Summary
Contents
Subject index
Overcoming Obstacles in CBT comes to the rescue of anyone struggling with the challenges of practicing CBT, whether you are a trainee working under supervision or a qualified practitioner. It examines key obstacles, issues and difficulties encountered over the course of the therapy, illustrated with extensive case examples. Learning objectives, practice exercises and further reading lists help you engage with and relate the issues to your own practice.
Working with Intolerance of Arousal
Working with Intolerance of Arousal
Learning Objectives
After reading this chapter, the reader should be able to:
- conceptualise arousal intolerance and avoidance;
- recognise arousal intolerance in therapy;
- identify how arousal intolerance can present an obstacle to therapeutic progress;
- identify some interventions for overcoming experiential intolerance and avoidance.
Introduction
Psychotherapy achieves change by targeting subjective and behavioural experiences. Facing subjective experiences can be very difficult for some patients, which presents a considerable therapeutic obstacle. The case of Mark, with whom we worked in therapy, illustrates this problem.
The Case of Mark – Drinking to Feel Better
Mark has an alcohol problem. Since stopping drinking, whenever he feels anxious he wants to drink to numb or take the feelings away. The anxiety is accompanied by images of catastrophe, ...
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