Image of 101 Practical Strategies for the Treatment of GAD, Panic, OCD, Social
Online Learning

101 Practical Strategies for the Treatment of GAD, Panic, OCD, Social Anxiety Disorder, Phobias and Insomnia


Credit Available - See CEUs tab below.

Faculty:
Jennifer L. Abel
Duration:
12 Hours 21 Minutes
Format:
Audio and Video
Original Program Date :
07 May, 2015
SKU:
POS048175
Media Type:
Online Learning


Description

  • Clinically Relevant Techniques from a Clinician Who is an Expert in Treating Anxiety!
  • Creative Non-medication Treatment Methods
  • Use Technology to Treat Anxiety, Including YouTube Exposures,
  • Recording Relaxation and Exposure Loops, and the Best Apps
  • Innovative Mindfulness Strategies that Melt Panic and Anxiety
  • Effectively Treat Insomnia, Tension, Headaches, Fatigue, Irritability and More!

So many times in my practice I’ve met new clients who’ve seen multiple therapists and have tried an array of medications, only to continue to be plagued with unrelenting anxiety. When they show up at my office they are frustrated and nearly hopeless.

After studying the latest research, working with experts in the field, and almost exclusively treating clients with anxiety disorders for more than 20 years, I can help even the most treatment resistant clients.

Since the early days of my clinical career, I have developed creative, yet simple, methods that have been vital to providing relief for chronic anxiety. These techniques are easy to implement and can help your clients quickly achieve therapeutic results.

Attend this two-day intensive seminar and develop the skills you need to help your clients overcome worry, panic attacks, phobias, OCD, social anxiety and insomnia.

Effectively Target and Transform Clients with Difficult Problems such as:

  • Hypochondriasis
  • Perfectionism
  • Subjugation
  • Catastrophizing
  • Intolerance of uncertainty
  • Procrastination

Through several demonstrations and hands-on exercises, you will develop the skills to help even the toughest anxious and sleep-deprived clients. We will explore progressive relaxation, observation and acceptance strategies, time management, mindful labeling, postponing worry, interoceptive exposure, stimulus control, sleep-restriction therapy and much more.

If you are dealing with clients who:

  • Have trouble committing to treatment
  • Want to break their dependency on medication
  • Can’t sleep despite trying everything
  • Believe their panic is medically based
  • Trapped in habits that reinforce their fears and anxiety

Then you will be glad you attended this conference!

See you there!

Jennifer L. Abel, Ph.D.

OUTLINE

TREATMENT STRATEGIES FOR ANXIETY

Trying NOT to Worry Makes it Worse: The White Bear Research

  • Treatments to circumvent the White Bear Phenomenon
    • Moving Toward relaxation
    • Process vs. command
    • Postpone worry
    • Acceptance

Mindfulness

  • Mindful acceptance:
    • 5 metaphors
    • Observe and label thoughts and emotions
  • Mindfulness as relaxation
    • Being in the present
    • Active and quiet mindfulness
    • Game and demonstrations

Cognitive Therapy

  • A quicker and better way – B3s
  • Hands-on exercises to find alternative thoughts
  • “Shoulds” and “Wants”
  • Finding humor in worry

Progressive Relaxation (PR)

  • 8 benefits of PR
  • Signaling and timing
  • Patter
  • Debriefing and home practice instructions
  • Alternatives to PR -Tin Man to Scarecrow and sponge absorbing tension

Problem Solving Strategies

  • Worry prevents problems solving
  • Mindfully label problems
  • Brainstorming
  • Postpone worry to problem solving times
  • Problem solving worksheet

Exposure Strategies

  • Negative reinforcement in anxiety
  • Metaphor – Little Shop of Horrors
  • Assess for negative reinforcement
  • Remove crutches that negatively reinforce
  • Traditional in vivo exposure
  • Imaginal exposure
  • Video exposure
  • Flooding the thoughts and words
  • Interoceptive exposure
  • Response prevention

Make Your Own Recordings:

  • Record for free
  • Turn recordings into MP3s
  • Make loops for verbal exposure
  • Make relaxation recordings
  • Transport large MP3s to clients for free

SPECIFIC PROGRAMS FOR ANXIETY DISORDERS AND INSOMNIA

Generalized Anxiety Disorder

  • Worry spirals
  • 3 benefits of catching anxiety early and evidence this works.
  • 12 reminders to catch anxiety early
  • Self-controlled desensitization (SCD)
  • Applied or active relaxation

OCD

  • In vivo exposure and response prevention
  • Alternative exposures
  • Covert obsessions (normalizing, flooding thoughts and singing words)
  • Contamination fears
  • Mindfulness and OCD

