Anxiety worsened suggest activation as a tool to

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Unformatted text preview: this cycle Suggest and support problem solving and Emphasize an “outside in” approach: act Emphasize according to a plan or goal rather than a feeling or internal state or BA Activity Chart BA Central tool of BA Central Uses Monitor baseline assessment of activity Monitor mood and intensity ratings Monitor Monitor mastery and pleasure ratings Monitor Monitor breadth or restriction of activity Monitor Monitor range of feelings Schedule activation assignments Evaluate progress Rationale for Applying BA to PTSD PTSD Veteran’s preferences for treatment approaches(e.g, Johnson & Lubin 1997) PTSD and Depression High rates of co-morbidity-(Orsillo et al., 1996) Common features: Common Poor quality of life Decreased physical activity and poor health behaviors Passive/avoidant style coping Restricted social/interpersonal functioning Decreased participation in pleasurable activities Absence of positive mood states and lack of future-oriented Absence thinking thinking Cognitive Behavioral Cognitive Models of PTSD Exposure to a negative (traumatic) event Exposure represents classical conditioning and can produce a change in the individual’s view of him/herself and the world him/herself Anxiety responses generalize over time, such Anxiety that any number of situations or triggers induce a trauma-related response trauma-related Avoidance behaviors perpetuate the learned Avoidance stress-response and may inform an individual’s sense of self-efficacy sense Traditional CBT Approaches to PTSD Treatment PTSD Exposure based therapies often directly Exposure target re-experiencing, avoidance of reminders/discussions/thoughts of the trauma, and hyperarousal symptoms of PTSD PTSD Cognitive strategies address self-schemas Cognitive and personal scripts, viewing these beliefs to be an obstacle to change to CBT Conceptualization of PTSD CBT Prior Life Functioning Traumatic Events (s) Symptoms *Affective (Mood) *Avoidance Behaviors *Cognitive *Physiological Restricted Range of Behavior Less Rewarding Life Traditional CBT Treatment for PTSD Traditional Prior Life Functioning Traumatic Events (s) Traditional CBT Therapy Focus: Learn coping skills to decrease arousal symptoms; revisit the traumatic event until it no longer produces arousal; address traumarelated schemas Symptoms *Affective (Mood) *Avoidance Behaviors *Cognitive *Physiological Restricted Range of Behavior Less Rewarding Life Goals Decrease symptom severity in order to increase functioning Behavioral Activation for PTSD Behavioral Conceptualization Prior Life Functioning Traumatic Events (s) Behavioral Activa...
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