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Questions:
1.
In DSM-5, panic attacks are described as an abrupt surge of intense fear or intense discomfort that peak within a few minutes. The wording changes reflect what conceptual issues?
2.
In DSM-IV, criteria for social phobia required that an individual "recognizes that the fear is excessive or unreasonable" (i.e., the insight criterion). How has DSM-5 been changed?
3.
Specific phobia is an anxiety disorder characterized by fear or anxiety about the presence of a specific object or situation [2]. how does DSM-IV to DSM-5 criteria changes for specific phobia?
4.
To what does a phobia refer?
5.
Which cognitive therapy technique can be a productive way to begin approaching treatment goals with phobic clients?
6.
What are the techniques for developing self awareness?
7.
What are the methods for directing clients?
8.
What are the techniques for separating fact from fiction?
9.
What are the techniques for generating alternative interpretations with the phobic client?
10.
What is a method for combining both decatastrophizing and coping plans?
11.
What are the principles of agoraphobia?
12.
What are the interventions for agoraphobia?
13.
What are the aspects of social phobias?
14.
What are the possible causes of social phobias?
15.
What are the aspects of public speaking phobias?
16.
What are the techniques which can be used to treat social phobias?
17.
What are the techniques for client exposure? |
Answers:
A. that they believe that an overwhelming disturbance can happen at any time, they believe that there is nothing that can be done to ward off or mitigate that occurrence, agoraphobics operate under the principle that if they have access to a helpful expert, such as a therapist, they can avert or redirect the dire consequences, that any particular sensation may be a sign of the phobia. And finally, a fifth principle is that if the phobia is not stopped, it can lead to death.
B. shame and social image and fear of loss of love or abandonment.
C. the three column technique and hypothesis testing.
D. are the initiation technique, cognitive avoidance, and the critical decision technique.
E. the DSM Identification of social phobias, the fear of being evaluated, and features of social phobias.
F. point/counterpoint technique.
G. refers to a specific object of fear.
H. being able to function, the role of anxiety, performance feedback, and the phobic client’s cognitive set during speech.
I. Counting Automatic Thoughts
J. decentering and time projection.
K.eliciting automatic thoughts, self observation, and in vivo exercises.
L. generating alternative interpretations, dysfunctional thought records, and enlarging perspective.
M. cognitive strategies, methods to choose acceptance, and action strategies.
N. active affective statements, replacing ‘why’ with ‘how’, experiencing feelings, and fostering honesty.
O. to note that "the fear or anxiety is out of proportion to the actual threat posed by the social situation and to the sociocultural context." This means that the patient does not need to have insight that their fear is unreasonable, so long as the clinician can determine that the fear is unreasonable.
P. First, the change in wording from a discrete event to an
abrupt surge broadens criteria based on evidence that panic attacks do not necessarily arise "out of the blue," but can arise during periods of anxiety or other distress and that it is the sudden
increase in fear/discomfort that is the hallmark of a panic attack. Secondly, they have removed
the 10-minute criterion in favor of the less precise but implicitly shorter descriptive of "within
minutes"
Q. consists of numerous minor wording changes (Table 3.11). The two major changes include the elimination of the DSM-IV requirements that the person recognizes that the fear is excessive or unreasonable and a specification that the duration for everyone is typically 6 months or longer (as opposed to requiring that minimum duration just for children).
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