Everything you want to know about cognitive behavioral therapy

What to Do When you Feel a Panic Attack Coming Part 3: Facing the Demon

Filed under: CBT — Tags: , , , , , , , , — admin @ 11:02 am December 27, 2009

Exposures involve voluntarily bringing on a mild to moderate level of anxiety In other words, exposures show you ways to face the demon, challenge him head on, and kill him once and for all.

There are two keys to exposures:

1. They have to be voluntary (which means that you can’t do them all the time, because you won’t always be in the mood)

2. If you imagine your anxiety from a 0-8 (with 0 being calm and 8 being a panic attack), you want to hit a 4 during any given exposure (because if you go above a 4, the anxiety might get ahead of you and no longer be voluntary and under your control).

Exposures are used to gain mastery over any phobia. They work for panic disorder because the core of panic disorder is usually phobia as well: A phobia to certain physical sensations. Whether it’s a racing heart, dizziness, nausea, a choking sensation, or a certain pain, every panic disorder patient has at least one or two physical symptoms that trigger their panic cycle. Exposures show you how to experience these sensations in such a way that you finally stop being triggered by them. After 1-2 months of exposures, most patients find that coping techniques begin to be effective (i.e. the shield actually starts working). Once patients are good at exposures, they can often use them to actually stop a panic attack that is coming on. In other words, once the demon appears, they can turn the tables on the demon, challenge it, and get it to run scared with it’s tail between it’s legs. After several months of exposures, most of my patients become completely panic free (and can usually be taken off on any panic-related medications they have started).

Exposures are at the heart of Cognitive Behavioral Therapy, and they are by far the most useful techniques for killing the Demon and gaining mastery over panic once and for all.

Cognitive-behavioral Therapy’s Answer to Panic Attacks

People who suffer from panic attacks experience symptoms such as heart palpitations, sweating, loss of control, feelings of impending doom, disorientation, and feeling trapped. Although those who suffer from this disorder feel debilitated, it is one of the most manageable syndromes to treat through the use of cognitive-behavioral therapy.

When people first come for cognitive-behavioral therapy, they may indicate that they have received prior counseling, have made innumerable visits to doctors, and have been treated in emergency rooms for symptoms associated with their anxiety. Patients are usually desperate for answers to alleviate their on-going struggle with panic. Patients are relieved to know that their symptoms are treatable through the use of cognitive-behavioral therapy. Often, patients feel that they are going crazy, although they need to be reassured that having “crazy” feelings is a cognitive distortion and is vastly different from those who might be considered clinically crazy.

Most individuals know the time-frame when they first started experiencing panic attacks. There may have been triggering events that fostered the emergence of panic. The patient may be unable to make an association between the panic and a painful triggering experience. Factors such as a significant illness, job stress, family abuse/ trauma, losing a loved one, and lacking emotional expressiveness may create conditions ripe for panic. Once a panic attack erupts, further attacks usually follow if an individual is not aware of the cycle of self-defeating thinking and behavior which sustains the panic process.

The key to curtailing panic is to help people understand that it’s the secondary symptoms that keep the panic alive. In other words, it’s the “panic over the panic” that sustains the panic pattern. With cognitive-behavioral therapy, recovery involves educating the sufferer on ways to respond to their self-defeating thought processes during the onset of their attack. For example, let’s say that you are taking a mid-term exam during college. You open up the test booklet and immediately react by saying, “Oh my God, none of this material looks familiar; there’s no way that I can pass this test; if I flunk this test, I might fail this course for the semester; if my parents find out, there’s going to be hell to pay!” In contrast, you can learn to respond rationally by saying, “Wow, some of this stuff doesn’t look familiar; just take some deep breaths and relax; I guess I better survey the whole test, answer the questions that I can and then go back and work on the other one’s; I can tackle this test, I just need to relax and be patient!”

