Research & Clinical Results

Two research studies, using the Rhythmic Integration Panic Protocol, showed immediate marked drops in panic frequency. The change followed one guided 90 minutes or less session. 

Participants had long histories of frequent panic attacks. Most had tried various interventions. The results lasted.

Study 1:  Subjects went from an average of 9.6 panic attacks in the month previous to the intervention; to .6 after one week, .2, after one year. 

Robbins, R. Body Approaches to the Treatment of Panic, in Schmidt and Warner, Panic: Origins, Insights and Treatment. North Atlantic Books: Berkeley, 2002.


Study 2: With a different facilitator, subjects went from an average of 17.8 attacks; to .8 after one week, .9 after one year.

Robbins, R. Validating the One-Session Rhythmic Integration Panic Protocol (RIPP) Reduction of Panic Attack Frequency: Replication with New Facilitator. International Society for the Advancement of Respiratory Psycho-Physiology Meeting. NY, 2010.

Participants in the research rated the process more comfortable than expected.

Clinical experience following the research confirmed that most who desire the change and follow the process have marked drops in panic frequency, and sustained improvement. However a lower rate of successful outcomes was found with people who came to the session for others. E.g. "My mother wanted me to come: I did it for her."

Clinical Clients with an ongoing history of use of medications classified as Benzodiazapines such as Xanax, Paxal, Klonopin, Valium, Ativan, etc. also had lower rates of success. At this point these applicants are asked to work with a physician to get free of these types of medications before being seen. For people who have used these medications for an extended period, this is not an easy task. It can take considerable time slowly tapering off use.

Before the therapeutic session is scheduled, perspective applicants are screened to insure that the process is appropriate for them.

People leave the session with a markedly different attitude toward panic. Some are confident that based on what they had learned, the session had worked for them and they wouldn't have attacks. Others reserve judgment, and wish to wait and see. In either case drops in panic frequency begin immediately, or when there is a need, after the one-week follow-up call.

The follow-up telephone interviews are set up to answer any questions and/or work with secondary problems such as related phobias.

The research data provides evidence-based "proof of concept" support validating the use of the method. On the face of it, the fact that a series of long term sufferers were able to get marked lasting change after one session further supports validity. This would not be expected by chance.

 Further research using different facilitators and  different settings  and different research designs are indicated. Such research would require training in the use of the protocol and demonstrated facility in its application before study would begin.