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CBTpsych.com. Fjóla Dögg Helgadóttir. What is CBT?. Cognitive Behavior Therapy Evidence based approach for treating anxiety Only one RCT has been published so far using CBT for anxiety in AWS. Do AWS benefit from CBT?. Prevalence of Social Phobia diagnosis may be as high as 60% in AWS
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CBTpsych.com Fjóla Dögg Helgadóttir
What is CBT? • Cognitive Behavior Therapy • Evidence based approach for treating anxiety • Only one RCT has been published so far using CBT for anxiety in AWS.
Do AWS benefit from CBT? • Prevalence of Social Phobia diagnosis may be as high as 60% in AWS • In 200 AWS, 94% sought speech treatment vs. 0% sought Ψ treatment • Ψ= psychology
Speaking is one of the core fears in social phobia … • public speaking (21.2%) • speaking in a meeting or class (19.5%).
Why do AWS not receive CBT? • Lack of time? • Lack of awareness of social phobia? • Stigma associated with Ψ treatments? • Exclusion criteria in the DSM?
The nature of social anxiety • 3rd most common of the Ψ disorders • Most people never seek treatment • Reason: shame & embarrassment
True or false? -I rarely worry about seeming foolish to others. -I worry about what people will think of me even when I know it doesn't make any difference. -I feel very upset when I commit some social error -I am frequently afraid of other people noticing my shortcomings. -The disapproval of others would have little effect on me Free feedback on http//www.fjola.com.aupassword: clinic2008
What can CBT do for AWS? • Improve quality of life • Decrease anxiety, anger, sadness • With or without stutter
CBTpsych.com • My PhD invovled using modern technology to deliver CBT to AWS over the internet (therefore robot theme) Demo 1 Questions?
Anger and frustration • Tyranny of the shoulds • Rules of for living
50 Great Myths of Popular Psychology • Myth #1 Blowing our Tops Defuses Anger Resource: Scientific American
Resource: Scientific American
Common should statements • Everyone should treat me nicely • I shouldn't stutter • I should have grown up in a "perfect" family environment • I should always say "yes" to requests from others • I should always look good in other people's eyes
Safety behaviours • Function to maintain anxiety • Definition remain in its function
Heightened self-focus • Prevention of disconfirmation • Contamination of the social situation • Drawing attention to herself
Your safety behaviours • What are are you doing to eliminate social threat?
↓↓Quality of life means more: • Frequent emotional turbulance • Anxiety • Anger • Sadness • Lack of motivation to engage in life
↑↑ Quality of life means more: • Attention to the postive things in life, such as: the nice weather in Sydney, the beautiful beach, great food, great nightlife, opportunity to meet new people, interesting things to do with friends, travelling, learning about new cultures, languages, doing your favorite exercise, listening to great music, engaging in hobbies of interest, great outdoors hiking, good sense of humour, interesting documentaries etc.
Do you have many causal thoughts? • The best way to know that you are having one, is that you are feeling anxious, sad, or angry!
The End • Thanks for your time! • Any questions – ask me now, or email me on fjola@fjolad.com