How one responds to panic determines whether it subsides. Those who fight with their panic by “awfulizing” about their symptoms, intensify their panic. They may say, “Oh my God, here come those unbearable feelings again – I feel like I’m going to die!” However those who accept their panic and respond rationally with thoughts like, “Here comes that panic again – just calm down and take those deep breaths and it will eventually subside. These feelings won’t last forever, they are time-limited – they’ll be gone soon.”

Learning through cognitive-behavioral therapy to go “down stream” with panic is important to its eradication. Those who “catastrophize” about their symptoms intensify panic attacks. Learning to rationally respond to panic diminishes its effect. Trying to figure out what caused an individual’s panic is not necessary to treat it. What is essential is teaching those who suffer from panic to respond with positive self-talk.

People who experience panic attacks tend to feel ashamed of their problem. It is important for sufferers to understand that they are not alone – anxiety is apart of the human condition. Anxiety and panic is not unusual and those who experience it need to learn to be more open and expressive with all of their feelings. Sharing a wide range of emotions with those you can trust is essential to the healing process. Those who hide panic as a shame-based pattern set themselves up to repeat it. When those we trust are aware of our authentic self, which includes our vulnerability, our anxiety problems tend to fade in significance.

Paradoxical interventions can be helpful in dealing with panic disorder. Having a patient schedule a panic time and encouraging them to perseverate can bring humor and assist in breaking the panic cycle. A ruminating patient might be asked to conduct cardiovascular exercises during panic-related chest tightness to try to lighten the moment and break the cycle of suffering. Cognitive-behavioral therapy is a structured, pragmatic approach which assists people in addressing the symptoms of panic by learning to respond to the disorder with a positive approach to their thinking.

How To Identify Panic Attacks Symptoms?

Filed under: Panic Attacks — Tags: , , — admin @ 11:04 pm December 19, 2009

Do you think that you are suffering from panic attacks? Well, you need to make sure. It is horrifying to go through such a panic attack; because you do not know how to handle it and you can even have feelings of death lurking in your mind.One of the most common panic attacks symptoms is rapid increase in the heart beat rate and a tingling sensation all over your body. Many of us mistake this for a heart attack and start panicking. Are you feeling worried about several issues and getting worked up? This is another of the panic attacks symptoms. If you are feeling a constriction in your throat with irregular breathing, you can be sure that this is another symptom of this sort. You can also find yourself shunning normal situations in life like driving, going for a trip etc. You may even find yourself not wanting to be in public places with several people around. The main reason for these panic attacks symptoms is that you have the fear of these panic attacks occurring in you. What you need to understand is that if you get over this fear, you have won this fight against such anxiety attacks. There are several relaxing therapies that you can follow to get rid of these attacks like meditation, talking and motivating yourself etc. But the fact remains that these methods can only provide relief to a small extent, that is, it will only help you calm yourself for a few moments and then these waves of anxiety start washing over you again.A permanent relief is to use a method to control your emotions. In such situations of anxiety your fore brain that is usually in control, transfers control over to the mid brain that is what is responsible for survival. Finding a way to stop this is what will help you a great deal.

Discovering Much Needed Help for Panic Attacks

Filed under: Panic Attacks — Tags: , , , , , — admin @ 11:56 pm December 16, 2009

