Acceptance & Commitment Therapy for Anxiety Disorders


American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

Antony, M. M., & Barlow, D. H. (2002). Specific phobias. In D. H. Barlow (Ed.), Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.) (pp. 380-417). New York: Guilford Press.

Antony, M. M., Orsillo, S. M., & Roemer, L. (2001). Practitioner’s guide to empirically based measures of anxiety. New York: Kluwer Academic/Plenum.

Ascher, L. M. (1989). Paradoxical intention and recursive anxiety. In L. M. Ascher (Ed.), Therapeutic paradox (pp. 93-136). New York: Guilford.

Bach, P., & Hayes, S. C. (2002). The use of Acceptance and Commitment Therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 70 (5), 1129-1139.

Barlow, D. H. (1988). Anxiety and its disorders: The nature and treatment of anxiety and panic. New York: Guilford Press.

Barlow, D. H. (2001). Clinical handbook of psychological disorders: A step-by-step treatment manual (3rd ed.). New York: Guilford.

Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). New York: Guilford Press.

Barlow, D. H., Allen, L. B., & Choate, M. L. (2004). Toward a unified treatment for emotional disorders. Behavior Therapy, 35, 205-230.

Barlow, D. H., & Durand, V. M. (2004). Essentials of abnormal psychology (4th ed.). New York: Wadsworth.

Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2000). Cognitive-behavioral therapy, imipramine, or their combination for panic disorder: A randomized controlled trial. Journal of the American Medical Association, 283, 2529-2536.

Beck, A. T., & Emery, G. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.

Becker, C. B., & Zayfert, C. (2001). Integrating DBT-based techniques and concepts to facilitate treatment for PTSD. Cognitive and Behavioral Practice, 8, 107-122.

Biglan, A., & Hayes, S. C. (1996). Should the behavioral sciences become more pragmatic? The case for functional contextualism in research on human behavior. Applied and Preventive Psychology: Current Scientific Perspectives, 5, 47-57.

Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N., Carmody, J., et al. (2004). Mindfulness: A proposed operationalized definition. Clinical Psychology: Science and Practice, 11, 230-241.

Blackledge, J. T., & Hayes, S. C. (2001). Emotion regulation in Acceptance and Commitment Therapy. JCLP/In Session: Psychotherapy in Practice, 57, 243-255.

Bond, F. W. & Bunce, D. (2000). Mediators of change in emotion-focused and problem-focused worksite stress management interventions. Journal of Occupational Health Psychology, 5, 156-163.

Bond, F. W., & Bunce, D. (2003). The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of Applied Psychology, 88, 1057-1067.

Borkovec, T. D., Alcaine, O., & Behar, E. (2004). Avoidance theory of worry and generalized anxiety disorder. In R. G. Heimberg, C. L. Turk & D. S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 77-108). New York: Guilford Press.

Borkovec, T. D., & Newman, M. G. (1998). Worry and generalized anxiety disorder. In A. S. Bellack & M. Hersen (Series Eds.), Comprehensive Clinical Psychology (Vol. 6, pp. 439-459). New York: Elsevier.

Bouton, M. E., Mineka, S., & Barlow, D. H. (2001). A modern learning theory perspective on the etiology of panic disorder. Psychological Review, 108, 4-32.

Boyer, W. (1995). Serotonin uptake inhibitors are superior to imipramine and alprazolam in alleviating panic attacks: A meta-analysis. International Journal of Clinical Psychopharmacology, 10, 45-49.

Brown, K. W., & Ryan, R. M. (2003). The benefits of being mindful: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822-848.

Brown, T. A., & Barlow, D. H. (2002). Classification of anxiety and mood disorders. In D. H. Barlow (Ed.), Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.) (pp. 292-327). New York: Guilford Press.

Brown, T. A., DiNardo, P. A., & Barlow, D. H. (1994). Anxiety Disorders Interview Schedule for DSM-IV. Boulder, CO: Graywind.

Centers for Disease Control and Prevention (2002). Web-based Injury Statistics Query and Reporting System (WISQARS) [Online]. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention. Available from: URL:

Chambless, D. L., & Gracely, E. J. (1989). Fear of fear and the anxiety disorders. Cognitive Therapy and Research, 13, 9-20.

Chödrön, P. (2001). The places that scare you. Boston: Shambhala.

Chorpita, B. F., & Barlow, D. H. (1998). The development of anxiety: The role of control in the early environment. Psychological Bulletin, 124, 3-21.

Cioffi, D., & Holloway, J. (1993). Delayed costs of suppressed pain. Journal of Personality and Social Psychology, 64, 274-282.

Clark, D. M., Ball, S., & Pape, D. (1991). An experimental investigation of thought suppression. Behaviour Research and Therapy, 29, 253-257.

Clum, G. A., Clum, G. A., & Surls, R. (1993). A meta-analysis of treatments for panic disorder. Journal of Consulting and Clinical Psychology, 61, 317-326.

Cottraux, J., Note, I., Cungi, C., Legeron, P., Heim, F., Chneiweiss, L., et al. (1995). A controlled study of cognitive behaviour therapy with buspirone or placebo in panic disorder with agoraphobia. British Journal of Psychiatry, 167, 635-641.

