Which is more effective Cognitive Behavioral Group Therapy (CBGT) or phenezine?
They are equal but are unlikely that they can be used together.
Which treatment is more effective CBGT or mindfulness stress based stress reduction (MBSR)
CBGT, but both can serve as effective treatments
Explain the term "perceived audience
those who suffer from social anxiety disorder, always feel like they are at the center of a stage. They fear any criticism or comments from people, negative or positive. They never seem to be good enough-- in their eyes.
What are some benefits to cognitive reconstruction
address dysfunction, so know the client can focus on the social interaction, too much energy was eaten up by anxiety prior.
What are some benefits to exposure
allows practice for social interaction when it was previously avoided. It allows one to experience natural anxiety
Which is better CBT or CBGT?
unknown, but one of the major possible disadvantages is that some clients may never fully acclimate.
Can a therapist treat a client if they are not trained in CBT
Yes, they can follow the manual they should do so whenever possible but should adhere to the client's individual needs whenever possible.
What are some things clients are expected to practice during therapy?
bring the workbook daily, have clients bring the workbook daily, key concepts are introduced every session, help client deepen their understanding of CBT, attend properly to the therapeutic relationship by confronting them during mistakes, do not make eve
What is the order therapist should adhere to for CBT
1. psychoeducation. 2. cognitive reconstruction training. 3. exposure advanced cognitive reconstruction. 5. termination.
What are some of the most important things to do during the psychoeducation portion.
find out triggers. Inform patients anxiety is normal. Help patients cope with normal problems for anxiety. Towards the beginning the therapist helps clients with the physiology, then moves towards more subjective thoughts like and how they might occur. et
What are some of the most important things to do during the cognitive reconstruction part
clients are expected to have completed homework which have situations they conducted about automatic thinking error thoughts. Clinician aids in helping the client understand these thoughts.
What are some of the most important things to do during the advanced cognitive reconstruction part
1. homework. 2. complete exposure session A. exposure preprocessing. B. role play. C. exposure-post processing (discusse response and feelings.) 3. assigment of vivo exposures. Return to 1.
Clients should take the lead whenever possible.
What are some of the most important things to do during the exposure
This is the climax of the session. A good therapist will notice a theme. A therapist begins to challenge these themes.
What happens if psychoeducation takes longer than expected because of neurocognitive issues?
clinicians should move onto the next step-- cognitive reconstruction.
What happens during termination
therapist review what has been learned and they agree on a termination date. Replase is likely within a year, so it is recommended that therapist request a 6month check-up
What are major road blocks to CBT
comorbidity ex. participants may be comorbid with a substance disorder which may influence cognition making homework assignments more difficult.
and anger
What is the hallmark of it? (Criteria A) (Not physiology)
fear of scrutiny in 1 or more social situation+ in children it must occur with peers
What are the specifiers for it
public performance in any environment
define criteria E-G* Hint normal behavior, timeframe, and location
E- out of proportion with environment, F- occurs constantly for 6 months, and causes disress
define criteria B-D Hint.- manifestation,
B- fear of negative anxiety evaluation (scrutiny), C- almost always provokes fear, D. avoided/ endured
What is a hallmark physiological response to it?
blushing
Can normal shyness be diagnosed?
Not really, it must be incredibly crippling or pervasive
describe the onset
median age 13, 75% between the age of 8-15
Describe risk factors, temperament, environment, genetics
T=behavioral inhibition+ fear of evaluation, neuroticism E= childmaltreatment, psychosocial adversity. G= genetic influence (not performance only)
Differential diagnose- Panic Disorder, Generalized anxiety, separation anxiety,
Panic- Concern is scrutiny not panic.
GAD- focus is negative evaluation, or social performance.
separation- separation anxiety is usually ok in setting with attachment person, social anxiety may not have strong attachment figures and may be unconformable
differential diagnosis- MDD, body dysmorphia, autism
MDD= feeling of unworthiness, not exactly social performance.
dysmorphia- chief concern are physical flaws.
Autism- social anxiety disorder are more likely to have age appropriate relationships but both disorders greatly suffer from poor social communicat
comorbidity
NOT SPECIFICALLY AGORAPHOBIA or phobias, but may have a relationship with other anxiety disorders, MDD, substance abuse, bipolar