Anxiety disorders: why they persist and how to treat them

3 important questions on Anxiety disorders: why they persist and how to treat them

What is the aim of an idiosyncratic model of the client's particular anxiety disorder?

It aims to show patients how the specific triggers produce NATs relating to feared outcomes, and how these are maintained by safety behaviors and other maintaining processes. It acts as a blueprint to organise and develop therapy procedures.

What are the steps in examining and modifying negative beliefs and linked maintenance processes? (5)

1. Identify negative beliefs (progress can already be made through the discovery of contradictory evidence)
2. Education about the symptoms of anxiety disorders
3. Working directly with images and explicitly restructuring or modifying them.
4. Modifying the overestimation of the perceived cost of the fear
5. Exposure to feared situations and sensations without safety behavior

What are the active ingredients in cognitive therapy (for anxiety disorders? (2+)

1. Mixture of education, verbal discussion techniques, imagery modification, attentional manipulations, exposure to feared stimuli, manipulation of safety behaviors, and other BEs
2. Strong emphasis on within-session experimental work and on working with high affect

(Difficult to pinpoint the most effective elements, but video feedback with social phobia seems to be powerful)

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