Cox, B. J., Endler, N.S., Lee, P.S., & Swinson, R.P. (1992). A meta-analysis of treatments for panic disorder with agoraphobia: Imipramine, alprazolam, and in vivo exposure. Journal of Behaviour Therapy and Experimental Psychiatry, 23, 175-182.

Cox, B. J., Swinson, R. P., Norton, G. R., & Kuch, K. (1991). Anticipatory anxiety and avoidance in panic disorder with agoraphobia. Behaviour Research and Therapy, 29, 363-365.

Craske, M. G. (1991). Phobic fear and panic attacks: The same emotional states triggered by different cues? Clinical Psychology Review, 11, 599-620.

Craske, M. G. (1999). Anxiety disorders: Psychological approaches to theory and treatment. Boulder, CO: Westview Press.

Craske, M. G. (2003). Origins of phobias and anxiety disorders: Why women more than men? Amsterdam: Elsevier.

Craske, M. G. (2005). Cognitive-behavioral treatment of anxiety disorders. Unpublished treatment manual. Available from the author at Department of Psychology, University of California at Los Angeles.

Craske, M. G., Antony, M. M., & Barlow, D. H. (1997). Mastery of your specific phobia. Boulder, CO: Graywind.

Craske, M. G., & Barlow, D. H. (2000). Mastery of your anxiety and panic, 3rd ed. (MAP III). Boulder, CO: Graywind.

Craske, M. G., Miller, P. P., Rotunda, R., & Barlow, D. H. (1990). A descriptive report of features of initial unexpected panic attacks in minimal and extensive avoiders. Behaviour Research and Therapy, 28,395-400.

Craske, M. G., Rowe, M., Lewin, M., & Noriega-Dimitri, R. (1997). Interoceptive exposure versus breathing retraining within cognitive-behavioural therapy for panic disorder with agoraphobia. British Journal of Clinical Psychology, 36, 85-99.

Craske, M. G., Street, L., & Barlow, D. H. (1989). Instructions to focus upon or distract from internal cues during exposure treatment of agoraphobic avoidance. Behaviour Research and Therapy, 27, 663-672.

Dahl, J. (in press). Living beyond your pain. Oakland, CA: New Harbinger Publications.

Dahl, J., Wilson, K. G., & Nilsson, A. (2004). Acceptance and commitment therapy and the treatment of persons at risk for long-term disability resulting from stress and pain symptoms: A preliminary randomized trial. Behavior Therapy, 35, 785-802.

Davis, M. D., Eshelman, E. R., & McKay, M. (2000). The relaxation and stress reduction workbook (5th ed.). Oakland, CA: New Harbinger Publications.

Denollet, J., Sys, S. U., Stoobant, N., Rombouts, H., Gillebert, T. C., & Brutsaert, D. L. (1996). Personality as an independent predictor of long-term mortality in patients with coronary heart disease. The Lancet, 347, 417-421.

Dollard, J., & Miller, N. E. (1950). Personality and psychotherapy: An analysis in terms of learning, thinking, and culture. New York: McGraw-Hill.

Eaton, W. W., Dryman, A., & Weissman, M. M. (1991) Panic and phobia. In L. N. Robins, & D. A. Regier (Eds.), Psychiatric disorders in America: The epidemiologic catchment area study (pp. 155-179). New York: The Free Press.

Eifert, G. H., & Heffner, M. (2003). The effects of acceptance versus control contexts on avoidance of panic-related symptoms. Journal of Behavior Therapy and Experimental Psychiatry, 34, 293-312.

Eifert, G. H., & Wilson, P. H. (1991). The triple response approach to assessment: A conceptual and methodological appraisal. Behaviour Research and Therapy, 29, 283-292.

Eifert, G. H., & Zvolensky, M. J. (2004). Somatoform disorders and psychological factors in physical health and illness. In J. E. Maddux & B. A. Winstead (Eds.), Psychopathology: Contemporary issues, theory, and research (p. 281-300). Hillsdale, NJ: Erlbaum.

Eifert, G. H., Zvolensky, M. J., & Lejuez, C. W. (2000). Heart-focused anxiety and chest pain: A conceptual and clinical review. Clinical Psychology: Science and Practice, 7, 403-417.

Ellis, A. (2004). The road to tolerance: The philosophy of rational emotive behavior therapy. Amherst, NY: Prometheus.

Ellis, A., & Robb, H. (1994). Acceptance in rational-emotive therapy. In S. C. Hayes, N. S. Jacobson, V. M. Follette, & M. J. Dougher (Eds.), Acceptance and change: Content and context in psychotherapy(pp. 91-102). Reno, NV: Context Press.

Eysenck, H. J. (1987). Behavior therapy. In H. J. Eysenck & I. Martin (Eds.), Theoretical foundations of behavior therapy (pp. 3-34). New York: Plenum.

Feldner, M. T., Zvolensky, M. J., Eifert, G. H., & Spira, A. P. (2003). Emotional avoidance: An experimental test of individual differences and response suppression during biological challenge. Behaviour Research and Therapy, 41, 403-411.

First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996). Structured Clinical Interview for DSM-IV Axis I Disorders, Clinician Version (SCID-CV). Washington, DC: American Psychiatric Press.

