What Every Therapist Needs to Know About Anxiety Disorders by Seif, Martin N. -- Read -- Imperial Library of Trantor

Index

Title Copyright Dedication Contents List of Figures and Tables Preface Acknowledgments 1 Why Details Make a Difference

Introduction Reasonable Goals Techniques Are Not the Answer

2 The Basics

Three General Characteristics of Highly Anxious People Anxiety Feels Dangerous How an Anxiety Disorder Differs from Plain Anxiety The Three Types of Triggers The Defining Aspect of an Anxiety Disorder The Basic Principle: Identify and Treat Avoidance

3 A Contemporary View of Anxiety Disorders

Sensitivity and Anxiety A Discussion of Causation Insight: Cause Versus Maintenance Primary Versus Secondary Gains Studies on Causation The Dilemma of Insight Consequences of Affect Intolerance The Value of Talking about Anxiety Symptoms A Direct Approach to Treating Anxiety Disorders The Neurological Perspective: Role of the Amygdala in Sensitization The Value of Exposure The Fear-maintaining Cycle Avoidance, Resistance, Neutralization The Phenomenology of Anxiety: Anxiety Alters Consciousness With Anxiety, Common Sense Makes No Sense The Paradoxical Attitude

4 The Therapeutic Attitude of Acceptance

Approaching Anxiety Mindfully Embracing Anxiety The Role of the Therapist Teaching Metaphors Essential Elements to the Therapeutic Attitude of Acceptance

5 Getting Started

The First Contact Must Instill Hope Immediate Help: Embed Information in Your Questions Get the Details Find Out What They Have Tried Introduce the New Paradigm: Offer a More Profound Change Than Techniques Provide Information and Answer Questions

The Problem with Techniques How Techniques Can Be Helpful Techniques Are Temporary Help, Not Goals Emergency Coping Techniques That Can Be Helpful: “What Is,” Not “What If?” Anxiety Management Tricks That Easily Backfire Diaphragmatic Breathing Anxiety Management in Cases of Real Danger, Not False Messages Some Issues in Determining Patient Progress

7 Diagnoses: An Annotated Tour of the Anxiety Disorders

Specific Phobias Panic Disorder Social Anxiety Disorder Obsessive-compulsive Disorder Generalized Anxiety Disorder Traumatic Anxieties

8 Exposure: The Active Ingredient

9 The Curious Case of Worry

Varieties of the Worry Experience A Caveat: Generalized Anxiety Disorder—Rarely a Stand-alone Diagnosis Worry Is Not an Affect: It Is Thinking—And Thoughts Are Not Facts Productive Versus Unproductive Worry An Important Insight: Some Worry Thoughts Raise Anxiety and Some Lower It The Therapeutic Perspective on Worry About Worry and Time: The Role of Urgency Evaluating Worry Rumination: A Different Kind of Worrying Coping with Worry: What Doesn’t Work Coping with Worry: Strategies That Work

10 Unwanted Intrusive Thoughts: All Bark and No Bite

11 Classic Pitfalls: Common Mistakes Non-Specialists Make

12 Another View of Resistance: Issues that Interfere with Treatment

13 Some Hard to Treat Problems: A New Perspective

Illness Worries (Health Anxiety and Hypochondria) Scrupulosity (Religious and Secular) Emetophobia (Fear of Vomiting) Paruresis (Shy Bladder Syndrome)

14 Relapse Prevention

Anxiety Disorders Are Chronic Intermittent Disorders: They Come Back The Most Enduring Recovery Is When Symptoms Do Not Matter Search and Destroy: The Role of Subtle Avoidance The Role of Psychotherapy in Relapse Prevention The Proper Place for Stress Management Finally

Appendix 1 Additional Metaphors Appendix 2 A Summary of the Labeling Process That Can Be Given to Patients Appendix 3 How to Learn Diaphragmatic Breathing Appendix 4 Anxiety Diary Index