With the troubling times that have befallen us lately, the occurrence of anxiety or panic attacks are on the rise. Some top professionals have conducted studies that show at least 1 out of every 5 adults will be stricken with these conditions in any given year.
When you are looking for help with your panic attacks it can be very helpful if not only know what caused the attack, but when and where it o cured. Once an individual can recognize the preliminary symptoms it will be much easier for them to deal with. As you become more aware of the symptoms, your ability to stop one of these attacks will grow stronger.
When we try and analyze what is causing our panic or anxiety attacks, the following symptoms will help in the process:
1) A sense of tightening in the chest
2) Abnormal or erratic breathing conditions
3) A sense of fear that is not common
4) An overwhelming feeling of multiple problems to a singular situation
There are many forms and therapies that can be utilized to deal with panic or anxiety attacks. One of these things can be to change your focus to an event in your past that brought you pleasure. One other thing that works is to focus and try and control your breathing if it seems to be abnormal. Finally, it is a great idea to jot down what you think may have caused your latest episode to come to pass. These are merely short terms fixes to a sometimes long term problem and shouldn’t be used in place of professional advice.
Arguably one of the best things you can do when desiring help for panic attacks is to change your mental focus to something positive. Now I know this is easier said than done, but it can be very helpful if utilized. Most people don’t realize but your thoughts are very powerful things that can be very helpful in these situations.
As our world changes in what seems like for the worse, many more people are now experiencing anxiety or panic attacks than ever before. This is understandable given our current times, but we don’t have to sit back and feel helpless. Some people have recorded feeling totally overwhelmed while under an anxiety or panic attack. The good news is, there is a cure for this affliction. Just remember to take your focus off what’s enabling the attack and shift it toward something positive.

How to Deal With Panic Attacks Safely and Sanely!

Filed under: Panic Attacks — Tags: , , , , , — admin @ 11:19 am December 13, 2009

Now that may seem like either an impossible goal or an unlikely outcome, but learning how to deal with panic attacks is doable, and in my view a real, viable way to go about ridding yourself of these terrible attacks, which can rip the very fabric of your life apart, keeping you seemingly hostage to fears and emotions that you feel as though are out of your sphere of control.

The conventional wisdom in dealing with these types of anxiety or panic disorders is to prescribe a treatment course of either powerful drugs , expensive therapy, or both. Neither course works very well very often, leaving you on the hook for continued use of these drugs and doctors, perhaps for very long periods of time. What the outcome of a course of treatment like this usually turns out to be is a combination of more panic and less cash. (Which can cause more panic!)

What’s worse, nobody is certain about the long-term effects of drugs like these, and who needs to roll those dice? Especially when there are alternate methods, none of which involve pharmaceuticals or a full dance card with a psychotherapist. There are more holistic approaches in treating panic attacks, that, when used consistently and with some thought, can not only give you better results, but in a lot shorter time frame and with far less money out of your pocket.

No one is denying that these panic attacks are real, and that they cause actual, physical symptoms that cannot be refuted. What I’m suggesting however, is that you need to look past what modern medicine and its paramour, the pharmaceutical industry, would have you choose to help you learn how to deal with panic attacks. They would have you on these drugs for the rest of your life if they could manage it, and you’d be no closer to being rid of your panic attacks than before.

No, you need to take hold of your own treatment, take responsibility for your own life and help chart your own course. There are many methods out there purporting to teach you you how to deal with panic attacks, but my favorite and one that has helped more than 100,000 people worldwide is by a gentleman named Joe Barry, and is called PanicAway. It helps you overcome panic attacks by counter attacking, and not taking this lying down. You can defeat panic attacks for good; you just need a road map. This is one that will get you there!