Panic Disorder and Panic Attacks

  • New panic attack specifier
  • Interoceptive exposure
  • Explain what caused that first panic attack
  • Anxiety sensitivity
  • When panic looks like OCD
  • Anxiety spiral in panic
  • Benzodiazepenes make panic worse
  • Nighttime panic

Agoraphobia and Specific Phobia

  • Rule out fear of panic
  • Exposures:
    • In vivo
    • Imaginal
    • Flood the fear verbally
    • YouTube and other Internet options
  • Three Common Specific Phobias - flying, emetophobia, acrophobia

Social Anxiety

  • 3 components of social anxiety: skills deficit, cognitive distortions, physiological anxiety
  • Normalize social anxiety
  • Social skills training - eye contact, open ended questions, listening, improving affect
  • Exposure: in vivo, role play, flooding thoughts
  • Coping strategies
  • Speech phobia

Insomnia

  • Rule out other sleep disorders and medical causes
  • Treatments for insomnia:
    • Worry postponement and problem solving before bed
    • Sleep hygiene and several stimulus control strategies
    • Creating a sleep rhythm by addressing schedules, naps and lighting
    • The win-win trick
    • Relaxation strategies

TREATMENT RESISTANT ANXIETY

When CBT isn’t Effective Enough

  • Rule out ADHD, depression and medical issues
  • Encourage emotional processing
  • Address lifestyle habits
  • Psychotropic medications
  • When CBT and medication doesn’t work:
    • Increase emotional processing
    • Experiential techniques
    • Address interpersonal problems shown to interfere with CBT

Personality Traits Associated with Anxiety and What To Do:

  • Hypochondriasis and fear of untimely death - postponing, flooding, etc.
  • Perfectionism - strategies for balance and better life
  • Subjugation - continue “the wants” stop negatively reinforcing fear and guilt
  • Catastrophizing/intolerance of uncertainty - postpone, address superstitions and worry
  • Procrastination - planned procrastination and creating small goals.

OBJECTIVES

  1. Identify the anxiety spiral in order to catch worry and panic early.
  2. Outline alternatives to CBT when CBT is ineffective in the treatment of anxiety and insomnia.
  3. Recognize 5 client habits that cause or contribute to anxiety including perfectionism, subjugation, procrastination, hypochondria, and catastrophizing and intolerance of uncertainty.
  4. Discover how to use technology to treat anxiety, including audio recordings for relaxation, verbal exposure loops and video exposure.
  5. Demonstrate progressive relaxation to treat tension headaches, fatigue, insomnia, chronic pain, muscle tension and high blood pressure.
  6. Discuss the cycle of negative reinforcement and stop it by using the latest and most effective methods of exposure and response prevention.
  7. List 4 unique mindfulness techniques to treat worry, OCD, panic and phobias, including mindful labeling and a mindfulness game.
  8. Show how to use exposure therapy and mindfulness to treat obsessive compulsive disorder.
  9. Explain when to use interoceptive and other exposures to treat panic attacks and when to utilize coping strategies.
  10. Develop skills to treat all 3 aspects of social anxiety: skills deficits, irrational beliefs and physiological anxiety.
  11. Use the most effective methods for treating agoraphobia and simple phobias, including flying phobia, emetophobia, acrophobia and claustrophobia.
  12. Determine if sleep disorders or other medical problems interfere with sleep when trying to treat insomnia.
  13. Identify at least 12 effective ways to treat insomnia without medication.

To order the book, Resistant Anxiety, Worry, & Panic: 86 Practical Treatment Strategies for Clinicians, please visit our product store.

To order the book, Anxiety: Treatment Techniques That Really Work, please visit our product store.


 

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

 

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

CEUs


**

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards


General Credits

This course is available for 12.5 total CPDs. 

The HPCSA has declared that any on-line courses CPD/CEU credited by a certified US board, is automatically CPD/CEU credited in South Africa.

As there are different boards for different disciplines, we at Acacia suggest that you use the Counselling CPD/CEU credits. These correspond to South African credits of one CPD/CEU per 60 minutes. If you choose to use your discipline's credits, please do so at your discretion.


Addiction Counselors

NAADAC

This self-study course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 12.5 CE in the {CustomCreditField1} skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming. Full attendance is required; no partial credit will be awarded for partial attendance.


California Alcoholism & Drug Abuse Counselors (CADTP)

PESI, Inc. is an approved provider by the CADTP, Provider #: 201. This Category H activity meets the qualifications for 12.5 CEU's (continuing education hours).


