GAD Is Severe Normality

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Presentation transcript:

What Generalized Anxiety Disorder Has Taught Us About Being Human Beings

GAD Is Severe Normality GAD May Be The Basic Anxiety Disorder (Barlow)

Two Important Insights Of Early Behavior Therapy Self-Monitoring Strengthening of Incompatible Behaviors

Self-Monitoring Objective Observation Of Reality Knowledge Is Connection “This relates to that” “This causes that”

Two Valid Views Of Connections Linear And Isolated Multiple Connections Coming In And Going Out

The More We Know, The More We Know That We Don't Know

Implications Of The Need For Self-Monitoring I Am Often Unaware I Am Often Habitual And Determined I May Often Be Asleep

Percentage Of Good Sleepers & Insomniacs Reporting Being Awake When Cortically Asleep

Approach What Is Good For My Survival & Avoid What Is Bad The Prime Directive: Approach What Is Good For My Survival & Avoid What Is Bad The Prime Directive For The Prime Directive: Pay Attention

The World Of GAD Pervasive Threat Detection Pervasive Avoidance Uncontrollable Worrying About The Future Insolvable Problems To Be Solved

Percentage Of Good & Bad Outcomes From The Worry Outcome Diary

Fight-Or-Flight With No Place to Run & No One To Fight

State and Trait Vagal Deficiencies Are Likely Due To Worry (GAD II-Thayer) High Frequency power graph

Living In An Illusory World - Living Many Future Lives - Not Pay Attention To Present Reality

Emotional Life Anxiety & Depression Alexithymia CNS Rather Than ANS Symptoms Muted Reactions To Positive & Negative Stimuli

Heart Rate Reaction to Positive and Negative Stimuli (Aikens)

Cluster Analysis of Inventory Of Interpersonal Problems: Interpersonal Life (Pincus): Inflexible Cluster Analysis of Inventory Of Interpersonal Problems: 62% Overly Nurturing & Intrusive 26 % Nonassertive & Socially Avoidant 12% Domineering & Vindictive

Insecure Attachment By Adult Attachment Interview (Cassidy)

CBT Alone Has Minimal Impact on Interpersonal Problems (GAD V)

Frequent Catastrophic Images Imagery As Reality Lang Loftus

EXAMPLES OF GAD CHARACTERISTICS & THEIR OPPOSITES ATTEND TO ALL INFORMATION Worry Outcome Diary Generate Positive Possibilities CULTIVATE NO-THOUGHT Stimulus Control: Worry-Free &Thought-Free Zones BIASES IN ATTENTION, INTERPRETATION, & PREDICTION EXCESSIVE THOUGHT

MUSCLE RELAXATION, APPLIED RELAXATION FLEXIBILITY, MULTIPLE ALTERNATIVE WAYS OF BEING IN EACH RESPONSE CHANNEL PRESENT MOMENT, EXPECTANCY-FREE LIVING TENSION, VAGAL DEFICIENCY RIGID HABITS FUTURE & PAST

AVOIDANCE, e.g.: EXTRINSIC MOTIVATION APPROACH INTRINSIC MOTIVATION Fear of Mistakes Fear of Emotions Fear of Others EXTRINSIC MOTIVATION APPROACH Make Mistakes Exposure to Emotions Approach Others INTRINSIC MOTIVATION

Emotional Reactions In Kids & Adults

In The Face Of An Uncertain Future, What Can We Trust? Trust Our Evolved Information Processing Systems Pay Attention

What Would Life In The Present Be Like? Absence Of Anxiety Absence Of Depression Strong But Brief Primary Affect More Effective Behavior

Focusing Effects On Anxiety Among Socially Anxious Folks (Przeworski, 2003)

Bringing Value-Based, Intrinsically Motivated Behavior Into The Present Moment

Worry involves a predominance of thought (as opposed to images)

Worry prevents emotional processing during repeated imaginal exposures