Stop Panic Attacks

Filed under: Panic Attacks — Tags: , , , — admin @ 11:18 pm December 12, 2009

When you drive, do you fear getting stuck in traffic, on a bridge or at a red light?Have you ever found yourself in the hospital ER because you thought you were having a heart attack, only to be told it was anxiety?Do you ever feel nervous and afraid you might lose control?Have you struggled with “anxious thoughts” that will not stop, no matter how much “self talk” you do?Are you nervous and on edge in normal situation that never bothered you before?These and other uncomfortable sensations are all too common – but the truth is, you do not have to ever suffer from another panic attack or anxiety attack again!The anticipation of a panic attack actually set the wave cycle of panic and anxiety in motion, and the foundation for a panic attack is laid hours before you actually experience one. The slightest stress trigger will launch a full-blown panic attack!Shopping in your favorite grocery store, suddenly, all you can hear are the beeps of the scanners and you feel that creeping sensation, “Oh, God, no, I’ve got to get out of here.”  It’s all you can do not to flee the store.  The first time you experience a panic attack, it can feel like your whole world is falling down around you. You are literally “stalked” by your anxiety, and nowhere feels safe. The first panic attack leaves a strong imprint on your psyche and generates a cycle of anxiety, and you develop an unhealthy fear of having another panic attack – thus the repetitive cycle. Most people either avoid situations that make them anxious or medicate themselves to a point where they are numb to the fear. Neither of these is a satisfactory solution. You must learn to break the fear of having another panic attack or you will never experience complete freedom from anxiety!There is now a powerful technique for eliminating anxiety and panic attacks without the use of medication. Not only will you eliminate your panic attacks, but you will be able to get your general anxiety level back to zero without the use of any medication or alternative therapies. Your anxiety will vanish, your confidence will soar, and the results will last a lifetime – and it only takes seconds to implement wherever you are. There is a newly-released an advanced cognitive technique created from traditional psychology that everyone can apply, regardless of how long the anxiety has been present. This technique has been refined over the past 10 years and is unlike anything you’ve ever seen before. You can break the cycle of anxiety and return to normal everyday living.Visit http://www.selfsar.comTo Your Health!Marti

Treatment for Nervous Behavior: Stop feeling nervous and get treatment for your anxiety

Filed under: CBT — Tags: , , , , — admin @ 10:50 pm December 5, 2009

Treating nervous behavior doesn’t have to cost you an arm and a leg joining a special anxiety-based institute, or waste your precious time with psychotherapy. For one thing, analyzing to death your past may not get you anywhere. Rehashing your old memories may do more harm than good. You can go over and over again what happened to you as a child or young adult that forced anxiety and nervous behavior onto you, but it will not cure it. More often than not, knowing “why” is not enough. To get treatment for nervous behavior, one would have to look into their current thinking patterns and learn to change them, not analyze how they got them in the first place.

Treatment for nervous behavior:

One popular method to provide treatment for nervous behavior is cognitive based therapy. It is likely the only traditional method used by psychologists to treat nervous behavior, anxiety, and panic that actually works. It is the only method psychologists use to help change the thought patterns of the anxiety sufferer. Most other methods try to dig through the patient’s history. Digging into your history is definitely not a guarantee that that you will erase your personal history forever, or learn to properly deal with it. Cognitive based therapy will force you to question the way you think about the world around you. You will learn to react differently to your causes of stress, hopefully in a more positive manner.

While cognitive based therapy does usually require a trained psychologist to assist you, the effects it brings occur are on a much shorter time span than traditional psychotherapy-type sessions. So it won’t cost nearly as much as psychotherapy.  Nervous treatment shouldn’t take a lifetime to recover from, nor should it cost more than you could ever afford to pay.

Thankfully, there is a way that is even cheaper, and that’s the DIY (do it yourself) method. They are a few books on the market that allow you to give yourself all the benefits of cognitive based therapy, but without the psychologist and without the financial turmoil. Such books make you ask questions about your current predicament, and make you ask questions about the thought processes that put you in such predicaments.