Connecticut Addiction Counselors

Provider #120924. This course has been approved as a CCB approved training and has been awarded 12.5 hours by the Connecticut Certification Board.


Counselors

This self-study activity consists of 12.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.


California Counselors

The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs.  A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This intermediate level self-study activity consists of 12.0 clock hours of continuing education instruction.


Florida Counselors

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 12.5 continuing education credits.


Montana Counselors

The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level self-study activity consists of 12.5 clock hours of instruction.


New York Counselors

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Mental Health Counselors. #MHC-0033. This self-study activity will qualify for 15.0 contact hours. Full attendance is required; no partial credits will be offered for partial attendance


Ohio Counselors

PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance in this self-study course meets the qualifications for 12.5 clock hours of continuing education credit. 


Pennsylvania Counselors

The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/. This intermediate level self-study activity consists of 12.5 clock hours of continuing education instruction.


South Carolina Counselors

This self-study program has been approved for 12.5 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540.


Texas Counselors

This self-study activity consists of 12.5 clock hours of continuing education instruction. Texas State Board of Examiners of Professional Counselors no longer approves programs or providers. PESI activities meet the continuing education requirements as listed in Title 22 Texas Administrative Code, Chapter 681, Subchapter J, Section 681.142 Acceptable Continuing Education. Please retain the certificate of completion that you receive and use as proof of completion when required.


California Licensed Educational Psychologists

The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs.  A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This intermediate level self-study activity consists of 12.0 clock hours of continuing education instruction.


Marriage & Family Therapists

This self-study activity consists of 12.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save this course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements. 


California Marriage & Family Therapists

The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs.  A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This intermediate level self-study activity consists of 12.0 clock hours of continuing education instruction.


Florida Marriage & Family Therapists

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 12.5 continuing education credits.


Illinois Marriage & Family Therapists

PESI, Inc. has been approved as a provider of continuing education by the State of Illinois, Department of Professional Regulation. Provider #:168-000156. Full attendance at this self-study activity qualifies for 12.5 credits.


Montana Marriage & Family Therapists

The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level self-study activity consists of 12.5 clock hours of instruction.


New York Marriage & Family Therapists

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Marriage and Family Therapists. #MFT-0024. This self-study activity will qualify for 15.0 contact hours. Full attendance is required; no partial credits will be offered for partial attendance


Ohio Marriage & Family Therapists

PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance in this self-study course meets the qualifications for 12.5 clock hours of continuing education credit. 


Pennsylvania Marriage & Family Therapists

The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/. This intermediate level self-study activity consists of 12.5 clock hours of continuing education instruction.


South Carolina Marriage & Family Therapists

This self-study program has been approved for 12.5 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540.


Texas Marriage & Family Therapists

This self-study activity consists of 12.5 clock hours of continuing education instruction. Texas State Board of Examiners of Marriage and Family Therapists no longer approves programs or providers. PESI activities meet the continuing education requirements as listed in Title 22 of the Texas Administrative Code, Chapter 801, Subchapter K, Section 801.264 Types of Acceptable Continuing Education. Please retain the certificate of completion that you receive and use as proof of completion when required.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

This self-study activity consists of 12.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 12.5 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

CE Broker

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 12.5 self-study contact hours.


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 12.6 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


South Carolina Psycho-Educational Specialists

This self-study program has been approved for 12.5 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540.


Psychologists

This self-study activity consists of 12.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.


Canadian Psychologists

PESI, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 12.5 self-study continuing education hours. Full credit statement at: www.pesi.com/cpa-statement


Florida Psychologists

PESI, Inc., is an approved provider with the Florida Board of Psychology.Provider Number #50-399.This product qualifies for 12.6 self-study continuing education credits.


Illinois Psychologists

PESI, Inc is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 268.000102. Full attendance at this self-study course qualifies for 12.5 contact hours.


Indiana Psychologists

PESI, Inc is an approved provider with the Indiana Board of Psychology. Certificate #: 98000998A - Category I. PESI maintains full responsibility for this program and its contents. This self-study activity qualifies for 12.5 contact hours.


Kentucky Psychologists

PESI, Inc. is approved by the Kentucky Psychological Association and/or Kentucky Board of Examiners of Psychology to offer continuing education for psychologists. PESI maintains responsibility for this program and its content. This self-study activity will qualify for 12.5 contact hours.


Ohio Psychologists

PESI, Inc. is approved by the Ohio Psychological Association, Provider #263896894, to sponsor continuing education for psychologists. PESI, Inc. maintains responsibility for this program and its content. PESI is offering this self-study activity for 12.5 Standard hours of continuing education credit.