Foa, E. B., & Emmelkamp, P. M. G. (1983). Failures in behavior therapy. New York: Wiley.

Foa, E. B., & Kozak, M. J. (1997a). Beyond the efficacy ceiling? Cognitive behavior therapy in search of a theory. Behavior Therapy, 28, 601-611.

Foa, E. B., & Kozak, M. J. (1997b). Mastery of obsessive-compulsive disorder (OCD): A cognitive-behavioral approach. Boulder, CO: Graywind.

Folke F., & Parling, T. (2004). Acceptance and Commitment Therapy in group format for individuals who are unemployed and on sick leave suffering from depression: A randomized controlled trial. Thesis, University of Uppsala, Uppsala, Sweden.

Forsyth, J. P. (2000). A process-oriented behavioral approach to the etiology, maintainance, and treatment of anxiety-related disorders. In M. J. Dougher (Ed.), Clinical behavior analysis (pp. 153-180). Reno, NV: Context Press.

Forsyth, J. P., Daleiden, E., & Chorpita, B. F. (2000). Response primacy in fear conditioning: Disentangling the contributions of the UCS vs. the UCR. The Psychological Record, 50, 17-33.

Forsyth, J. P., & Eifert, G. H. (1996). The language of feeling and the feeling of anxiety: Contributions of the behaviorisms toward understanding the function-altering effects of language. The Psychological Record, 46, 607-649.

Forsyth, J. P., & Eifert, G. H. (1998a). Phobic anxiety and panic: An integrative behavioral account of their origin and treatment. In J. J. Plaud & G. H. Eifert (Eds.), From Behavior Theory to Behavior Therapy (pp. 38-67). Needham, MA: Allyn & Bacon.

Forsyth, J. P., & Eifert, G. H. (1998b). Response intensity of systemic alarms in content-specific fear conditioning: Comparing 20% versus 13% CO1-enriched air as a UCS. Journal of Abnormal Psychology, 107, 291-304.

Forsyth, J. P., Eifert, G. H., & Barrios, V. (in press). Fear conditioning research as a clinical analogue. In M. G. Craske, D. Hermans, & D. Vansteenwegen (Eds.), Fear and learning: Basic science to clinical application. Washington, DC: American Psychological Association.

Forsyth, J. P., Eifert, G. H., & Thompson, R. N. (1996). Systemic alarms in fear conditioning— II: An experimental methodology using 20% CO2 inhalation as a UCS. Behavior Therapy, 27, 391-415.

Forsyth, J. P., Parker, J. D., & Finlay, C. G. (2003). Anxiety sensitivity, controllability, and experiential avoidance and their relation to drug of choice and addiction severity in a residential sample of substance-abusing veterans. Addictive Behaviors, 28, 851-870.

Freud, S. (1920). Introductory lectures on psychoanalysis. New York: Norton.

Friman, P. C., Hayes, S. C., & Wilson, K. G. (1998). Why behavior analysts should study emotion: The example of anxiety. Journal of Applied Behavior Analysis, 31, 137-156.

Gaudiano, B. A., & Herbert, J. D. (in press). Acute treatment of inpatients with psychotic symptoms using Acceptance and Commitment Therapy. Behaviour Research and Therapy.

Gifford, E. V., Kohlenberg, B. S., Hayes, S. C., Antonuccio, D. O., Piasecki, M. M., Rasmussen-Hall, M. L., & et al. (2004). Applying a functional acceptance based model to smoking cessation: An initial trial of Acceptance and Commitment Therapy. Behavior Therapy, 35, 689-705.

Gold, D. B., & Wegner, D. M. (1995). Origins of ruminative thought: Trauma, incompleteness, nondisclosure, and suppression. Journal of Applied Social Psychology, 25, 1245-1261.

Greco, L. A., & Eifert, G. H. (2004). Treating parent-adolescent conflict: Is acceptance the missing link for an integrative family therapy? Cognitive and Behavioral Practice, 11, 305-314.

Greenberg, L. (1994). Acceptance in experiential therapy. In S. C. Hayes, N. S. Jacobson, V. M. Follette, & M. J. Dougher (Eds.), Acceptance and change: Content and context in psychotherapy (pp. 53-67). Reno, NV: Context Press.

Gregg, J. (2004). Development of an acceptance-based treatment for the self-management of diabetes. Unpublished doctoral dissertation, University of Nevada, Reno.

Gross, J. J. (1998). Antecedent and response-focused emotion regulation. Journal of Personality and Social Psychology, 74, 224-237.

Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39, 281-291.

Gross, J. J., & Levenson, R. W. (1997). Hiding feelings: The acute effects of inhibiting negative and positive emotion. Journal of Abnormal Psychology, 106, 95-103.

Gutiérrez, O., Luciano, C., Rodríguez, M., & Fink, B. C. (2004). Comparison between an acceptance-based and a cognitive-control-based protocol for coping with pain. Behavior Therapy, 35, 767-784.

Hand-Boniakowski, J. (1997). Hope. Metaphoria, Vol. 4, No. 7, Issue 43. Retrieved on January 13, 2005, from

Hayes, S. C. (1993). Analytic goals and the varieties of scientific contextualism. In S. C. Hayes, L. J. Hayes, H. W. Reese, & T. R. Sarbin (Eds.), Varieties of scientific contextualism (pp. 11-27). Reno, NV: Context Press.

