024: Scared Stiff - The Cognitive Model (Part 3)
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- Опубліковано 3 лип 2024
- The cognitive model of anxiety is based on three powerful ideas:
Anxiety always results from negative thought (NTs) that involve the prediction of danger. For example, if you have public speaking anxiety, you are probably telling yourself something like this: “I just know I’m going to blow it. My voice will tremble. People will know I’m anxious. My mind will go blank. I’ll mumble and make a total fool of myself.” Or, if you struggle with panic attacks, you probably have thoughts like this: “I think I’m about to die. I can’t breathe properly. I’m about to pass out!” Or, “I’m about to lose control and go crazy.” The NTs that trigger anxiety are always distorted and illogical. In contrast, valid NTs cause healthy fear. When you put the lie to the distorted NTs, the anxiety will disappear. This can sometimes happen in an instant. Dr. Burns describes his treatment of a woman named Terry who had suffered from ten years of incapacitating panic attacks and severe depression prior to contacting Dr. Burns. During each panic attack, Terry would experience tightness in her chest and tingling skin and tell herself she was about to pass out, suffocate, or die of a heart attack. Multiple emergency room visits, medical tests, and reassurances from doctors did not help. In addition, years of medication and psychotherapy were not at all helpful.
After trying a number of cognitive techniques that did not help, Dr. Burns persuaded her to let him induce an actual panic attack during an office visit so he could use the Experimental Technique, which is arguably the most powerful technique ever developed for the treatment of anxiety, and he televised the session. What happened next will blow your mind!
In the next podcast, Drs. Burns and Nye will describe the Exposure Model of treatment, and Dr. Burns will describe his personal struggles with his fear of blood during medical school.
You had mentioned in this video that it takes training and skill to use these techniques.I think that is why I am so afraid to use them. I don't want to harm myself.
Always good to be cautious. A therapist can be very helpful, and reading one of my books can give you a much deeper understanding as well, like Feeling Good or When Panic Attacks. Thanks so much for your thoughtful comment, Debby! Powerful techniques do have the potential to harm--as well as to heal! david
I have been thinking for 5 years that i am not breathing enough so that triger anexity for 24 hour i go to job daily and i do my work but i am thinking all the time i am doing breathing by my own and on every breath i am not breathing well and than i think i have heart attack and so many things
You mentioned that there's a video that you use in presentations of the patient doing jumping jacks and then the recovery, do you have a link to the video?
I am very much enjoying and learning from these podcasts. What is really troubling me is that Every example that Dr. Burns gives is of a Female, who is in the wrong, usually versus a Male, her husband, who is right. This happens Every episode. Sometimes it's just a female gone wrong not versus anyone. I really wish he would mix this up! I get the feeling that he had a bad experience re females or this is a male chauvinist thing. Please....not always women in the wrong!!!!
You are absolutely right, Joli. Both men and women trigger problems equally in relationships. Whoever comes to me for help is the person who has to change, but I too am sick of the chauvinistic world so often putting women down and abusing women and thinking that is somehow right! In my podcasts, workshops, writings, and therapy sessions, men are often the ones who are asking for help, and then they have to examine their own role in the problem, just as women do. I did a podcast recently focusing on three men with relationship problems. So I say--power to women! AND men! And animals, too! My wife and I just LOVE our cats, and they have given us so much! david