Cognitive Behavioral Therapy for Anxiety Page 2
Step 1: Locate your
Thoughts
Someone having a panic attack might experience the
following thoughts:
“Oh my God, my heart is beating so fast. I’m going to
die”
“I feel so nervous it’s hard to concentrate what will
everyone think of me?”
“I can’t seem to stop my racing thoughts. I’m going
to go crazy!”
Step #2: Identify the
Distortions
What distortion(s) are present?
“Jumping to conclusions” and probably “disqualifying the
positive” are present.
Why?
To begin, jumping to conclusions refers to the tendency to
make negative predictions even when there is no real evidence to support them. You have likely had your heart beat
quickly before and you’re still here. In this instance making the prediction that you are going to die is clearly
predicting the future.
I also mentioned that “disqualifying the positive” was
likely present. “Disqualifying the positive” refers to the tendency to forget all of the positive outcomes in
your life and focus only on the negative.
In this example forgetting about all the times in the past
when your heart beat quickly and you did not die. For example, when you exercise your heart beats quickly. Or
perhaps you become very excited about something. These things did not lead to a heart attack.
Step #3: Substituting Healthier Thoughts
Now that the distortions have been identified, the next
step is to substitute healthier thoughts.
For example, here are some healthier thoughts…
Your hearts have beaten quickly and perhaps many times
before and you did not die.
You might think about doing little personal research on
your own to discover that a frequently shared experience between sufferers of panic attacks is the feeling (fear)
of having a heart attack even though they were fine.
Step #4: Regular
Practice
You should continue to work on your thoughts each
day. By restructuring your thoughts over time you can feel much better.
So you can probably appreciate that cognitive behavioral therapy for anxiety is highly recommended. In fact,
researchers who comprehensively reviewed the relevant literature found that cognitive behavioral therapy for
anxiety is the gold standard of treatment.
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