Hayes, S. C. (1994). Content, context, and the types of psychological acceptance. In S. C. Hayes, N. S. Jacobson, V. M. Follette, & M. J. Dougher (Eds.), Acceptance and change: Content and context in psychotherapy (pp. 13-32). Reno, NV: Context Press.

Hayes, S. C. (2002). Acceptance, mindfulness, and science. Clinical Psychology: Science and Practice, 9, 101-106.

Hayes, S. C. (2004a). Acceptance and Commitment Therapy and the new behavior therapies: Mindfulness, acceptance, and relationship. In S. C. Hayes, V. M., Follette, & M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitive-behavioral tradition (pp. 1-29). New York: Guilford Press.

Hayes, S. C. (2004b). Acceptance and Commitment Therapy, Relational Frame Theory, and the third wave of behavior therapy. Behavior Therapy, 35, 639-665.

Hayes, S. C., Barnes-Holmes, D., & Roche, B. (2001). Relational frame theory: A post-Skinnerian account of human language and cognition. New York: Kluwer-Plenum.

Hayes, S. C., Bissett, R., Korn, Z., Zettle, R. D., Rosenfarb, I., Cooper, L., et al. (1999). The impact of acceptance versus control rationales on pain tolerance. The Psychological Record, 49, 33-47.

Hayes, S. C., Bissett, R., Roget, N., Padilla, M., Kohlenberg, B. S., Fisher, G., Masuda, A., Pistorello, J., Rye, A. K., Berry, K., & Niccolls, R. (2004). The impact of acceptance and commitment training and multicultural training on the stigmatizing attitudes and professional burnout of substance abuse counselors. Behavior Therapy, 35, 821-835.

Hayes, S. C., Follette, V. M., & Linehan, M. M. (Eds.). (2004). Mindfulness and acceptance: Expanding the cognitive behavioral tradition. New York: Guilford Press.

Hayes, S. C., Hayes, L. J., Reese, H. W., & Sarbin, T. R. (Eds.). (1993). Varieties of scientific contextualism. Reno, NV: Context Press.

Hayes, S. C., Jacobson, N. S., Follette, V. M., & Dougher, M. J. (Eds.). (1994). Acceptance and change: Content and context in psychotherapy. Reno, NV: Context Press.

Hayes, S. C., Luoma, J., Bond, F., & Masuda, A. (in press). Acceptance and Commitment Therapy: Model, processes, and outcomes. Behaviour Research and Therapy.

Hayes, S. C., Masuda, A., Bissett, R., Luoma, J., & Guerrero, L. F. (2004). DBT, FAP, and ACT: How empirically oriented are the new behavior therapy technologies? Behavior Therapy, 35, 35-54.

Hayes, S. C., & Pankey, J. (2003). Psychological acceptance. In W. T. O’Donohue, J. E. Fisher, & S. C. Hayes (Eds.), Cognitive behavior therapy: Applying empirically supported techniques in your practice(pp. 4-9). New York: Wiley.

Hayes, S. C., & Shenk, C. (2004). Operationalizing mindfulness without unnecessary attachments. Clinical Psychology: Science and Practice, 11, 249-254.

Hayes, S. C., & Strosahl, K. D. (Eds.).(2004). A Practical Guide to Acceptance and Commitment Therapy. New York: Springer-Verlag.

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and Commitment Therapy: An experiential approach to behavior change. New York: Guilford Press.

Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., et al. (2004). The Acceptance and Action Questionnaire (AAQ) as a measure of experiential avoidance. The Psychological Record54, 553-578.

Hayes, S. C., & Wilson, K. G. (1994). Acceptance and commitment therapy: Altering the verbal support for experiential avoidance. The Behavior Analyst, 17, 289-303.

Hayes, S. C., & Wilson, K. G. (2003). Mindfulness: Method and process. Clinical Psychology: Science and Practice, 10, 161-165.

Hayes, S. C., Wilson, K., Afari, N., & McCurry, S. (1990, November). The use of Acceptance and Commitment Therapy in the treatment of agoraphobia. Paper presented at the meeting of the Association for Advancement of Behavior Therapy, San Francisco.

Hayes, S. C., Wilson, K. G., Gifford, E. V., Bissett, R., Piasecki, M., Batten, S. V., et al. (2004). A randomized controlled trial of twelve-step facilitation and acceptance and commitment therapy with polysubstance abusing methadone maintained opiate addicts. Behavior Therapy, 35, 667-688.

Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152-1168.

Heffner, M., & Eifert, G. H. (2004). The anorexia workbook: How to accept yourself, heal suffering, and reclaim your life. Oakland, CA: New Harbinger Publications.

Heffner, M., Eifert, G. H., Parker, B. T., Hernandez, D. H., & Sperry, J. A. (2003). Valued directions: Acceptance and Commitment Therapy in the treatment of alcohol dependence. Cognitive and Behavioral Practice, 10, 379-384.

Heffner, M., Greco, L. A., & Eifert, G. H. (2003). Pretend you are a turtle: Children’s responses to metaphorical and literal relaxation instructions. Child Family and Behavior Therapy, 25, 19-33.

