Exercise is generally accepted as means of improving mental health yet few studies have examined its use in specific disorders. This study examines delivery and efficacy of cognitive behaviour therapy (CBT) for panic and agoraphobia combined with a gym-based exercise programme in a Healthy Living Centre. Preliminary evidence for this novel service has shown Group CBT followed by exercise targeting safety behaviours to be clinically successful and acceptable to clients. Details of the pilot service and some of the clinical issues are discussed