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Category: Social Phobia

Catastrophic Thinking: A Transdiagnostic Process Across Psychiatric Disorders

Catastrophic Thinking: A Transdiagnostic Process Across Psychiatric Disorders Norman Cotterell, Ph.D.Beck Institute for Cognitive Behavior Therapy Beck and Gellatly (2016) propose that catastrophic thinking is a central feature in psychopathology. Such thinking magnifies both the immediate and eventual consequences of any perceived threat. A variety of disorders can be conceptualized as such: Clients magnify external threats (accidents, attacks, arson) but most notably misinterpret and magnify perceived internal threats. Sensations, thoughts,…
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Why Anxiety Persists

Why Anxiety Persists Judith S. Beck, Ph.D. and Robert Hindman, Ph.D. At our recent Core 2 CBT for Anxiety Disorders workshop, we asked participants what is helpful in managing anxiety? What is not helpful? Individuals with anxiety disorders unwittingly maintain their conditions by their behavioral strategies and their beliefs. Robert Hindman, PhD Avoidance is a hallmark of anxiety. Sometimes the avoidance is blatant, when, for example, an agoraphobic client does not…
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The New “Homework” in Cognitive Behavior Therapy

The New “Homework” in Cognitive Behavior Therapy By Judith S. Beck, Ph.D., and Francine R. Broder, Psy.D. Judith S. Beck, Ph.D. We’ve stopped using the word “homework” in CBT. Too many clients take exception to that term. It reminds them of the drudgery of assignments they had to do at home when they were at school. So in recent times, we’ve switched. “Homework” is now called the “Action Plan.” We…
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Impact of CBT on Heart Rate for Individuals with Anxiety Disorders

Introduction: The future of psychotherapy relies on the dialog with the basic science, being the identification of psychotherapeutifc biomarkers of efficacy a core necessity. Heart rate (HR) is one of the most studied psychophysiological parameters in anxiety disorders. Methods: To investigate the impact of cognitive behavior therapy (CBT) on the HR of patients with anxiety disorders, we conducted a meta-analysis and systematic review. Electronic searches were conducted in the ISI/Web…
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CBT & Social Anxiety Disorder

We examined whether Cognitive-Behavioral Therapy (CBT) for social anxiety disorder (SAD) would modify self-reported negative emotion and functional magnetic resonance imaging brain responses when reacting to and reappraising social evaluation, and tested whether changes would predict treatment outcome in 59 patients with SAD who completed CBT or waitlist groups. For reactivity, compared to waitlist, CBT resulted in (a) increased brain responses in right superior frontal gyrus (SFG), inferior parietal lobule…
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