Heffner, M., Sperry, J., Eifert, G. H., & Detweiler, M. (2002). Acceptance and Commitment Therapy in the treatment of an adolescent female with anorexia nervosa: A case study. Cognitive and Behavioral Practice, 9, 232-236.

Heide, F. J., & Borkovec, T. D. (1983). Relaxation-induced anxiety: Paradoxical anxiety enhancement due to relaxation training. Journal of Consulting and Clinical Psychology, 51, 171-182.

Heimberg, R. G., Juster, H. R., Brown, E. J., Holle, C., Schneier, F. R., & Gitow, A. (1994, November). Cognitive-behavioral versus pharmacological treatment of social phobia: Posttreatment and follow-up effects. Paper presented at the Annual Meeting of the Association for Advancement of Behaviour Therapy, San Diego, CA.

Hennessey, T. M., Rucker, W. B., & McDiarmid, C. G. (1979). Classical conditioning in paramecia. Animal Learning and Behavior, 7, 417-423.

Herrigel, E. (1953). Zen in the art of archery. New York: Random House.

Hollon, S. D., & Kendall, P. C. (1980). Cognitive self-statements in depression: Development of an Automatic Thoughts Questionnaire. Cognitive Therapy and Research, 4, 383-395.

Hofmann, S. G., & Barlow, D. H. (2002). Social phobia. In D. H. Barlow (Ed.), Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.) (pp. 454-476). New York: Guilford Press.

Hopko, D. R., Hopko, S. D., & Lejuez, C. W. (2004). Behavioral activation as an intervention for co-existent depressive and anxiety symptoms. Clinical Case Studies, 3, 37-48.

Hopko, D. R., Lejuez, C. W., Ruggiero, K. J., & Eifert, G. H. (2003). Behavioral activation as a treatment for depression: Procedures, principles, and progress. Clinical Psychology Review, 23, 699-717.

Jacobson, N. S., Christensen, A., Prince, S. E., Cordova, J., & Eldridge, K. (2000). Integrative behavioral couple therapy: An acceptance-based, promising new treatment for couple discord. Journal of Consulting and Clinical Psychology, 68, 351-355.

Jaycox, L. H., & Foa, E. B. (1998). Post-traumatic stress disorder. In A. S. Bellack & M. Hersen (Series Eds.), Comprehensive Clinical Psychology (Vol. 6, pp. 499-517). New York: Elsevier.

Juster, H. R., & Heimberg, R. G. (1998). Social phobia. In A. S. Bellack & M. Hersen (Series Eds.), Comprehensive Clinical Psychology (Vol. 6, pp. 475-498). New York: Elsevier.

Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Delacorte.

Kabat-Zinn, J. (2005). Coming to our senses: Healing ourselves and the world through mindfulness. New York: Hyperion.

Karekla, M. (2004). A comparison between acceptance-enhanced panic control and panic control treatment for panic disorder. University of Albany, SUNY, Albany, New York. Unpublished Doctoral Dissertation.

Karekla, M., & Forsyth, J. P. (2004, November). A comparison between acceptance-enhanced cognitive behavioral and Panic Control Treatment for panic disorder. In S. M. Orsillo (Chair), Acceptance-based behavioral therapies: New directions in the treatment development across the diagnostic spectrum. Paper presented at the 38th annual meeting of the Association for Advancement of Behavior Therapy, New Orleans, LA.

Karekla, M., Forsyth, J. P., & Kelly, M. M. (2004). Emotional avoidance and panicogenic responding to a biological challenge procedure. Behavior Therapy, 35, 725-746.

Kasvikis, Y., & Marks, I. (1988). Clomipramine, self-exposure, and therapist-accompanied exposure in obsessive-compulsive ritualizers: Two-year follow-up. Journal of Anxiety Disorders, 2, 291-298.

Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., et al. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Study. Archives of General Psychiatry, 51, 8-19.

Khan, A., Leventhal, R. M., Khan, S., & Brown, W. A. (2002). Suicide risk in patients with anxiety disorders: A meta-analysis of the FDA database. Journal of Affective Disorders, 68, 183-190.

Kohlenberg, R. J., & Tsai, M. (1991). Functional analytic psychotherapy: Creating intense and curative relationships. New York: Plenum.

Koster, E. H., Rassin, E. G., Crombez, G., & Näring, G. W. (2003). The paradoxical effects of suppressing anxious thoughts during imminent threat. Behaviour Research and Therapy41, 1113-1120

Lang, P. J. (1993). The network model of emotion: Motivational connections. In R. S. Wyer & T. K. Srull (Eds.), Perspectives on anger and emotion: Advances in social cognition (Vol. 6, pp. 109-133). Hillsdale, NJ: Erlbaum.

Lavy, E. H., & van den Hout, M. A. (1990). Thought suppression induces intrusions. Behavioural Psychotherapy, 18, 251-258.

Leary, M. R. (1986). Affective and behavioral consequences of shyness: Implications for theory, measurement, and research. In W. H. Jones, J. M. Cheek, & S. R. Briggs (Eds.), Shyness: Perspectives on research and treatment(pp. 27-38). New York: Plenum.

LeDoux, J. E. (1996) The Emotional Brain. New York: Simon and Schuster.

LeDoux, J. E. (2000) Emotion circuits in the brain. Annual Review of Neuroscience, 23, 155-184.

