBT techniques with recruited patients. Conclusions: Training and clinical supervision in CBT led to a change in GP behaviour in the management of panic disorder. Further development could lead to greater availability of effective psychological management of other mental health problems. Declaration of Interest: This study was funded by a grant from the NHS Executeive R&D fund.