It typically begins with apsychoedu

It typically begins with a
psychoeducational phase, which helps the patient
better understand and become less fearful of what
they are experiencing physiologically and emotionally.
They are then encouraged to self-monitor those
situations in which they experience panic attacks,
and eventually learn to cope with them, eitherwith or
without breathing retraining and relaxation. A good
deal of emphasis is placed on cognitive restructuring,
whereby catastrophic interpretations of bodily
sensations are placed within a normal context of
heightened arousal, and not a signal of an impending
serious crisis. Some therapists make use of interoceptive
exposure, whereby patients are encouraged
to create the symptoms they experience during panic
attacks during the session by means of exercise or
hyperventilation.