Download e-book for iPad: Cognitive Therapy in Clinical Practice: An Illustrative by Jan Scott

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Extra info for Cognitive Therapy in Clinical Practice: An Illustrative Casebook

Example text

It did have a calming effect. Ruth: What do you make of that? John: Well, I should use that breathing, you know. But sometimes I don’t want to break out of the panic. I want to see why this is happening, because this fear is some type of illusion for something else. Ruth: So it seems useful then to experience this panic. You have a mixed mind about it? John: Until it gets to the point of eight, I guess, and that’s when you know— Ruth: And then you want to shut it out completely? John: Then it gets a little too frightening to handle, and I guess at that point that’s when I can start using these tools to get back to a manageable level.

Yeah, I have to urinate. It was making me anxious. Ruth: Moderately anxious? John: Yeah. —between moderate and severe. Definitely faint. Tension? Yeah, I had that. —slight. —I’m kind of getting that now. Dizziness, tight muscles, breathlessness…I was experiencing those. And I was getting fear. Ruth: Fear? John: That’s not a sensation, it’s a feeling. Ruth: What was going through your mind? What thoughts? John: Like a fear that I could faint, maybe. ’ John: Yeah. Ruth: How much did you believe you could faint at the time?

It’s like this big guy against this little guy, you know. It’s like Goliath and David. That type of thing. Ruth: But we are going to try to reverse the David and Goliath. Again, you expressed the idea even in the session that you could faint. That there was a limit to how much of this you could tolerate without something bad happening. John: I did think that…up until the point when it hit me with its hardest shot. But the fact that I could still keep going, then I saw it didn’t have the power over me that I thought.

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