CBT For Anxiety in Adolescents, Part 1: Introduction (05:49)
Anxiety is a common problem for teenagers and can lead to substance abuse and depression. Cognitive Behavior Therapists believe that repercussions from underlying early experiences do not manifest until later in life. Some individuals will begin coping skills such as safety behaviors.
The Treatment Program: Katie (02:27)
Katie is nine years old and has displayed increased anxiety attending school. Her father's partner recently became pregnant and she worries the new baby will replace her.
Assessment: Katie (04:39)
Goals include obtaining an understanding of a young person's issues, define areas of strength, assess CBT efficacy, establish a good rapport, and explain the nature of the therapy. Watch as the therapist explores what physiological symptoms occur when Katie becomes anxious.
Assessment: Goal Setting Katie (05:45)
Meet with the child individually to discover what they hope therapy accomplishes. Watch as the therapist creates a problem and goal list. Try asking the client to rate the severity of each issue.
Generating a Graded Hierarchy: Katie (10:02)
Define situations which leads to anxiety, discriminate the different levels, and generate an ordered list of anxiety-provoking situations. This exercise will help the child learn to notice specific triggers. The therapist uses a fear thermometer to help gauge Katie's anxiety.
Education: Anxiety Education: Katie (07:00)
Goals include helping the young person to understand how anxiety affects him or her, how it is triggered, and can be maintained. The therapist shares stress reactions in the human body using a metaphor the child can understand. By asking Katie to explain the story to her mother will help demonstrate Katie's understanding.
Education: Sharing the Formulation: Katie (10:35)
By concentrating on the link between thoughts, feelings, and behavior, Katie learns that what she thinks about a situation can either calm or increase her anxiety. The therapist meets with her mother to discuss coping mechanisms and stress reactions. Explore how to help the family recognize and address underlying issues.
Education: Emotional Recognition and Self Monitoring: Katie (15:03)
Goals for this is to help the young person distinguish between different emotional states and to learn when to introduce coping strategies. Watch as Katie describes physical reactions to anger and fear. The therapist gives her homework to work on the link between thoughts, feelings, and behavior.
Developing Coping Skills: Katie (06:14)
The therapist provides breathing exercises, relaxation techniques, and activities to break the anxiety cycle. Move the focus away from Katie by asking her to pretend Amy has the issue with going to school. Teach the child to look toward the future in a positive manner.
Exposure: Katie (06:54)
Apply coping skills in real life situations, address avoidance, and teach the young person the rationale for exposure in order to encourage active participation. Minimize the threat to the young person and maximize success by creating small steps to improve. Organize a meeting with the school to help the teachers understand the hierarchy.
Exposure in Practice (09:35)
The therapist needs to explain to Katie and her mother exactly what should happen and brainstorm potential issues that can occur. Monitor anxiety before, during, and after each session; use rewards to reinforce success. Watch a clip after Katie experiences a setback.
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