Overcoming Panic Attacks Using Three Minute Therapy

Filed under: Anxiety — Tags: , , , , , — admin @ 10:57 am

Panic and anxiety attacks affect around 5% of the population at some point in their life – usually young people up to the age of 35. Standard medical treatment includes a variety of medication to help ease the affects of the attacks and help gain control at an emotional level.
However if you are not into medication or natural remedies to treat panic attacks, then you may want to try the Three Minute Therapy: a cognitive approach to dealing with panic attacks.
This may be the most logical method of overcoming panic attacks compared to seeing a psychologist or physician. This therapy assists the mental processes that a person goes through when experiencing a panic attack. There are two stages to this: first, identifying the “must do” activities that are driving the panic attack, and secondly disputing these “must do” activities until you overcome the pressure.
Anxiety prone people are more prone to dwell and magnify things that they “must do”. For instance, a mother of small children might think that she “must know” exactly why she feels panicky. She tells herself that she “must” never lose control. She “must” not do something to look stupid. She tells herself that she “must” have a guarantee that she’s not going to make herself panic.
These “must do” activities become an unrealistic obsession, and this develops into feelings of fright, panic, becoming hysterical and ultimately depression. People with these feelings of panic might also want to avoid uncomfortable situations so as to avoid further loss of control.
Using Three Minute Therapy, the panic attack sufferer needs to identify the “must do” activities in their life. Though it is “nice” to avoid discomfort or unwanted situations, it is not entirely a “must have” situation. Being uncomfortable is a perfectly normal human feeling, every once in a while. So you will need to realise that this is part of everyday existence and get on with life.
The second step in Three Minute Therapy is to convince yourself that these “must do” activities are not really that important after all. This will be a real mental battle for some people, as it goes directly against the grain of their thinking. As a sufferer you will need to be persistent and confront these thoughts when they arrive and dispute these “must do” activities until you feel it is natural to let go with the situation.
One method of overcoming panic attacks is to practise doing things that you would otherwise be afraid of doing. This stretches your boundaries and you will be able to demonstrate that discomfort isn’t life threatening, and will tend to diminish in its ability to cause panic the more you face it.
By using Three Minute Therapy you may be able to overcome panic and anxiety attacks without the use of drugs or medication.

Stop Panic Attacks: Hypnosis for Panic and Anxiety

Filed under: Panic Attacks — Tags: , , , — admin @ 10:57 am December 4, 2009

Defining Panic Disorder

Many people face the fear of having a panic episode at one time or another. The drive to stop panic attacks is great, especially after you have experienced one. Some people have these experiences on a regular basis. This is when the occasional attacks merge into panic disorder.  When panic becomes an everyday concern, it is time to consider the possibility of having a psychological disorder. Take note that panic episodes are sudden, intense and monstrous so you may feel that you have a serious disorder. However, these intense emotions can be sorted with the right intervention.

The problem is that people who have panic attacks may feed their fears of having another one. These fears compile into a general feeling of stress and anxiousness. These emotive forces can morph into a panic disorder if they are experienced on a regular basis. It is important to take control of the situation before a serious condition emerges.

Panic Disorders Defined

What’s the difference between wanting to stop panic attacks and getting treatment for panic disorders? The attacks are random. Some people experience maybe one or two in their lifetimes. Others have them every so often.

The problem with panic attacks is that they are caused by fear. In turn, they also cause fear. This is an ugly cycle that can spin out of control if you do not take measures to deal with the symptoms before they strike again.

This disorder is classified as an anxiety disorder. This is a condition that is diagnosed by a doctor and it requires treatment. You know that you have a serious condition if you are unable to function normally on a daily basis.

Symptoms of the Disorder

This anxiety disorder is closely linked to feelings of terror and panic attack problems. The emotion arises suddenly and without warning. The sufferer experiences the intense feelings repeatedly. The emotional components are exasperated by the physical symptoms of panic disorder.During a panic episode, you feel you heart pounding out of control. Sweating and dizziness can occur. Some people feel nauseous and weak as well. Shaking and an inability to stand are also symptoms of this type of attack.

Emotionally, you may feel as if something terrible is about to happen. Some people feel as if they are going to die during the episode. Numbness and tingling sensations can also occur. The effort to stop panic attacks before they develop into psychological disorders is very important. The major difference between an attack and a disorder is that the disorder disrupts your daily life. The fear and anxiety do not completely go away and the condition worsens over time.One of the best ways to combat the fear and anxiety associated with the attacks is to undergo hypnotherapy. Self-hypnosis is a terrific approach that can help you stop panic attacks before they develop into something that you cannot manage.

