Treatment Approaches

Working with an Anxiety Therapist

When working with a therapist for anxiety, you can expect a variety of approaches and techniques depending on their training and therapeutic orientation. Here’s what you might encounter:

Initial Assessment and Goal Setting:

  • Your therapist will likely begin by discussing your anxiety, its impact on your life, and your goals for therapy.
  • Your anxiety therapist will explore your past experiences with managing anxiety, identifying strategies that have and haven’t worked.
  • Together, you’ll define what success looks like for you and how you’ll know when you’ve achieved your goals.

Addressing Past Control Efforts and Creative Hopelessness:

  • Many therapists will focus on highlighting the limitations of your previous attempts to control anxiety. This process, known as “creative hopelessness,” aims to motivate you to explore new approaches.
  • They might use metaphors like the “anxiety tiger” or the “willingness thermostat” to illustrate the futility of fighting anxiety and the importance of accepting it.

Exploring Values and Committed Action:

  • A significant part of therapy might involve identifying your core values and how anxiety has hindered you from living in alignment with them.
  • You’ll work on setting “well-defined goals” that move you towards your values, even in the presence of anxiety.
  • Your therapist will encourage you to take “committed action” towards these goals, embracing the discomfort that might arise.

Mindfulness and Acceptance Techniques:

  • Your therapist might introduce mindfulness exercises to help you observe your anxiety-related thoughts and feelings without judgment.
  • They’ll teach you to “make space” for these experiences, allowing them to be present without struggling against them.
  • You’ll learn to differentiate yourself from your anxiety, recognizing that you are not your thoughts or emotions.

Exposure Therapy:

  • Exposure therapy involves gradually facing your fears in a safe and controlled environment.
  • Your therapist will help you create an “exposure hierarchy,” starting with less anxiety-provoking situations and progressing to more challenging ones.
  • They might incorporate techniques like “interoceptive exposure” to desensitize you to the physical sensations associated with anxiety.

Building a Strong Therapeutic Alliance:

  • It’s crucial to find a therapist you feel comfortable with and who you believe understands your anxiety.
  • A strong therapeutic relationship built on trust and empathy will be essential for your progress.
  • Don’t hesitate to ask your therapist about their training, experience, and approach to treating anxiety.

Remember that therapy is a collaborative process and this is equaly true for anxiety therapy. Your active participation and willingness to embrace new perspectives and techniques will greatly contribute to your success.

John Nolan

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