Cognitive-Behavioral Therapy for Anxiety Disorders: by Gillian Butler PhD, Melanie Fennell PhD, Ann Hackmann PhD

By Gillian Butler PhD, Melanie Fennell PhD, Ann Hackmann PhD

Helping therapists result in enduring switch while treating consumers with any anxiousness disease, this necessary e-book combines specialist assistance, in-depth exploration, and leading edge scientific innovations. The authors draw on huge adventure and learn to supply a framework for developing lucid formulations of advanced circumstances. They determine stumbling blocks that often come up in the course of the early, center, and later phases of therapy and current quite a lot of sensible suggestions. the amount demonstrates uncomplicated but versatile how one can improve shopper engagement, foster metacognitive knowledge, facilitate emotional processing, deal with low vanity and worry of uncertainty, and masses extra. Reproducible handouts and varieties are included.

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Additional resources for Cognitive-Behavioral Therapy for Anxiety Disorders: Mastering Clinical Challenges

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5, 210–213) has frequently noted that when affect is high, imagery involving memories or “reminiscence” may be part of the contents of consciousness. Several theorists have been curious about this and have speculated about the nature and functions of imagery and its links to memory (see Holmes & Hackmann, 2004). In this section we first examine phenomenology in PTSD and then compare this with phenomenology in the other anxiety disorders. We begin with PTSD because much of the work on this topic originated from the study of this disorder.

Meaning is considered to be central, and the generation of alternative, more helpful perspectives seems at least as important as processes of habituation or extinction. An important procedure involves updating “hot spots” using verbal and imagery techniques (Ehlers, Clark, Hackmann, McManus, & Fennell, 2005; Grey, Young, & Holmes, 2002). For a detailed description, see Chapter 5. • Attentional processes are targeted, and patients are encouraged to decrease their hypervigilance for danger but also learn to discriminate between what is actually happening now, and what is input from the traumatic memory.

Key Maintaining Processes • Anxious predictions, based on exaggerated estimates of harm or danger, and underestimates of ability to cope or be rescued. • Associated physiological arousal. • Biased attention to phobic stimuli, and for bodily signs of anxiety that can fuel “fear of fear” (Rachman & Brichard, 1988) and may ultimately lead to a panic attack. • Safety behaviors and avoidance that deny people the chance to test their beliefs. Treatment Strategies • Exposure to phobic objects, while directing attention toward processing the real object (rather than an image of it).

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