“…Despite evidence that the addition of interoceptive exposure enhances the effects of cognitive therapy (Gould, Otto, & Pollack, 1995), it has also been suggested that cognitively based procedures alone may produce good results even when exposure to fear sensations is not included (Brown, Beck, Newman, Beck, & Tran, 1997;Salkovskis, Clark, & Hackman, 1991). Moreover, Sokol, Beck, Greenburg, Wright, and Berchick (1989) found a substantial decrease in panic frequency that was maintained at a 2-year follow-up when using only cognitive therapy as treatment.…”