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Home / Webzine / Topics
  • Cognitive Behavioral Therapy (CBT) For Anxiety

Helpful CBT Tools

Dr. Debra Kissen, PhD, MHSA · June 24, 2023
Cognitive Behavioral Therapy (CBT) for Anxiety
Anxiety Hierarchy
 
Organizing and rating the situations you fear and therefore try to avoid is the first step in moving past anxiety. When anxiety lives as an “amorphous blob” you can’t see if for what it is. It just keeps shapeshifting and taking on the form of the thing that scares you most at the current moment. Through the process of creating an anxiety hierarchy you will shift from seeing anxiety from the disempowering lens through which a prisoner would see their captor to the empowering, objective, cool-headed perspective with which a scientist would observe a phenomenon they are investigating.

 
CBT Thought Record
 
It can be helpful to track, challenge and disengage from anxiety-fueled catastrophic thoughts using a thought record such as below.  All you need to do is:

  1. Notice when a catastrophic thought has surfaced.
  2. Notice the feelings and sensations associated with this thought.
  3. Offer yourself a more balanced, realistic counter thought, in contrast to the extreme prediction associated with the catastrophic thought.
  4. Gently guide your attention back to the present moment, away from thoughts associated with “then” and “there”.
Exposure Tracking Log
 
Exposure therapy entails repeatedly confronting fear-inducing stimuli to teach your brain that a terrible consequence will not occur. Through exposure therapy, your brain will learn that the experience of anxiety is uncomfortable but not dangerous and that you can tolerate the distress associated with anxious thoughts and feelings.

Dr. Debra Kissen, PhD, MHSA

Dr. Debra Kissen is CEO of Light On Anxiety CBT Treatment Center. Dr. Kissen specializes in Cognitive Behavioral Therapy (CBT) for anxiety and related disorders. Dr. Kissen is the  Co-Author of Overcoming Parental Anxiety: Rewire Your Brain to Worry Less and Enjoy Parenting More the Panic Workbook for Teens, Rewire Your Anxious Brains for Teens: Using CBT, Neuroscience, and Mindfulness to Help You End Anxiety, Panic, and Worry (The Instant Help Solutions Series) and Break Free from Intrusive Thoughts: An Evidence-Based Guide for Managing Fear and Finding Peace. Dr. Kissen also has a special interest in the principles of mindfulness and their application for anxiety disorders. Dr. Kissen has presented her research on CBT and mindfulness-based treatments for anxiety and related disorders at regional and national conferences. Dr. Kissen is the Co-Chair of the Anxiety and Depression Association of America Public Education Committee. Dr. Kissen was the recipient of the 2020 Gratitude for Giving Spirit Award and the 2018 Anxiety Depression Association of America Member of Distinction Award. 

Dr. Kissen often serves as a media psychologist and is available for press inquiries and strives to further the dissemination of empirically supported treatment (EST) information by offering user friendly quotes and simple to understand, practical tips and solutions to help mental health consumers move past stress and anxiety.

Learn more about Dr. Kissen and her own journey through past anxiety & panic disorder.

 

 

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