12. cbt for anxiety disorders

Question 1

explain the main cognitive model of anxiety

Answer 1

• initial situation
• automatic (negative) thought
• emotion (negative)
• behaviour, which reinforces the AT

acting specific way that never allows to test out other possibilities if didn’t act certain way
avoidance of situations – safety behaviours

Question 2

core cognitive processes of all anxiety dx

Answer 2

• preoccupation + overestimation of danger (“something bad is gonna happen”)
• intolerance of uncertainty

guys i felt so called out from this slide alone lol

Question 3

core cog processes of panic disorder

Answer 3

catastrophic misinterpretation of bodily signals
fear of own bodily sensations
cyclical + worsening of sx because of fear

Question 4

core cog processes of social anxiety dx (SAD)

Answer 4

• fear of negative and positive evaluation
• self-focused attention

Question 5

what’s the panic cycle?

Answer 5

1. anxiety sensation
2. catastrophic belief about sensation
3. rapid increase in anxiety sensations
4. panic attack
5. worrying about another panic attack

and so on lol

Question 6

core cognitive processes of GAD

Answer 6

constant worrying
have both positive and negative beliefs about worrying

Question 7

core cognitive process of OCD

Answer 7

thought-action fusion

Question 8

example of a cog therapy tech for anxiety – intolerance of uncertainty

Answer 8

best, worst

Question 9

example of a cog therapy tech for anxiety – panic disorder

Answer 9

explanation of meanings of bodily sx
brief cog ther (5 sessions)

Question 10

cog ther tech for general anxious traits

Answer 10

neg eval: discuss pros + cons of anticipatory and post-even processing
self-focused attention: increaste attention to ext events, obtain more acc info about people’s responses

Question 11

cog ther tech for OCD

Answer 11

thought-action fusion:
* thoughts are thoughts, everyone has them
* verbal reattribution
* “detached mindfulness”

Question 12

OCD

what is verbal reattribution?

Answer 12

questioning the mechanism of which clients think that their thought cause action
* how does thinking cause action?
* if you care about thought, likely care about action more
* checking history: what compulsions were NOT performed, did the action ever occur? (statistical probability)

Question 13

anxiety maintenance model

what are high social standards?

Answer 13

• discrepancy between perceived standards + understimation of own ability
• exacerbated in situations when standards are high AND uncertain

Question 14

anxiety maintenance model

what is heightened self-focused attention?

Answer 14

• selective information processing (bias for negative + lack of attention)
• prevents self-corrective experiences (if people react positivity, might miss it)

Question 15

anxiety maintenance model

what is the root of negative self-perception?

Answer 15

underestimation of abilities maintained by selective information processing

Question 16

define these:

1. high estimated social cost
2. low perceived emotional control
3. avoidance + SB

Answer 16

1. poor social performance will lead to loss of status
2. anx sx will be perceived and judged negatively by others
3. client uses SB to avoid confrontation of anxious situation

Question 17

cognitive model of anxiety, maintenance model

cycle of avoidance + safety behaviours, what is the problem with these behaviours?

Answer 17

• establishes positive feedback loop in which negative reactions might be caused from SB rather than actual anxiety
• no opportunity for corrective learning (if avoiding, no opportunity)

Question 18

maintenance model of SAD

negative consequences of post-event rumination

Answer 18

• detailed mental review of social interaction
• leading to stronger memories of past failures and anticipatory anxiety + avoidance

Question 19

specific CBT for SAD

tx for self-focused attention

Answer 19

• direct attention away from anxious thoughts + bodily sensations + toward situation (being mindful of environment
• use interoceptive exposure to minize “threat” (bodily sensations)

Question 20

CBT for SAD

1. tx for neg self percep
2. over estimation of social costs
3. low perceived emotional control
4. post event rumination

Answer 20

1. video feedback
2. behavioural exp of social missteps
3. video feedback
4. guided questioning to process more adaptively