Lejuez, C. W., Eifert, G. H., Zvolensky, M. J., & Richards, J. B. (2000). Preference between predictable and unpredictable administrations of 20% carbon dioxide–enriched air: Implications for understanding the etiology of panic disorder. Journal of Experimental Psychology: Applied, 6, 349-358.

Lejuez, C. W., Hopko, D. R., & Hopko, S. D. (2001). A brief behavioral activation treatment for depression: Treatment manual. Behavior Modification, 25, 255-286.

Lejuez, C. W., Hopko, D. R., & Hopko, S. D. (2002). The brief behavioral activation treatment for depression (BATD): A comprehensive patient guide. Boston: Pearson Custom Publishing.

Levitt, J. T., Brown, T. A., Orsillo, S. M., & Barlow, D. H. (2004). The effects of acceptance versus suppression of emotion on subjective and psychophysiological response to carbon dioxide challenge in patients with panic disorder. Behavior Therapy, 35, 747-766.

Linehan, M. M. (1993). Skills training manual for treating borderline personality disorder. New York: Guilford Press.

Linehan, M. M. (1994). Acceptance and change: The central dialectic in psychotherapy. In S. C. Hayes, N. S. Jacobson, V. M. Follette, & M. J. Dougher (Eds.), Acceptance and change: Content and context in psychotherapy (pp. 73-86). Reno, NV: Context Press.

Luckingham Fable, J. (1998). Some thoughts about resistance. Fairfield, CT: Center for Transformational Psychotherapy. Available at http:/

Marks, I. M. (1979). Conditioning models for clinical syndromes are out of date. The Behavioral and Brain Sciences, 2, 175-177.

Masuda, A., Hayes, S. C., Sackett, C. F., & Twohig, M. P. (2004). Cognitive defusion and self-relevant negative thoughts: Examining the impact of a ninety year old technique. Behaviour Research and Therapy, 42, 477-485.

McCracken, L. M, Vowles, K. E., & Eccleston, C. (in press). Acceptance-based treatment for persons with complex, long-standing chronic pain: A preliminary analysis of treatment outcome in comparison to a waiting phase. Behaviour Research and Therapy.

McDowell, J. J. (1982). The importance of Hernstein’s mathematical statement of the law of effect for behavior therapy. American Psychologist, 37, 771-779.

Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2002). Applying an emotion regulation framework to integrative approaches to generalized anxiety disorder. Clinical Psychology: Science and Practice, 9, 85-90.

Menzies, R. G., & Clarke, J. C. (1995). The etiology of phobias: A nonassociative account. Clinical Psychology Review, 15, 23-48.

Mower, O. H. (1939). A stimulus-response analysis of anxiety and its role as a reinforcing agent. Psychological Review, 46, 553-565.

Mower, O. H. (1960). Learning theory and behavior. New York: Wiley.

Nardone, G., & Watzlawick, P. (1993). Clinical practice, processes, and procedures. In G. Nardone & P. Watzlawick (Eds.), The art of change (pp. 45-72). San Francisco: Jossey-Bass.

Orsillo, S. M., Roemer, L., Lerner, J. B., & Tull, M. T. (2004). Acceptance, mindfulness, and cognitive-behavioral therapy: Comparisons, contrasts, and application to anxiety. In S. C. Hayes, V. M., Follette, & M. M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitive-behavioral tradition (pp. 66-95). New York: Guilford Press.

Otto, M. W., & Deckersbach, T. (1998). Cognitive-behavioral therapy for panic disorder: Theory, strategies, and outcome. In J. F. Rosenbaum & M. H. Pollack (Eds.), Panic disorder and its treatment (pp. 181-204). New York: Marcel Dekker.

Paulus, T. (1973). Hope for the flowers. Mahwah, NJ: Paulist Press.

Pennebaker, J. W., & Beall, S. K. (1986). Confronting a traumatic event: Toward an understanding of inhibition and disease. Journal of Abnormal Psychology, 95, 274-281.

Perls, F. P. (1973). The Gestalt approach and eye-witness to therapy. Palo Alto, CA: Science and Behavior Books.

Peterson, R. A., & Reiss, S. (1992). Anxiety Sensitivity Index Manual (2nd ed.). Worthington, OH: International Diagnostic Systems.

Power, K. G., Simpson, R. J., Swanson, V., & Wallace, L. A. (1990). A controlled comparison of cognitive-behaviour therapy, diazepam, and placebo, alone and in combination, for the treatment of generalized anxiety disorder. Journal of Anxiety Disorders, 4, 267-292.

Purdon, C. (1999). Thought suppression and psychopathology. Behaviour Research and Therapy, 37, 1029-1054.

Rachman, S. (1976). The passing of the two-stage theory of fear and avoidance: Fresh possibilities. Behaviour Research and Therapy, 14, 125-131.

Rachman, S. (1977). The conditioning theory of fear acquisition: A critical examination. Behaviour Research and Therapy, 15, 375–387.

Rachman, S. (1991). Neo-conditioning and the classical theory of fear acquisition. Clinical Psychology Review, 11, 155-173.

Rapee, R. M. (Ed.) (1996). Current controversies in the anxiety disorders. New York: Guilford Press.

Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the predictions of fearfulness. Behaviour Research and Therapy, 24, 1-8.

Robins, C. J. (2002). Zen principles and mindfulness practice in Dialectical Behavior Therapy. Cognitive and Behavioral Practice, 9, 50-57.

Roemer, E., & Orsillo, S.M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: Integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology: Science and Practice, 9, 54-68.

Rogers, C. R. (1961). On becoming a person: A therapist’s view of psychotherapy. Boston: Houghton Mifflin.

Salkovskis, P. (1998). Panic disorder. In A. S. Bellack & M. Hersen (Series Eds.), Comprehensive Clinical Psychology (Vol. 6, pp. 400-437). New York: Elsevier.

Samoilov, A., & Goldfried, M. R. (2000). Role of emotion in cognitive-behavior therapy. Clinical Psychology: Science and Practice, 7, 373-385.

Schmidt, N. B., Woolaway-Bicke, K., Trakowski, J., Santiago, H., Storey, J., Koselka, M., et al. (2000). Dismantling cognitive-behavioral treatment for panic disorder: Questioning the utility of breathing retraining. Journal of Consulting and Clinical Psychology, 68, 417-424.

Schulte, D., & Eifert, G. H. (2002). What to do when manuals fail: The dual model of psychotherapy. Clinical Psychology: Science and Practice, 9, 312-328.

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford.

Selden, N. R. W., Everitt, B. J., Jarrard, L. E., Robbins, T. W. (1991) Complementary roles for the amygdala and hippocampus in aversive conditioning to explicit and contextual cues. Neuroscience, 42, 335-50.

Seligman, M. E. P. (1971). Phobias and preparedness. Behavior Therapy, 2, 307-320.

Shafran, R., Thordarson, D. S., & Rachman, S. (1996). Thought-action fusion in obsessive compulsive disorder. Journal of Anxiety Disorders, 10, 379-391.

Sloan, D. M. (2004). Emotion regulation in action: Emotional reactivity in experiential avoidance. Behaviour Research and Therapy, 42, 1257-1270.

Smari, J. (2001). Fifteen years of suppression of white bears and other thoughts: What are the lessons for obsessive-compulsive disorder research and treatment? Scandinavian Journal of Behaviour Therapy, 30, 147-160.

Solomon, R. L., & Wynne, L. C. (1954). Traumatic avoidance learning: The principles of anxiety conservation and partial irreversibility. Psychological Review, 61, 353-385.

Spira, A. P., Zvolensky, M. J., Eifert, G. H., & Feldner, M. T. (2004). Avoidance-oriented coping as a predictor of anxiety-based physical stress: A test using biological challenge. Journal of Anxiety Disorders, 18, 309-323.

Staats, A. W., & Eifert, G. H. (1990). The paradigmatic behaviorism theory of emotions: Basis for unification. Clinical Psychology Review, 10, 539-566.

Steketee, G. S., & Barlow, D. H. (2002). Specific phobias. In D. H. Barlow (Ed.), Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.) (pp. 516-550). New York: Guilford Press.

Steketee, G. S., & Frost, R. O. (1998). Obsessive-compulsive disorder. In A. S. Bellack & M. Hersen (Series Eds.), Comprehensive Clinical Psychology (Vol. 6, pp. 367-398). New York: Elsevier.

Strosahl, K. D., Hayes, S. C., Wilson, K. G., & Gifford, E. V. (2004). An ACT primer: Core therapy processes, intervention strategies, and therapist competencies. In S. C. Hayes & K. D. Strosahl (Eds.), Acceptance and Commitment Therapy: A practical clinical guide (pp. 31-58). New York: Springer Science.

Taylor, S. (2000). Understanding and treating panic disorder. Chichester, UK: Wiley.

Turner, S. M., Beidel, D. C., & Jacob, R. G. (1994). Social phobia: A comparison of behaviour therapy and atenolol. Journal of Clinical and Consulting Psychology, 62, 350-358.

Twohig, M. P., Hayes, S. C., & Masuda, A. (in press). Increasing willingness to experience obsessions: Acceptance and Commitment Therapy as a treatment for obsessive compulsive disorder. Behavior Therapy.

Twohig, M. P., & Woods, D. W. (2004). A preliminary investigation of Acceptance and Commitment Therapy and habit reversal as a treatment for trichotillomania. Behavior Therapy, 35, 803-820.

Van Ameringen, M., Mancini, C., Oakman, J. M., & Farvolden, P. (2000). In K. J. Palmer (Ed.), Pharmacotherapy of anxiety disorders (pp. 17-30). Hong Kong: Adis International.

Watson, J. B., & Rayner, R. (1920). Conditioned emotional reactions. Journal of Experimental Psychology, 3, 1-14.

Wegner, D. M. (1994). Ironic processes of mental control. Psychological Review, 101, 34-52.

Wegner, D. M., Schneider, D. J., Carter, S. R., & White, T. L. (1987). Paradoxical effects of thought suppression. Journal of Personality and Social Psychology, 53, 5-13.

Wegner, D. M., Schneider, D. J., Knutson, B., & McMahon, S. R. (1991). Polluting the stream of consciousness: The effect of thought suppression on the mind’s environment. Cognitive Therapy and Research, 15, 141-152.

