Dr. David Singer, PsyD, A-CBT, BCBA

The #CBTWorks technique of Worry Exposure: It is common for those with excessive and uncontrollable worry (the core feature of generalized anxiety disorder) to try to prepare for every contingency & "what if" in an effort avoid a feared outcome. *An educational thread* 1/n

Do you notice this desire to turn inward and focus on your thoughts when you or your patients are feeling anxious? What strategies have you used to get yourself out of your head and focused on accepting uncertainty and being present? #Anxiety #Psychology #CBTWorks #Worry

6) Often with anxiety, we get stuck in tunnel vision trying to prevent the negative outcome, which makes anxiety worse. Instead, try generating alternative outcomes For ex: Maybe things don't turn out exactly as you want, but this is not as horrible as you believe it will be.

If you (or your patients) have #anxiety, do you notice a pattern of focusing your attention internally (on your thoughts or body sensations) when you feel anxious? I am a psychologist (NY/NJ) who has spent 15+ yrs helping patients break free from cycles of anxiety. Below a 🧵

#PTSD Clinical/Research Tidbit: For clinicians who use #CognitiveProcessingTherapy to treat #PTSD, homework completion for sessions 8 and 9 (Trust and Power/control themes) was associated with additional clinically significant improvement in symptoms pmc.ncbi.nlm.nih.gov/articles/PMC61…

After a long break, I decided to jump back into sharing evidence-based, #CBTWorks techniques & what I hope you'll find to be useful & hopeful perspectives and insights! To get us started, here is a sheet on values clarification shorturl.at/oBfee:

Excited to be attending training by @strongstar_ptsd on comorbid OCD & PTSD. Interesting stats: Those with current PTSD treatment are 3.6x more likely to have OCD OCD dx onset occurs: same year as PTSD onset (20.7%), following PTSD dx (39.9%), before PTSD onset (39.4%)

“Boundaries are a verb, not a noun.” Boundaries are actions that we take, focusing on what is in our control (saying no or making a request), not necessarily about what other people do or the outcome.

Searching for that kernel of excitement rather than a feeling of completeness and certainty is such a better way to navigate the adventure of life.

@DrDanPsych I’m pretty much the same: I say the fear of XYZ except for claustrophobia and occasionally emetophobia (vomit).

@DrDSinger It depends—there’s little benefit to using Latin terms —I use Fear of Flying, not aerophobia; fear of public speaking, not glossophobia. But I do use commonly used phobic terms such as claustrophobia.

Therapists who treat phobias: Do you use the formal phobia names (e.g. aerophobia) or do you typically just say fear of XYZ (e.g. fear of flying)

Check out this poll on phobias: #Psychotherapists #VR #CBTWorks #ExposureTherapy @DrDanPsych @ADAA_Anxiety @ABCTNOW