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Re:Affect resistant treatment
Geri · 02/09/04 at 2:55 PM ET
It really does not seem to me that you have successfully carried out cognitive therapy with the case you mention. Have you given her the Agoraphobic Cognition Questionnaire to assess her catastrophic beliefs? Are these all at zero? I doubt it. When she was at the bowls what was she preoccupied with most? Was she using any safety behaviours when she was there? These need to be targeted. You could also look at novel cognitive therapy interventions that aim to target her self-focused and perseverative cognitive processes..see A. Wells - "Metacognition and Emotional Disorder - Advances in Cognitive Therapy". This approach suggests that you need to target the processes that continue to produce a sense of threat and traditional cognitive therapy may not always achieve this.
I would continue to do cognitive therapy in this case rather than get deviated into other approaches.
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