Managing Social Anxiety A Cognitive-Behavioral Therapy Approach Client Workbook,9780195183825

Managing Social Anxiety A Cognitive-Behavioral Therapy Approach Client Workbook

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ISBN13: 9780195183825
ISBN10: 0195183827
Format: Paperback
Pub. Date: 2004-11-11
Publisher(s): Graywind Publications
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Summary

This is a client workbook for those in treatment or considering treatment for social anxiety. This program has met the American Psychological Association's Division 12 Task Force criteria for empirically-supported treatments. Clients will learn how social anxiety interferes with theachievement of life goals. The workbook includes information about a variety of interventions, such as exposure, cognitive re-framing, and medication.

Table of Contents

The Invitation: Are You Ready to Begin the Journey to Overcome Social Anxiety?
1(12)
Defining Social Anxiety
4(1)
Social Anxiety or Social Anxiety Disorder?
5(1)
How Do I Know if This Program is for Me?
5(2)
Will This Program Work for Me?
7(1)
What Can I Do to Get the Most Out of This Program?
8(2)
Overview of This Treatment Program
10(2)
Self-Assessment
12(1)
Starting Our Journey Together From the Same Place: Understanding Social Anxiety
13(16)
The Three Components of Anxiety
14(9)
The Physiological Component
14(2)
The Cognitive Component
16(3)
The Behavioral Component
19(4)
Interaction of the Physiological, Cognitive, and Behavioral Components
23(1)
Summary
24(2)
Homework
26(1)
Self-Assessment
26(3)
More About Social Anxiety and This Treatment Program
29(14)
Possible Causes of Social Anxiety
29(3)
Genetics: Is Social Anxiety in Your Genes?
29(1)
Family Environment
30(1)
Important Experiences
31(1)
Pulling It All Together: The Interaction of Genetics, Family Environment, and Important Life Experiences
31(1)
Dysfunctional Thinking Patterns
32(3)
How Dysfunctional Thinking Patterns Play Out in an Actual Situation
33(1)
Dysfunctional Beliefs and Increased Physiological Arousal
34(1)
Dysfunctional Beliefs and Behavior
35(1)
Summary of the Development of Social Anxiety and Dysfunctional Beliefs
35(1)
Frequently Asked Questions
36(1)
Cognitive-Behavioral Therapy as Treatment for Social Anxiety
37(1)
What Is Involved in Cognitive-Behavioral Therapy?
37(1)
Systematic Graduated Exposure
38(1)
Cognitive Restructuring
39(1)
Homework Assignments
40(1)
Summary of the Rationale for Treatment
40(1)
Homework
41(1)
Self-Assessment
41(2)
Plotting the Road Map for Our Journey: Gathering Information on the Situations That Are Difficult for You
43(22)
Building a Fear and Avoidance Hierarchy
44(6)
Step 1: Brainstorming
44(3)
Step 2: Rank Ordering the Situations
47(2)
Step 3: Discovering the Dimensions That Make a Situation Easier or Harder for You
49(1)
Step 4: Rating Each Situation for Fear It Evokes and the Likelihood You Will Avoid It
50(1)
SUDS: Subjective Units of Discomfort Scale
50(2)
Avoidance Ratings
52(4)
Final Words on Your Fear and Avoidance Hierarchy
56(1)
Homework
56(8)
Learning to Monitor Your Anxiety
56(1)
Why Do the Self-Monitoring?
57(7)
Self-Assessment
64(1)
Identifying the Thoughts That Cause Anxiety
65(18)
Reviewing Your Self-Monitoring Homework
65(1)
The Importance of Thoughts
66(1)
The Relationship Between Events, Thoughts, and Feelings
67(1)
Exploring Your Thoughts
68(1)
How Other People Might React to Our Thoughts
69(2)
Automatic Thoughts
71(1)
Identifying ATs and the Emotions They Cause
72(3)
Identifying Your Own ATs and the Emotions They Cause
75(3)
Homework
78(5)
When to Do Your Homework
78(3)
What to Do If You Do Not Get Anxious This Week
81(1)
Self-Assessment
81(2)
Tools to Challenge Your Automatic Thoughts
83(26)
Defining Thinking Errors
83(7)
All-or-Nothing Thinking
84(1)
Fortune Telling
85(1)
Catastrophizing
85(1)
Disqualifying or Discounting the Positive
86(1)
Emotional Reasoning
86(1)
Labeling
87(1)
Mental Filter
88(1)
Mind Reading
88(1)
Overgeneralization
89(1)
``Should'' and ``Must'' Statements
89(1)
Maladaptive Thoughts
90(1)
Finding the Logical Errors in Your Automatic Thoughts
90(3)
Identifying the Thinking Errors in Your Homework ATs
93(1)
Challenging Your Automatic Thoughts
94(5)
Combating Automatic Thoughts with a Rational Response
99(5)
Homework
104(1)
Self-Assessment
104(5)
