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Printable Handouts
Navigable Slide Index
- Introduction
- What is Generalized Anxiety Disorder?
- Generalized Anxiety Disorder (GAD)
- Prevalence and incidence of GAD
- Age of onset for GAD
- How big of a problem is worry?
- Sex differences
- Ethnic differences
- Theoretical models of worry
- Cognitive model
- Over-predicting threat
- Automatic thoughts
- Underlying assumptions or rules
- Personal schemas
- Intolerance of uncertainty
- Intolerance of uncertainty model of worry
- Metacognitive model
- Metacognitive dimensions of worry
- Fear of emotions
- Underestimating problem solving
- Acceptance and mindfulness
- CBT for chronic worry
- Effectiveness of CBT for chronic worry
- Measuring worry
- Focusing on reversing worry
- Building motivation to change
- Examine positive beliefs about worry
- Beliefs about control
- Modifying beliefs in control
- Worry time
- Objections to worry time
- Is this productive or unproductive worry?
- Is this worry productive or unproductive?
- Varieties of acceptance
- Accepting acceptance
- How to think about an intrusive thought
- Mindful detachment
- Mindfulness meditation
- Testing predictions
- Cognitive therapy techniques
- Techniques to test and examine thoughts
- Worry and time perspective
- Thank you for listening
Topics Covered
- Anxiety
- Cognitive Behavioral Therapy (CBT)
- Generalized Anxiety Disorder (GAD)
- Theoretical models of worry
- Chronic worry
- CBT for chronic worry
- Mindfulness
- Psychology
Talk Citation
Leahy, R.L. (2021, May 30). Cognitive-behavioral therapy for chronic worry [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved December 7, 2024, from https://doi.org/10.69645/QRHC8967.Export Citation (RIS)
Publication History
Financial Disclosures
- There are no commercial/financial matters to disclose.
A selection of talks on Neuroscience
Transcript
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0:00
I'm going to speak to you today about cognitive behavioral therapy for chronic worry.
I'm Robert Leahy, I'm the Director of
the American Institute for Cognitive Therapy in New York City,
and I'm Clinical Professor of Psychology in
the psychiatry department at Weill Cornell Medical College.
I'm going to describe some of the research on the nature of worry,
the theories about chronic worry,
and the treatment of worry from a variety of perspectives in cognitive behavior therapy.
0:32
What is generalized anxiety disorder?
According to the DSM-V,
generalized anxiety disorder is characterized by
excessive anxiety and worry (or apprehensive expectation).
This worry and anxiety occurs more days than not for at least six months,
so it's a chronic ongoing condition
not just a person who is worried for a couple of days.
Second, the worry is about a number of different events or activities,
such as work or school performance or health, or money or relationships.
The worry is not just about one topic, it's on a number of different topics.
1:12
According to the DSM, generalized anxiety disorder (GAD) is associated
with three or more of the following six symptoms.
First, restlessness or feeling keyed up or on edge.
Second, being easily fatigued.
Third, having difficulty concentrating or one's mind going blank.
Fourth, feeling irritable.
Fifth, muscle tension.
Six, sleep disturbance - that can be difficulty falling asleep,
staying asleep, or restless unsatisfying sleep.