Other Anxiety Interventions: Exposure

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Other Anxiety Interventions Exposure

• Flooding (Exposure Based Strategy)
• person is immersed in the fear reflex until the
  fear itself fades away..
• imagined flooding
• in vivo flooding
• graduated opportunities

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Exposure and Response Prevention
Obsessive-Compulsive Disorder

• Obsession Intrusive thoughts, urges, images, or
  ideas usually accompanied by a feelings of doubt,
  anxiety, disgust, or urges).
• Compulsion An intentional behavior, often
  performed in a stereotyped or ritualized fashion,
  designed to reduce an obsession and accompanying
  anxious feelings

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Exposure continued

• Exposure Response Prevention
• Obsessive Compulsive Disorder
• Exposure Coming into contact with the
  anxiety-provoking or feared stimulus
• Response prevention
• imagined vs. in vivo situations, and graduated
• Contrived

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Other Anxiety Interventions Modeling

• Modeling
• model should be seen experiencing
• observer must be able to _______ to model, retain
  what is seen, reproduce _________ behavior, and
  be __________ to demonstrate behavior
• Empirical support for

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Cognitive Strategies

• Teach more adaptive ways of thinking about feared
  object (cognitive restructuring)
• Example The FEAR plan for reducing unwanted
  anxious arousal (Kendal)
• Ffeeling
• Eexpecting
• Aactions and attitudes that help
• R

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Comprehensive Program Example

• A Comprehensive Program
  for Anxious Youth
• 16-18 sessions, 1-hour each
• For ages 10 and older
• Includes group, individual, and family components
• Flexible session outlines and student workbooks

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Obsessive-Compulsive Disorder Comprehensive CBT
Intervention

• Step 1 - Psychoeducation
• ___________ about the disorder
• Step 2 - Mapping OCD
• map __________
• Step 3 - Cognitive Training
• Cognitive restructuring
• constructive self-talk and reinforcement
• battle back against OCD
• Step 4 Exposure and Response Prevention
• Typically lasts 12-20 sessions

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Habit Reversal

• 1. Awareness Training
• Response description and detection procedures
• Goal detect each occurrence of the behavior
• How To
• a. Describe the behaviors
• b. Identify ABCs -when habit occurs/ going to
  occur
• c.  Awareness of habit
• d. Self-Monitoring of Habit

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Habit Reversal

• 2. Competing response training
• Client performs a behavior _______________ with
  the habit behavior
• Client PRACTICES competing response and imagines
  situations in which will use competing response

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Habit Reversal

• 3. Social support
• Children Increase time-in and positive attention
  when not pulling

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Why does habit reversal work?

• Increase in awareness of the habit behavior
• Competing response serves as a punisher
• Competing response replaces the habit behavior
• Combination of reasons

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Other interventions depending on hair pulling
behaviors

• 2. Relaxation Training
• 3. Cognitive-Behavior Therapy
• 4. Increase Coping Skills