Addressing Anxiety in Adolescence: A Case of an Integrated Approach to Treating Panic Disorder and Generalised Anxiety Disorder

Publication Date : 11/08/2025

Author(s) :

Pure M. Mlambo.

Volume/Issue :

Volume 1

Issue 1

(08 - 2025)

Abstract :

This case study explores the assessment and therapeutic management of a 14-year-old female adolescent presenting with Panic Disorder and Generalized Anxiety Disorder. Utilising an integrated approach combining Cognitive Behavioural Therapy (CBT) and Person-Centred Therapy (PCT), the treatment focused on addressing her anxiety symptoms, cognitive distortions, emotional regulation, and social functioning. Assessment tools were employed to guide diagnosis and monitor progress, including the Structured Clinical Interview for DSM-5 (SCID-5) clinical version, the Screen for Child Anxiety Related Emotional Disorders (SCARED) for parent and child, the Beck Depression Inventory and the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE-OM). The Differential Aptitude Tests- Revised (DAT-R, Jung Personality Questionnaire (JPQ) and the Namibia Vocational Interest Inventory II (NAMVII) were administered. Results from these assessments guided a personalised treatment plan targeting Lulu’s presenting symptoms and vocational uncertainty. The client was diagnosed with Panic Disorder and Generalized Anxiety Disorder, guided by DSM-5-Tr criteria, and her treatment was informed by these classifications to provide targeted and evidence-based interventions. Key interventions included psychoeducation on anxiety components, cognitive restructuring, relaxation techniques, and assertiveness training. The therapeutic process also addressed relational issues, including her ambivalent feelings toward her absent father and social challenges within her school and hostel environment. Progress was monitored through self-report measures, demonstrating reduced anxiety symptoms, improved coping strategies, and enhanced emotional insight. The case underscores the importance of collaborative, individualised treatment approaches in adolescent anxiety disorders and highlights the role of family involvement in successful outcomes. The client’s consistent participation and active engagement throughout therapy significantly contributed to the positive treatment outcomes.