{"id":1619,"date":"2015-06-28T02:10:27","date_gmt":"2015-06-28T02:10:27","guid":{"rendered":"https:\/\/treatmentmaps.net\/?page_id=1619"},"modified":"2015-08-22T02:40:48","modified_gmt":"2015-08-22T02:40:48","slug":"anxiety-and-panic-section-4","status":"publish","type":"page","link":"https:\/\/treatmentmaps.net\/?page_id=1619","title":{"rendered":"Anxiety and Panic Section 4"},"content":{"rendered":"<div style=\"overflow: auto; width: 482px; height: 740px; float: left;\">\n<div style=\"height: 740px;\"><a id=\"anxietymap1a\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2084\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1A.jpg\" alt=\"anx1A\" width=\"450\" height=\"533\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1A.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1A-253x300.jpg 253w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1613\/#anxietymap1a\">1<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1615\/#anxietymap1a\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1617\/#anxietymap1a\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1619\/#anxietymap1a\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1621\/#anxietymap1a\">5<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap1b\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2085\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1B.jpg\" alt=\"anx1B\" width=\"450\" height=\"664\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1B.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx1B-203x300.jpg 203w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1619\/#anxietymap1b\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1623\/#anxietymap1b\">6<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1625\/#anxietymap1b\">7<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1627\/#anxietymap1b\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1629\/#anxietymap1b\">9<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1631\/#anxietymap1b\">10<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1635\/#anxietymap1b\">12<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1637\/#anxietymap1b\">13<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1649\/#anxietymap1b\">19<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1659\/#anxietymap1b\">24<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap2\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2086\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx2.jpg\" alt=\"anx2\" width=\"450\" height=\"681\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx2.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx2-198x300.jpg 198w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1617\/#anxietymap2\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1619\/#anxietymap2\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1633\/#anxietymap2\">11<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1639\/#anxietymap2\">14<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1641\/#anxietymap2\">15<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1643\/#anxietymap2\">16<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1647\/#anxietymap2\">18<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1651\/#anxietymap2\">20<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1653\/#anxietymap2\">21<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1657\/#anxietymap2\">23<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1705\/#anxietymap2\">47<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap3\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2087\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx3.jpg\" alt=\"anx3\" width=\"450\" height=\"448\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx3.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx3-150x150.jpg 150w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx3-300x300.jpg 300w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1655\/#anxietymap3\">22<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1705\/#anxietymap3\">47<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap4\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2088\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx4.jpg\" alt=\"anx4\" width=\"450\" height=\"590\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx4.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx4-229x300.jpg 229w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1625\/#anxietymap4\">7<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1655\/#anxietymap4\">22<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1659\/#anxietymap4\">24<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap5\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2089\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx5.jpg\" alt=\"anx5\" width=\"450\" height=\"516\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx5.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx5-262x300.jpg 262w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1637\/#anxietymap5\">13<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1645\/#anxietymap5\">17<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1705\/#anxietymap5\">47<\/a><\/div>\n<div style=\"height: 740px;\"><a id=\"anxietymap6\"><\/a><strong>ANXIETY AND PANIC MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=429\">1A<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=431\">1B<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=433\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=435\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=437\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=439\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=441\">6<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-2090\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx6.jpg\" alt=\"anx6\" width=\"450\" height=\"659\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx6.