Wegner, D. M., & Zanakos, S. (1994). Chronic thought suppression. Journal of Personality, 62, 615-640.

Williams, S. L. (2004). Anxiety. In J. E. Maddux & B. A. Winstead (Eds.), Psychopathology: Contemporary issues, theory, and research (pp. 127-154). Hillsdale, NJ: Erlbaum.

Wilson, K. G., & Groom, J. (2002). The Valued Living Questionnaire. Available from the first author at the Department of Psychology, University of Mississippi, Oxford, MS.

Wilson, K. G., & Murrell, A. R. (2004). Values-centered interventions: Setting a course for behavioral treatment. In S. C. Hayes, V. M. Follette, & M. M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitive-behavioral tradition (pp. 120-151). New York: Guilford Press.

Wilson, K. G., & Roberts, M. (2002). Core principles in acceptance and commitment therapy: An application to anorexia nervosa. Cognitive and Behavioral Practice, 9, 237-243.

Wolpe, J. (1958). Psychotherapy by reciprocal inhibition. Stanford, CA: Stanford University Press.

Wolpe, J., & Rowan, V. C. (1988). Panic disorder: A product of classical conditioning. Behaviour Research and Therapy, 26, 441-450.

Yerkes, R. M., & Dodson, J. D. (1908). The relation of strength of stimulus to rapidity of habit formation. Journal of Comparative Neurology and Psychology, 18, 459-482.

Zettle, R. D. (2003). Acceptance and commitment therapy (ACT) versus systematic desensitization in treatment of mathematics anxiety. The Psychological Record, 53, 197-215.

Zettle, R. D., & Hayes, S. C. (1986). Dysfunctional control by client verbal 'margin-top:12.0pt;margin-right:0cm;margin-bottom: 3.6pt;margin-left:27.35pt;text-indent:-24.0pt;line-height:normal'>Zettle, R. D., & Raines, J. C. (1989). Group cognitive and contextual therapies in treatment of depression. Journal of Clinical Psychology, 45, 438-445.

Zinbarg, R. E., Craske, M. G., & Barlow, D. H. (1993). Mastery of your anxiety and worry. Boulder, CO: Graywind.

Zuercher-White, E. (1997). Treating panic disorder and agoraphobia: A step-by-step guide. Oakland, CA: New Harbinger Publications.

Zvolensky, M. J., Lejuez, C. W., & Eifert, G. H. (1998). The role of control in anxious responding: An experimental test using repeated administrations of 20% CO1-enriched air. Behavior Therapy29, 193-209.

Zvolensky, M. J., Lejuez, C. W., & Eifert, G. H. (2000). Prediction and control: Operational definitions for the experimental analysis of anxiety. Behaviour Research and Therapy, 38, 653-663.

Georg H. Eifert, Ph.D., is professor and chair of the department of psychology at Chapman University in Orange, CA. He was ranked in the top thirty of Researchers in Behavior Analysis and Therapy in the 1990s and has authored over 100 publications on psychological causes and treatments of anxiety and other emotional disorders. He is a clinical fellow of the Behavior Therapy and Research Society, a member of numerous national and international psychological associations, and serves on several editorial boards of leading clinical psychology journals. He also is a licensed clinical psychologist. He is the author of The Anorexia Workbook and From Behavior Theory to Behavior Therapy.

John P. Forsyth, Ph.D., is associate professor and director of the Anxiety Disorders Research Program in the Department of Psychology at the University at Albany, State University of New York. He has written widely on acceptance and experiential avoidance, and the role of emotion regulatory processes in anxiety disorders. He has been doing basic and applied work related to Acceptance and Commitment Therapy (ACT) for well over 10 years. He is a licensed clinical psychologist in New York State, serves on the editorial boards of several leading clinical psychology journals, and is associate editor of the Journal of Behavior Therapy and Experimental Psychiatry.

Eifert and Forsyth are also authors of a forthcoming book—ACT on Life, Not on Anger—describing the application of ACT for persons struggling with problem anger. They routinely give talks and workshops on acceptance and commitment therapy and cognitive behavior therapy for anxiety and related disorders.

Foreword writer Steven C. Hayes, Ph.D., is University of Nevada Foundation Professor of Psychology at the University of Nevada in Reno, NV. He is the author of Acceptance and Commitment Therapy and Relational Frame Theory, among many other books and articles, and he is one of the founders of acceptance and commitment therapy.

1. We acknowledge with gratitude Joanna Arch for her contributions to this section and her suggestions for wording and conducting the acceptance exercises. Go BACK

2. We are grateful to Peter Thorne, a British clinical psychologist, for sharing this metaphor with us and allowing us to use it in this book. We are also grateful to Steven Hayes for the rewording of “Just So Radio.” Go BACK

3. We are grateful to Dr. Michelle Craske for allowing us to use and adapt the scenarios and suggestions contained in her 2005 treatment manual Cognitive-Behavioral Treatment of Anxiety DisordersGo BACK

4. Some of the material in this chapter has been adapted from our ACT workbook for anorexia (Heffner & Eifert, 2004). It shows how many of the issues coming up in the ACT treatment of one clinical problem are similar to issues in other clinical problems—and how the solutions are similar in both cases, too. Go BACK