Getting Into the Pool: The First Exposure Session
109(22)
How Therapeutic Exposure is Helpful
110(1)
The First In-Session Exposure
111(6)
Picking a Situation
111(2)
Cognitive Restructuring
113(1)
Working Out the Details of the Exposure Situation
113(1)
Setting an Achievable Behavioral Goal
114(1)
Setting the Goal of Not Being Anxious
114(1)
Importance of Setting Goals
115(1)
Completing the Exposure
115(2)
Do's and Don'ts of Therapeutic Exposure
117(1)
After the Exposure---Debriefing the Experience
117(3)
Reviewing Your Goal
118(1)
Reviewing ATs
118(1)
What Did You Learn?
119(1)
Homework After the First In-Session Exposure
120(3)
Chuck's First Exposure---The Friday Afternoon Conversation
120(3)
Homework
123(6)
Summary of Homework for Chapter 7
124(5)
Self-Assessment
129(2)
Settling Into the Journey: The Ongoing Routine of In-Session and Homework Exposures
131(10)
How to Pick Situations for Exposure
131(3)
Tackle Easier Situations First
131(2)
Each Exposure Should Build on the Last One
133(1)
Use Exposures to Challenge ATs
133(1)
How Cognitive Restructuring Changes as You Tackle Different Situations
133(1)
The Relationship Between Exposures, Cognitive Restructuring, and Homework
134(1)
Summary of the Course of the Treatment Program
134(1)
Frequently Asked Questions
135(2)
Where to Go From Here
137(1)
Homework for the Rest of the Program
137(2)
Weekly Exposure Homework
137(1)
Self-Monitoring Homework
137(1)
Making Overcoming Anxiety a New Habit
138(1)
Self-Assessment
139(2)
Overcoming Fears of Doing Things in Front of Others
141(16)
The Original Social Phobia
141(3)
Common ATs Related to Observational Fear and How to Handle Them
144(1)
``My Hand Will Shake''
144(4)
Challenging Miguel's ATs
145(2)
Achievable Behavioral Goals and the In-Session Exposure
147(1)
Using Pie Charts to Challenge ATs
148(1)
``I'll Make a Mistake''
148(4)
Challenging Stephanie's ATs
149(1)
Achievable Behavioral Goals and the Exposure
150(1)
General Strategies to Address Fears of Making Mistakes
150(2)
Exposures for Observational Fears
152(3)
Eating in Front of Others
153(1)
Drinking in Front of Others
153(1)
Writing in Front of Others
154(1)
Fears of Making Mistakes
154(1)
Summary
155(1)
Homework
155(1)
Self-Assessment
156(1)
Big Fears of Small Talk
157(14)
The Big Impact of Small Talk
157(2)
Small Talk Begins Relationships
158(1)
Social Support Networks
159(2)
Examining Your Social Support Network
159(2)
Common ATs for Casual Conversations
161(4)
``I Won't Know What to Say''
161(1)
``I'm Not Very Good at Making Conversation''
162(3)
Penny: Fear of Casual Conversations
165(3)
Homework
168(1)
Self-Assessment
169(2)
Public Speaking
171(14)
Tom: From Computer Jock to Public Speaker
172(7)
What to Take From the Case of Tom
178(1)
LeAnn: The Overly Prepared Vice-President
179(3)
What to Take From the Case of LeAnn
181(1)
Homework
182(1)
Self-Assessment
182(3)
Advanced Cognitive Restructuring: Addressing Core Beliefs
185(14)
Looking for Common Themes in Your ATs
185(1)
Danielle: ``I Should Do Everything Perfectly''
186(4)
Brent: ``If People Really Knew Me''
190(1)
Arlene: ``I'm An Imposter''
191(2)
Discovering Your Core Beliefs
193(1)
Peeling Your Own Onion
193(5)
Not All Core Beliefs are Hard to Find
193(5)
This Is Not About Gaining Insight Into Your Past
198(1)
Self-Assessment
198(1)
Getting Ready to Continue the Journey on Your Own: Consolidating Gains and Finishing Treatment
199(10)
Checklist of Progress So Far
199(1)
How to Continue Making Progress
200(2)
New Situations Mean New Challenges
202(1)
Reactions of Family, Friends, and Other People
203(1)
When to Stop Seeing Your Therapist Regularly
203(1)
Graduation Day
204(2)
When to Call Your Therapist for a Booster Session
206(1)
End of the Journey Together
207(1)
Self-Assessment
207(2)
Medication Treatment of Social Anxiety
209(8)
Michael R. Liebowitz
How Medications Affect the Brain and Reduce Social Anxiety
209(1)
Selective Serotonin Reuptake Inhibitors (SSRIs)
210(1)
Monoamine Oxidase Inhibitors (MAOIs)
211(1)
Beta-adrenergic Blockers (Beta Blockers)
212(1)
Benzodiazepines
213(1)
General Considerations in Undertaking Drug Therapy for Social Anxiety Disorder
214(1)
Mixing Therapy and Medication
215(1)
Self-Assessment
216(1)
Appendix A: Self-Assessment Answers 217(7)
References 224

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