Pennsylvania Psychologists

PESI, Inc. is approved by the Pennsylvania State Board of Psychology to offer continuing education for psychologists. Provider #PSY000211. PESI maintains responsibility for the program(s). This self-study program qualifies for 12.5 continuing education hours.


Social Workers

PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this course. ACE provider approval period: January 27, 2020 - January 27, 2023. Social Workers completing this course receive 12.5 Clinical Practice continuing education credits. Course Level: Intermediate. Format: Asynchronous distance learning. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

 

Canadian Social Workers: Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


California Social Workers

The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs.  A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This intermediate level self-study activity consists of 12.0 clock hours of continuing education instruction.


Colorado Social Workers

PESI, Inc. is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This self-study course has been approved for 12.6 continuing education hours. 

 

COLORADO PARTICIPANTS ONLY: To be reported to the Colorado Chapter of the NASW, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com and provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the email.


Florida Social Workers

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 12.5 continuing education credits. 


Illinois Social Workers

PESI, Inc. is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 12.5 contact hours.


Kansas Social Workers

PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This self-study course has been approved for 12.5 continuing education hours.


Minnesota Social Workers

PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study package has been approved for 12.5 continuing education hours. This certificate has been issued upon successful completion of a post-test.


Montana Social Workers

The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level self-study activity consists of 12.5 clock hours of instruction.


New York Social Workers

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This self-study activity will qualify for 15.0 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. 


Ohio Social Workers

PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance in this self-study course meets the qualifications for 12.5 clock hours of continuing education credit. 


Pennsylvania Social Workers

The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions. This intermediate level self-study activity consists of 12.5 clock hours of continuing education instruction.


Other Professions

This self-study activity qualifies for 12.5 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts

Faculty

Jennifer L. Abel Related seminars and products: 2

Ph.D.


Jennifer L. Abel, Ph.D., international speaker, author and clinical psychologist, has specialized in the treatment of anxiety disorders for over 20 years. Before opening a private practice, she served as the associate director of the Stress and Anxiety Disorders Institute at Penn State under the direction of the leading expert in Generalized Anxiety Disorder (GAD), T.D. Borkovec.

Her first book, Active Relaxation (Self-Published, 2010) has received outstanding reviews from mental health care professionals and anxious readers alike. Her second book, Resistant Anxiety, Worry, and Panic: 86 Practical Treatment Strategies for Clinicians (PESI, 2014), has received praise from top experts in anxiety management. Jennifer is also the author of The Anxiety, Worry & Depression Workbook: 65 Exercises, Worksheets & Tips to Improve Mood and Feel Better (PESI, 2018) and the Melt Worry and Relax Card Deck: 56 CBT & Mindfulness Strategies to Release Anxiety (PESI, 2016).

Dr. Abel has published many articles in professional journals and wrote a pamphlet about GAD for ABCT. She has been quoted by several popular magazines (e.g., Health, Prevention, Glamour) for her expertise in Worry. Dr. Abel presents to the public (e.g., Working Women’s Survival Show), as well as professionals (e.g., Australian Psychological Society; Anxiety Disorder Association of America).

Speaker Disclosures:

Financial: Jennifer Abel is in private practice. She receives compensation as a self-published author. Jennifer Abel receives a speaking honorarium from PESI, Inc.

Non-financial: Jennifer Abel has no relevant non-financial relationship to disclose.


Target Audience

Addiction Counselors, Counselors, Marriage & Family Therapists, Nurses, Psychologists, Social Workers and Other in Caring Professions

Outline

TREATMENT STRATEGIES FOR ANXIETY

Trying NOT to Worry Makes it Worse: The White Bear Research

  • Treatments to circumvent the White Bear Phenomenon
    • Moving Toward relaxation
    • Process vs. command
    • Postpone worry
    • Acceptance

Mindfulness

  • Mindful acceptance:
    • 5 metaphors
    • Observe and label thoughts and emotions
  • Mindfulness as relaxation
    • Being in the present
    • Active and quiet mindfulness
    • Game and demonstrations

Cognitive Therapy

  • A quicker and better way – B3s
  • Hands-on exercises to find alternative thoughts
  • “Shoulds” and “Wants”
  • Finding humor in worry

Progressive Relaxation (PR)

  • 8 benefits of PR
  • Signaling and timing
  • Patter
  • Debriefing and home practice instructions
  • Alternatives to PR -Tin Man to Scarecrow and sponge absorbing tension

Problem Solving Strategies

  • Worry prevents problems solving
  • Mindfully label problems
  • Brainstorming
  • Postpone worry to problem solving times
  • Problem solving worksheet

