Can a Self-Guided Program Really Reduce Panic Attacks? A Clinical Follow-Up

by Robert Bernhardsson

This article summarizes clinical follow-up data from participants who completed my self-guided Panic Attack Program.

If you’re looking for a clear, evidence-based way to understand panic and break the panic cycle, you can learn more about the program here → Panic Attack program

Encouraging Results From a Clinical Follow-Up

During the fall of 2025, a small group of individuals in Sweden completed my self-guided panic disorder program. What I observed over time was better than expected!

At a glance:
• Panic symptoms ↓ ~73%
• General anxiety ↓ ~78%
• Depressive symptoms ↓ ~83%
(Timeframe: ~2.5 months on average)

On average, panic-related symptoms decreased by approximately 73%, which meant that many participants who previously avoided subways, flying, or restaurants were able to return to these places. Others reported feeling safer in their own bodies, as well as exercising, being alone, eating or drinking certain foods, and no longer experiencing panic attacks as an imminent threat. The fear of suddenly losing control simply faded. But that’s not all. General anxiety also dropped by about 78%, suggesting that improvements were not limited to panic attacks alone, but extended to everyday anxiety across different situations. As a bonus, even depressive symptoms decreased after completing the program. These symptoms were not particularly pronounced at baseline, and therefore the observed reduction was relatively small.

“The fear is completely gone. Understanding what was actually happening in my body changed everything. Once I truly understood panic, it lost its power.” – anonymous

On average, participants used the program for about 2.5 months. While everyone moved at their own pace, some reported noticeable symptom relief early on, especially after gaining a clear and detailed understanding of what a panic attack actually is, and, just as importantly, what it is not.

Who was included, and who was not?

Only participants who completed the full program and actively worked with the exercises were included in this summary. Before starting, each participant took part in a 45-minute psychologist-led screening conversation. This helped ensure that the program was a good fit and that panic symptoms were not primarily driven by other factors, such as overwhelming life stress without panic disorder. Broad comorbidity was also excluded, meaning individuals who were simultaneously struggling with other forms of mental health difficulties were not included.

Inclusion required the presence of at least one, but preferably both, of the following core features consistent with panic disorder:

  1. Persistent concern or worry about additional panic attacks or their potential consequences (for example, losing control, having a heart attack, “going crazy,” or ongoing worry about the next episode).

  2. A significant maladaptive change in behavior related to the attacks, such as avoidance of exercise, bodily sensations, restaurants, cafés, shopping malls, grocery stores, airplanes, subways, or unfamiliar situations.

Some participants had struggled with panic attacks for years, while others experienced their first episode just a couple of months prior to enrolling.

How symptoms were tracked over time

As part of routine clinical follow-up and quality evaluation, participants completed a set of well-known self-report questionnaires both before and after the program:

  • PDSS-SR (panic symptoms)

  • GAD-7 (general anxiety)

  • PHQ-9 (low mood and depressive symptoms)

These tools help people put words and numbers to their experiences. They are not diagnostic tests on their own, but they provide a helpful snapshot of symptom severity over time.

A quick but important note

These results reflect the experiences of this specific group during this specific period. No control group or comparison group was used. People respond differently to psychological programs, and outcomes vary depending on many factors, including symptom patterns, life circumstances, and how the program is used.

This was not a formal research study, and no ethics committee was involved. The information above comes from routine clinical follow-up and quality evaluation, shared here for transparency and informational purposes only. It should not be understood as a promise or guarantee of individual results.

At gsPsychology, our vision is to help people who are suffering. We do not believe in charging for something that does not help. And that’s why we have a money back guarantee.

If you want to understand panic the same way these participants did,
you can explore the Panic Program here.

Licensed psychologist, panic attack expert

Who is Robert Bernhardsson?

I’m a clinical psychologist based in Sweden. Since 2012, I’ve been on a journey to understand and help people with mental health challenges. It’s a passion that drives my work every day.

Learn more about my new self-help program I created to support your understanding of panic symptoms →