Using Self Hypnosis To End Panic

Self hypnosis recordings allow you to take control of your own therapy; allowing you to treat yourself, at your own convenience so you can get the most out of the treatment. One excellent self hypnosis recording specifically designed to help you overcome your anxiety attacks is Stop Panic Attacks by Debbie Williams, Debbie’s years of experience in hypnotherapy plus the 60 day full money back guarantee make this recording an excellent choice for everyone. If you seek more information or to look over a suite of anxiety related recordings please follow this link: Anxiety Panic Attacks 

From Barrington and Algonquin, IL: Anxiety Disorders: The Role of Psychotherapy in Treatment

Filed under: Anxiety — Tags: , , , , , , , — admin @ 6:59 am November 26, 2009

Everyone feels anxious and under stress occasionally. Situations such as time pressures, important business responsibilities or driving in heavy traffic often bring about anxious, nervous and stressful feelings. On the one hand, anxiety may help you become more alert and focused when facing threatening circumstances.
However, persistent anxiety often causes severe distress over time and can seriously disrupt your life to the point it becomes debilitating. However, with effective treatment, you can lead a better than normal life.
What are the major anxiety problems?
Some people have recurring fears or worries and often have a persistent sense that something bad is just about to happen. This often involves health, relationship or money issues. Although the specific cause for the anxiety may be difficult to identify this nervousness is very real and often interferes in ones ability to concentrate.
An attack of sudden, intense and unprovoked dread characterizes panic disorder. Sufferers generally develop strong persistent apprehension about when and where the next attack of panic will occur, and they often restrict their activities in an illusory attempt to cope.
Persistent, uncontrollable, unwanted feelings or thoughts (obsessions), routines or rituals characterize obsessive-compulsive disorder. Sufferers engage in compulsive, almost involuntary rituals to try to prevent themselves from feeling intense anxiety. Examples of common rituals include washing hands or showering excessively for fear of germs, or checking locks abnormally to prevent an imagined break-in.
Post-traumatic stress disorder causes emotional trauma which often results from a natural disaster, serious accident or victimization by a violent crime. Serious anxieties or fears are triggered by reminders of the event, sometimes months or even years after the trauma.
Shortness of breath, disturbing heart palpitations, trembling, even dizziness often accompanies certain anxiety disorders. These symptoms may begin at any time, but they often start in adolescence or early adulthood. There is also some evidence that a genetic or family predisposition may be responsible.
It is important to seek treatment.
Anxiety disorders can have serious consequences if left untreated. A common consequence for sufferers of panic disorder is to scrupulously avoid putting themselves in a situation that may trigger an attack of dread.
Such avoidance behavior frequently creates problems by interfering with employment responsibilities, family obligations or other required tasks of everyday life.
Those who suffer from anxiety disorders are prone to depression and have a greater tendency to abuse alcohol and other mind-altering substances. Relationships with family, friends and coworkers can often become very strained and job performance sometimes suffers.
Effective treatments are available for anxiety disorders and they can be treated successfully by appropriately trained health, mental health and counseling professionals.
Research has demonstrated that both therapy and counseling can be highly effective in treating anxiety. One effective approach is behavioral therapy which involves the use of techniques to reduce or stop the undesired behavior or feeling. For example, one approach involves training patients in relaxation techniques to reduce any agitation or hyperventilation (rapid, shallow breathing).
Through cognitive interventions, patients discover how their thoughts contribute to the symptoms of anxiety and how to modify them to reduce the likelihood of re-occurrence. The individual is often taught through simulation and experience to tolerate fearful situations in an environment that is controlled, gradual and safe.
Proper and effective medications may also have a role in treatment along with psychotherapy. Clinical
psychologists are uniquely qualified to diagnose and treat anxiety disorders. Sufferers should seek one who is skilled in the use of psychotherapy and cognitive and behavioral therapies.
How long does psychological treatment take?
Treatments for anxiety disorders do not work over-night and you must be comfortable with the therapist with whom you are working. The patient’s cooperation is crucial, and there must be a strong sense that you and your therapist are collaborating together.
Treatment must be customized to your very individual needs and you should begin to notice improvement within eight to ten sessions.
The prospects for your long-term recovery are very good. You can regain control of your feelings and thoughts — and your life.

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