Implementation

Question 1

Implementation of exposure therapy

Answer 1

Start with creating fear hierarchy.

Rate anxiety around feared place/activity.

This would lower fear response and reduce avoidance behavior

Question 2

Implementation of thought log

Answer 2

For convenience and ease, I would ask client to use phone’s notes app to record thoughts as they arise and rate intensity from 1-10

Question 3

Implementation of cognitive restructuring (putting thoughts on trial)

Answer 3

After collecting examples of the client’s thoughts from the thought log, I would ask client to provide evidence for and against the thought being true.

Question 4

Implementation of behavioral experiments

Answer 4

Start by asking client what would happen if they approached the feared location or activity again.

Have them rate the probability of that event occuring.

After appropriate processing and confidence building, the client would approach feared location or engage in feared activity and see if what the client believed would happen actually happens.

Question 5

Implementation of PMR

Answer 5

I would guide client to tighten and relax muscle groups starting with the feet and moving up through the body. I would then ask the client to rate how stressed or relaxed they feel.

Question 6

Implementation of pleasant activity scheduling

Answer 6

Start with psychoeducation on how depression can lead to decrease in pleasurable activities and motivation.

Make a visual schedule with simple, achievable tasks the client enjoys.

Have them rate mood before and after.

Question 7

Implementation for deep breathing

Answer 7

Guide client through deep breathing exercise.

This would be helpful for this client because he lacks in-the-moment coping strategies to reduce anxiety symptoms.