Lecture 5-

Question 1

in the treatment of social anxiety, what does cognitive behavior therapy include? (6)

Answer 1

1) psychoeducation about maintaining factors
2) cognitive challenging
3) behavioural experiments
4) reduce safety behaviors
5) attention training
6) video feedback

Question 2

what does cognitive challenging involve?

Answer 2

challenging of negative beliefs or thoughts- is this really true??

Question 3

what do behavioral experiments involve?

Answer 3

exposure- enter a social situation. reduces belief that something bad will happen

Question 4

what does reducing safety behaviors involve?

Answer 4

stop covering hands, not speaking, hiding, etc

Question 5

what does attention training involve?

Answer 5

paying attention to social interaction instead of self -pay attention and realize theres no negative feedback

Question 6

what does video feedback involve?

Answer 6

film and playback- interaction wasn’t as bad as they think

Question 7

what is the cognitive rationale of exposure tasks?

Answer 7

hopefully learn that you reduce expectation of harm

Question 8

exposure tasks are often carried out in ..

Answer 8

group settings

Question 9

what portion achieve substantial achievement ?

Answer 9

2/3

Question 10

what is the 2nd line of defense?

Answer 10

anti depressants

Question 11

what is generalized anxiety disorder characterized by in DSM 4 and 5?

Answer 11

excessive/ uncontrollable worry about a variety of events/ outcomes

Question 12

in what DSM was GAD first introduced?

Answer 12

DSM 3

Question 13

GAD occurs more days than not for at least ..

Answer 13

6 months

Question 14

GAD is characterized by at least 3 of these 6 somatic symptoms..

Answer 14

restlessness, 
fatigue,
 difficulty concentrating, irritability, 
muscle tension, 
sleep disturbance

Question 15

what does GAD need to be distinguished from?

Answer 15

other disorders that include worry.. social anxiety- worry about social events

Question 16

who seeks more help for disorders?

Answer 16

men

Question 17

worry is a response to what?

Answer 17

perceived threat

Question 18

what is wrong with problem solving attempts of pathological worriers?

Answer 18

its thwarted- start off worrying more

Question 19

social problem solving involves these 3 steps..

Answer 19

• problem definition
• generation of alternative solutions
• solution evaluation

Question 20

why are social solutions problematic for high worriers?

Answer 20

good at telling themselves why this solution won’t work

each solution they see a new problem in it

Question 21

what did Borkovec (1994) say of his avoidance theory?

Answer 21

worry contains more verbal thought than imagery- so people avoid images in thought by worrying- becomes a coping mechanism

Question 22

what does experiential avoidance entail?

Answer 22

worriers avoid internal experience- if i feel happy then it will go away and i will be sad again

Question 23

people that suffer with experiential avoidance experience difficulty with..

Answer 23

emotion regulation:

• identifying emotion
• regulating emotion
• modulating emotion

Question 24

what does the intolerance of uncertainty theory say about worrying?

Answer 24

sufferers think uncertainty reflects badly on them so they worry to reduce uncertainty

Question 25

worriers aim to reduce uncertainty to:

Answer 25

zero- not possible > keep worrying

Question 26

in metacognitive theory of worry, type 1 entails..

Answer 26

perception of threat + positive beliefs about worry> worry to cope with threat

Question 27

in metacognitive theory of worry, type 2 entails..

Answer 27

metaworry | Worry + negative beliefs about worry>metaworry> ineffective thought control strategies> increased anxiety and worry

Question 28

treatment strategies include .. (4)

Answer 28

biased threat perception problem solving avoidance metacognitive

Question 29

metacognitive treatment involves..

Answer 29

challenging beliefs about worry

Question 30

avoidance treatment involves..

Answer 30

expose images of fear- try to tolerate