Reader Question: My daughter just turned 15, and no matter what I say, I can't seem to convince her to practice her driving. It's strange, because in the past, all she could do is talk about how excited she was to finally get her permit. I truly thought that she'd be...
IOCDF Conference, IOP for OCD Program, & Group Therapy for Panic…
Just a few quick announcements: 1) The 2012 meeting of the International Obsessive-Compulsive Foundation (IOCDF) is just a week away. The IOCDF conference marks the perfect convergence of all things OCD-related. In attendance are some of the best clinicians and...
Starting Exposure Therapy: What’s it Like?
For anyone new to exposure-based therapy, such as exposure and response prevention (ERP), there is often much anticipatory anxiety about starting treatment. "What is it? What will it be like? How bad will it be? Can I handle it? Will I be forced to do things I'm...
Does Non-Avoidance = Exposure? No! Anxiety Disorder Treatment Principles for OCD, Panic, Social Anxiety, & Phobias.
Anxiety Principle of the Day: Non-Avoidance is not equivalent to exposure. Although exposure is predicated upon the purposeful non-avoidance of anxiety-related stimuli, non-avoidance of anxiety triggers is not equivalent to exposure. What is non-avoidance? I liken...
Exposure Therapy’s Most Common Mistake: All Eggs in the Habituation Basket
Many people have an incomplete understanding of exposure therapy... ...be it exposure and response prevention (ERP) for OCD, intentional mistake practice for social anxiety, or interoceptive exposures for panic disorder... This is true for exposure newbies, seasoned...
Health-Related Anxiety: Symptoms, Disorders, & Treatment
Think about the most significant health scare you have ever experienced. Then multiply this experience by a factor of about 10. Unfortunately, this is a daily reality for many individuals suffering from health-related anxiety, a debilitating condition that can have...
Agoraphobia – Symptom Attacks, Triggers, Panic, & Avoidance Behaviors
Let's dispel a common misconception about agoraphobia. Agoraphobia is not a fear of the outdoors. Many people mistakenly believe this myth, due to the word's Latin roots. Because agoraphobia can be broken down into the roots agora ("marketplace") and phobia ("fear...
Fear, Doubt, Uncertainty, ERP, & the Monster Under the Bed
Everyone I know has, at some point, had to deal with the monster under the bed. Some do it with grace. Others falter. I've always been clumsy. I can vividly recall many terrified nights from my childhood, when I would lie rigidly in my bed, utterly paralyzed by fear....
Mindfulness & ACT-based therapy: Questioning “I hurt; therefore, I suffer.”
Mindfulness & ACT-based Approaches to Therapy Mindfulness & Acceptance and Commitment Therapy (ACT)-based approaches to treatment might (Hayes, Strosahl, & Wilson, 2003) ask you to consider the truth of the following statement: I hurt; therefore, I suffer....