Lecture 5- Flashcards
in the treatment of social anxiety, what does cognitive behavior therapy include? (6)
1) psychoeducation about maintaining factors
2) cognitive challenging
3) behavioural experiments
4) reduce safety behaviors
5) attention training
6) video feedback
what does cognitive challenging involve?
challenging of negative beliefs or thoughts- is this really true??
what do behavioral experiments involve?
exposure- enter a social situation. reduces belief that something bad will happen
what does reducing safety behaviors involve?
stop covering hands, not speaking, hiding, etc
what does attention training involve?
paying attention to social interaction instead of self -pay attention and realize theres no negative feedback
what does video feedback involve?
film and playback- interaction wasn’t as bad as they think
what is the cognitive rationale of exposure tasks?
hopefully learn that you reduce expectation of harm
exposure tasks are often carried out in ..
group settings
what portion achieve substantial achievement ?
2/3
what is the 2nd line of defense?
anti depressants
what is generalized anxiety disorder characterized by in DSM 4 and 5?
excessive/ uncontrollable worry about a variety of events/ outcomes
in what DSM was GAD first introduced?
DSM 3
GAD occurs more days than not for at least ..
6 months
GAD is characterized by at least 3 of these 6 somatic symptoms..
restlessness, fatigue, difficulty concentrating, irritability, muscle tension, sleep disturbance
what does GAD need to be distinguished from?
other disorders that include worry.. social anxiety- worry about social events
who seeks more help for disorders?
men
worry is a response to what?
perceived threat
what is wrong with problem solving attempts of pathological worriers?
its thwarted- start off worrying more
social problem solving involves these 3 steps..
- problem definition
- generation of alternative solutions
- solution evaluation
why are social solutions problematic for high worriers?
good at telling themselves why this solution won’t work
each solution they see a new problem in it
what did Borkovec (1994) say of his avoidance theory?
worry contains more verbal thought than imagery- so people avoid images in thought by worrying- becomes a coping mechanism
what does experiential avoidance entail?
worriers avoid internal experience- if i feel happy then it will go away and i will be sad again
people that suffer with experiential avoidance experience difficulty with..
emotion regulation:
- identifying emotion
- regulating emotion
- modulating emotion
what does the intolerance of uncertainty theory say about worrying?
sufferers think uncertainty reflects badly on them so they worry to reduce uncertainty
worriers aim to reduce uncertainty to:
zero- not possible > keep worrying
in metacognitive theory of worry, type 1 entails..
perception of threat + positive beliefs about worry> worry to cope with threat
in metacognitive theory of worry, type 2 entails..
metaworry
Worry + negative beliefs about worry>metaworry> ineffective thought control strategies> increased anxiety and worry
treatment strategies include .. (4)
biased threat perception
problem solving
avoidance
metacognitive
metacognitive treatment involves..
challenging beliefs about worry
avoidance treatment involves..
expose images of fear- try to tolerate
