6. • Behavioral interventions for positive
change.
• Rating Scale are used to assess feelings of
guilt, sadness, and failure and change in
appetite, sleeping, health, sex and other
behaviors.
• Set and plan realistic goals with their
patients.
7. • Increase daily activities.
• Social skills training such as modeling
appropriate behavior, role playing,
and behavioral rehearsal.
• Increase pleasant social interactions
8. Case
• A 29 year old divorced mother with
children aged 5 and 7.
• Crying spells and frequent absences from
work.
• Worried about her older child’s school
performance and was upset about her ex-
husband’s failure to provide child support.
10. • Exposure and response prevention (E/RP)
is effective technique.
• E/RP consists of exposure for an hour or
two at a time to situations that provoke
discomfort.
• Situations that produce distress are graded
from moderate to severe.
11. • Detailed information about the symptoms.
• Often rating schedules, daily logs, and
brief assessment instruments are also
used.
• Home visits, outside work, assistance from
friends and relatives is extremely helpful.
12. Case
• June, a 26 year old married woman with
obsessions and compulsions regarding
cleanliness.
• She required 45 minutes in shower and washes
her hands 20 times a day.
• In treatment planning the therapist make use of
imaginal and in vivo exposure techniques.
14. • Replacing an anxiety response with a
relaxation response.
• Four-step approach in using relaxation
training.
15. Case
• A 20 year old college girl worries about her
grades, getting into graduate school and getting
all of her work done.
• When stressed accelerated heart rate, sweating,
pressure in her chest and headaches is reported.
• Trained in progressive relaxation and taught to
monitor early anxiety cues.
17. • General treatment approach is to reduce
the anxiety.
• Systematic desensitization is paired with
relaxation responses.
• Intense imaginal exposure techniques.
• In vivo exposure and modeling can be
used.
18. Case
• Treatment of a 6 year old girl who had a
phobia of balloons.
• Avoided situations having balloons,
activities including balloons and even have
nightmares about balloons.