Re:Affect resistant treatment

I second the recommendation to use the ACQ to assess both catastrophic beliefs AND feared sensations. Once identified, engage the patient in interoceptive exposure when she is in your office.

Examples:

If she fears dizziness, have her spin in a chair.
If she fears depersonalization, have her stare in a mirror.
If she fears shortness of breath, have her breath through a straw.

See Barlow and Craske for a more comprehensive list.

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