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/06\/anx6-205x300.jpg 205w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1661\/#anxietymap6\">25<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1663\/#anxietymap6\">26<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1665\/#anxietymap6\">27<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1667\/#anxietymap6\">28<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1669\/#anxietymap6\">29<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1671\/#anxietymap6\">30<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1673\/#anxietymap6\">31<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1675\/#anxietymap6\">32<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1677\/#anxietymap6\">33<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1679\/#anxietymap6\">34<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1681\/#anxietymap6\">35<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1683\/#anxietymap6\">36<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1685\/#anxietymap6\">37<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1689\/#anxietymap6\">39<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1693\/#anxietymap6\">41<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1705\/#anxietymap6\">47<\/a><\/div>\n<\/div>\n<div style=\"overflow: auto; width: 458px; height: 740px; float: right;\">\n<strong>4. WORK ON THE ALLIANCE<\/strong><\/p>\n<ul><em>These issues apply throughout treatment.<br \/>\nSee Also: <u>New Patient<\/u>: <a title=\"Anxiety and Panic Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=1257\/\/#newpatientmap2\">Section 10<\/a>, <a title=\"Anxiety and Panic Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=1259\/#newpatientmap2\">Section 11<\/a><\/em><\/ul>\n<p><strong>4a. Deal With Trust Issues<\/strong><\/p>\n<p>Anxious patients are often motivated to reduce their anxiety, but at the same time may have difficulty trusting others, being known or being humiliated.<\/p>\n<p>Often they have histories of betrayal, empathic failures, mistreatment, difficulties with attachment, ostracism, etc. [<a href=\"https:\/\/treatmentmaps.net\/?page_id=1015\/#anxietyref_wolfe01\">Wolfe<\/a>, 2005, p. 269]\n<p>Part of the therapist&#8217;s job is to demonstrate trustworthiness, to work on the person&#8217;s defenses against trusting anyone, to allow the person to engage fully in the treatment process.<\/p>\n<p><strong>4b. Gather Information<\/strong><\/p>\n<p>One way to approach the therapeutic task is to consider it a collaboration of two experts; a therapist with general knowledge of treatment and a patient with specific knowledge of his\/her own life, history, reactions, etc. [See<a href=\"https:\/\/treatmentmaps.net\/?page_id=1617\/#anxietymap1a\"> Section 3<\/a> ]. Part of what the patient brings are his\/her goals for therapy. These need to be elicited and made explicit, if possible.<\/p>\n<p><strong>4c. Match the Person&#8217;s Use of Language<\/strong><\/p>\n<p>Another aspect is in using language with which the person feels comfortable. <a href=\"https:\/\/treatmentmaps.net\/?page_id=1015\/#anxietyref_bandler01\">Bandler and Grinder<\/a> (1975) have emphasized this aspect of treatment.<\/p>\n<p><strong>4d. Understand the Person&#8217;s Theories About His\/Her Anxiety<\/strong><\/p>\n<p>Part of the issue can be worked on by learning the patient&#8217;s assumptions and convictions about his\/her anxiety and being careful to provide explanations and treatment plans that are compatible with his\/her beliefs. <a href=\"https:\/\/treatmentmaps.net\/?page_id=1015\/#anxietyref_tuschen01\">Tuschen and Feigenbaum<\/a> (1997, pp. 34-35) suggest four issues to keep in mind:<\/p>\n<ul>\n<li>Your approach should be compatible with the patient&#8217;s way of thinking and beliefs.<\/li>\n<li>It should be plausible.<\/li>\n<li>It should seem appropriate for effecting change.<\/li>\n<li>It should not be easily discredited by early minor failures.<\/li>\n<\/ul>\n<p>This is especially true if you are planning to make some of his\/her assumptions untenable as an aspect of the treatment [for example, the assumption that some feared objects or situations must always be avoided because of the anxiety experienced in their presence.]\n<\/div>\n<div style=\"overflow: auto; width: 458px; float: right;\"><div class=\"divider\" style=\"margin-bottom:10px;border-bottom-width:1px\"><\/div>\n<a href=\"http:\/\/www.treatmentmaps.com\/topics\/anxiety-panic\/\" target=\"_blank\"><strong>CLICK HERE TO MAKE COMMENTS OR SUGGESTIONS<\/strong> <\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>ANXIETY AND PANIC MAPS: 1A | 1B | 2 | 3 | 4 | 5 | 6 SECTIONS: 1 | 2 | 3 | 4 | 5 ANXIETY AND PANIC MAPS: 1A | 1B | 2 | 3 | 4 | 5 | 6 SECTIONS: 4 | 6 | 7 | 8 | 9 | &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":427,"menu_order":4,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-1619","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1619","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1619"}],"version-history":[{"count":8,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1619\/revisions"}],"predecessor-version":[{"id":2543,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1619\/revisions\/2543"}],"up":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/427"}],"wp:attachment":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1619"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}