Exposure Strategies

  • Negative reinforcement in anxiety
  • Metaphor – Little Shop of Horrors
  • Assess for negative reinforcement
  • Remove crutches that negatively reinforce
  • Traditional in vivo exposure
  • Imaginal exposure
  • Video exposure
  • Flooding the thoughts and words
  • Interoceptive exposure
  • Response prevention

Make Your Own Recordings:

  • Record for free
  • Turn recordings into MP3s
  • Make loops for verbal exposure
  • Make relaxation recordings
  • Transport large MP3s to clients for free

SPECIFIC PROGRAMS FOR ANXIETY DISORDERS AND INSOMNIA

Generalized Anxiety Disorder

  • Worry spirals
  • 3 benefits of catching anxiety early and evidence this works.
  • 12 reminders to catch anxiety early
  • Self-controlled desensitization (SCD)
  • Applied or active relaxation

OCD

  • In vivo exposure and response prevention
  • Alternative exposures
  • Covert obsessions (normalizing, flooding thoughts and singing words)
  • Contamination fears
  • Mindfulness and OCD

Panic Disorder and Panic Attacks

  • New panic attack specifier
  • Interoceptive exposure
  • Explain what caused that first panic attack
  • Anxiety sensitivity
  • When panic looks like OCD
  • Anxiety spiral in panic
  • Benzodiazepenes make panic worse
  • Nighttime panic

Agoraphobia and Specific Phobia

  • Rule out fear of panic
  • Exposures:
    • In vivo
    • Imaginal
    • Flood the fear verbally
    • YouTube and other Internet options
  • Three Common Specific Phobias - flying, emetophobia, acrophobia

Social Anxiety

  • 3 components of social anxiety: skills deficit, cognitive distortions, physiological anxiety
  • Normalize social anxiety
  • Social skills training - eye contact, open ended questions, listening, improving affect
  • Exposure: in vivo, role play, flooding thoughts
  • Coping strategies
  • Speech phobia

Insomnia

  • Rule out other sleep disorders and medical causes
  • Treatments for insomnia:
    • Worry postponement and problem solving before bed
    • Sleep hygiene and several stimulus control strategies
    • Creating a sleep rhythm by addressing schedules, naps and lighting
    • The win-win trick
    • Relaxation strategies

TREATMENT RESISTANT ANXIETY

When CBT isn’t Effective Enough

  • Rule out ADHD, depression and medical issues
  • Encourage emotional processing
  • Address lifestyle habits
  • Psychotropic medications
  • When CBT and medication doesn’t work:
    • Increase emotional processing
    • Experiential techniques
    • Address interpersonal problems shown to interfere with CBT

Personality Traits Associated with Anxiety and What To Do:

  • Hypochondriasis and fear of untimely death - postponing, flooding, etc.
  • Perfectionism - strategies for balance and better life
  • Subjugation - continue “the wants” stop negatively reinforcing fear and guilt
  • Catastrophizing/intolerance of uncertainty - postpone, address superstitions and worry
  • Procrastination - planned procrastination and creating small goals.

Objectives

  1. Identify the anxiety spiral in order to catch worry and panic early.
  2. Outline alternatives to CBT when CBT is ineffective in the treatment of anxiety and insomnia.
  3. Recognize 5 client habits that cause or contribute to anxiety including perfectionism, subjugation, procrastination, hypochondria, and catastrophizing and intolerance of uncertainty.
  4. Discover how to use technology to treat anxiety, including audio recordings for relaxation, verbal exposure loops and video exposure.
  5. Demonstrate progressive relaxation to treat tension headaches, fatigue, insomnia, chronic pain, muscle tension and high blood pressure.
  6. Discuss the cycle of negative reinforcement and stop it by using the latest and most effective methods of exposure and response prevention.
  7. List 4 unique mindfulness techniques to treat worry, OCD, panic and phobias, including mindful labeling and a mindfulness game.
  8. Show how to use exposure therapy and mindfulness to treat obsessive compulsive disorder.
  9. Explain when to use interoceptive and other exposures to treat panic attacks and when to utilize coping strategies.
  10. Develop skills to treat all 3 aspects of social anxiety: skills deficits, irrational beliefs and physiological anxiety.
  11. Use the most effective methods for treating agoraphobia and simple phobias, including flying phobia, emetophobia, acrophobia and claustrophobia.
  12. Determine if sleep disorders or other medical problems interfere with sleep when trying to treat insomnia.
  13. Identify at least 12 effective ways to treat insomnia without medication.

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