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Index
Contents Who this Book is for Acknowledgements Dedication 1 The Black Hole of Anxiety
Getting equipped Group members talk Ways of using this book Exercise Group members talk
PART ONE
2 Are You Sure it’s Anxiety?
Seeing the doctor What will the doctor do? How shall I talk to the doctor? What will happen next? Group members talk about diagnosis
3 Depression
Can I work on my anxiety while I have depression? Group members talk about treatment
4 Anxiety Disorders
Panic attacks Phobias Generalised anxiety disorder (GAD) Feeling unreal Obsessive compulsive disorder (OCD) Understanding the difference between OCD and phobias Post-traumatic stress disorder (PTSD) Children and young people Keeping an anxiety diary Group members talk about the Anxiety experience
5 Helping Yourself to Overcome Anxiety
Qualities needed for self-help Questionnaire – are you ready for recovery? Group members talk about moving towards recovery
6 Two Key Skills: Goal Setting and Relaxation
Key skill – goal setting Goals need to be realistic Choose specific goals Break goals down into small steps Keep a record of goals and progress Learn from your failures Repeat your goals Example of goal setting – running the marathon Breakdown of first goal Key skill – learning to relax fully Group members talk about relaxation
7 Causes of Anxiety Disorders
How do anxiety disorders develop? Task – measure your stress Group members talk about the build-up to anxiety
8 The Connection between Mind, Body and Spirit
Values and beliefs Understanding more about your body Changing your breathing Key skill – breathing exercise one Group members talk about breathing
9 Taking Exercise to Help Anxiety
Exercise options Establishing a personal exercise programme Exercise ladder Group members talk about exercise
10 Examining Your Diet
Task – recording what you eat Food and drink Your eating pattern Breakfast is important Group members talk about food and drink
11 More about Diet
Understanding the effects of caffeine Checklist – food and drink Compare your diaries Group members talk about caffeine
12 Understanding Alcohol, Nicotine and Other Drugs
Alcohol Nicotine Prescription drugs Street drugs Set your goals Group members talk about alcohol, nicotine and other drugs
13 Your Sleep Patterns
Worrying about sleep Task – deal with your sleep Compare your diaries Group members talk about sleep
14 Positive Experiences
The value of laughter Social contacts Getting out into the fresh air Animals Group members talk about positive experiences
15 Achieving Life Balance and Managing Your Time
Why anxiety strikes after a stressful event Assessing your life balance Group members talk about life balance
16 Review – Lifestyle Changes
Summary of tasks so far Dealing with difficult tasks Group members talk about taking small steps
PART TWO
17 Taking the Next Step
Overview Effects of anxiety Group members talk about anxiety behaviours
18 Examining Anxiety Behaviours
Escape Avoidance Doing less Safety behaviours Effects of anxiety behaviours Exercise Group members talk about safety behaviours
19 What Do You Want to Achieve?
Examining your responses Be precise about your fears Cognitive Behaviour Therapy Group members talk about recovery
20 Looking at Change and Risk
Key skill – accepting change Finding the motivation for change Key skill – taking risks Learning to accept risk Group members talk about the recovery process
21 How Your Anxiety Affects Your Friends and Family
Telling someone about your anxiety problem Carers Group members talk about sharing and isolation
22 Learning about Exposure Work
Working out an exposure plan Listing your goals Group members talk about exposure for panic and phobias Exposure work for OCD Group members talk about exposure for OCD Exposure for panic attacks Coping with a panic attack Breathing during panic attacks and exposure work More about breathing Group members talk about panic
23 Planning Your Exposure
Exposure ladders Visualisation Panic ladder Agoraphobia ladder Specific phobia ladder Generalised anxiety disorder ladder Travel phobia ladders Social phobia ladder Group members talk about exposure
24 Exposure for OCD
Understanding compulsions Example: compulsive hand washing OCD with compulsive thoughts Group members talk about obsessions and compulsions
25 Working with a Helper
Arranging help with panic and phobia exposure Arranging help with OCD exposure Stopping rituals and compulsive thoughts Asking for reassurance Group members talk about working towards recovery
26 Exposure – Coping Skills
Your body Your helper Mental distractions Physical distractions Relaxation Emotions Thoughts Plan an escape route Reward system Group members talk about coping skills
27 Exposure – Your First Goal
Julie’s exposure – phobia Andrew’s exposure – OCD
28 Plateaux and Setbacks
Plateaux Setbacks Dealing with plateaux and setbacks Group members talk about plateaux and setbacks
PART THREE
29 Anxiety on Trial
Group members talk
30 Let the Trial Commence
Working with thoughts OCD and thoughts Group members talk about negative thoughts
31 The First Two Charges Against Anxiety
Anxiety is charged with wilfully misinterpreting the world Exercise Anxiety is charged with changing your thought patterns Exercise Group members talk about anxious thoughts
32 Anxiety is Charged with Distorting Your Personality
The worrier The critic The victim The perfectionist Exercise Ways of countering the four personalities Group members talk about sub-personalities
33 Anxiety is Charged with Extreme Thinking
Ways of countering extreme thinking Group members talk about extreme thinking
34 Anxiety is Charged with Selective Attention
Ways of countering selective attention Group members talk about selective attention
35 The Final Charges Against Anxiety
Anxiety is charged with distorting your intuition Anxiety is charged with creating self-reproach Ways of countering distorted intuition and self-reproach Group members talk about negative thought patterns
36 Another Approach – Logical Argument
An example of Socratic questioning More questions to ask yourself Socratic argument and OCD
37 The Verdict
Changing your anxious thinking Checklist – coping skills for cognitive work Group members talk about coping skills
38 Other Techniques to Use to Change Your Thinking
Testing your cognitive work Cognitive work and OCD Testing cognitive work for OCD After the session – all anxiety disorders Brooding Group members talk about making changes
39 More about Thought Processes
Core beliefs Identifying your core beliefs Group members talk
40 The Vicious Circle
Core beliefs that drive the vicious circle OCD and core beliefs Group members talk
41 Working on Your Negative Core Beliefs
Examining your negative core beliefs Challenging your negative core beliefs Group members talk about dealing with the past
42 Changing Your Negative Core Beliefs
Using counter statements for negative core beliefs Be your own researcher Group members talk
43 Summary of Work with Core Beliefs
PART FOUR
44 Why Me?
Understanding emotions Simple emotions Complex emotions Repression and anxiety Group members talk about feelings
45 Dealing with Withheld Feelings
Expressing your feelings Identifying your negative emotions Group members talk about becoming open to feelings
46 Assertiveness
Assertiveness and anxiety Group members talk about assertiveness
47 Self-confidence and Self-esteem
Building confidence and self-esteem Healing your inner child Group members talk about self-esteem
48 Problems and Decisions
Decision making Problem solving
49 The Meaning of Life
Are you resisting recovery? Facing up to difficult issues Group members talk about encouragment
50 Dealing with Maintenance Factors – Summary
Checklist for maintenance factors Group members talk – words of wisdom
51 Finale
How are you feeling? Group members talk about recovery
52 It’s Okay to be Me
Further help Goodbye to the group
Extra Information Appendix 1 Appendix 2 Appendix 3 Index
A B C D E F G H L M N O P R S T U V W Y
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