095: The Recovery Circle: A Case of Public Speaking Anxiety

095: The Recovery Circle: A Case of Public Speaking Anxiety

“Help! I’ll mumble and look nervous when I give my talk! I’m scared stiff!”

In the last two podcasts entitled “50 Methods in 50 Minutes,” David and Fabrice rapidly described 50 powerful ways to challenge and crush the negative thoughts that trigger depression, anxiety, relationship problems, and habits and addictions. Today, they describe how to select the techniques that will be most helpful for various kinds of problems, and how to individualize the treatment for each patient.

Remember that we are talking about the new TEAM-CBT. Here’s what the letters stand for:

T = Testing. We test the patient at the start and end of every therapy session to assess therapeutic progress, or the lack of progress.

E = Empathy. We use the Five Secrets of Effective Communication to provide a warm empathic connection with the patient.

A = (Paradoxical) Agenda Setting. We find out what, if anything, the patient wants help with, and bring resistance to conscious awareness. Then we will melt away the patient’s resistance using a variety of powerful “resistance busting” techniques before using any methods to try to help the patient change.

M = Methods. This is the focus of today’s podcast. We will use the Recovery Circle to select and implement the most helpful techniques, from David’s list of 50, for each patient.

The patient we will discuss is a Korean man named Daeshim who’s working for Google, and he’s been worrying for weeks about giving a presentation to a large audience at work. He explained that he does okay with small group presentations but feels totally freaked out by the idea that he would have to present to so many people.

On his Daily Mood Log, Daeshim reported many negative feelings, and rated all of them at 90 (on a scale from 0 to 100), indicating they were severe.

  • Unhappy, down
  • Anxious, nervous, panicky
  • Defective, inferior, inadequate, incompetent
  • Ashamed
  • Alone
  • Embarrassed, humiliated
  • Hopeless, discouraged, defeated
  • Frustrated
  • Angry, Upset
  • Tired and exhausted from worrying

Daeshim recorded these two Negative Thoughts on his Daily Mood Log:

  1. People won’t understand me because my voice is soft, and English is my second language. 100%
  2. I’ll mumble and look nervous and use filler words like “uh” and “umm,” so my colleagues will conclude that I’m not very intelligent. 100%

Daeshim wanted to work on the second thought. I put the thought in the middle of a Recovery Circle, as you can see here. Then I selected more than 20 methods that could help Daeshim challenge the Negative Thought in the middle of the Recovery Circle. I only listed 16 of them on the Recovery Circle, but there are many additional methods that could potentially help Daeshim.

The purpose of the methods on the Recovery Circle is to help Daeshim develop a Positive Thought that he can record on his Daily Mood Log. To be effective the Positive Thought must fulfill the Necessary and Sufficient Conditions for emotional change. Do you remember what they are?

  • The Necessary Condition for Emotional Change. The Positive Thought must be 100% true. Rationalizations or half truths won’t help anyone. Cognitive Therapy is based on the Biblical notion that “the truth shall make you free.”
  • The Sufficient Condition for Emotional Change. The Positive Thought has to put the lie to the Negative Thought (NT). In other words, the patient’s belief in the NT must go to zero, or at least be drastically reduced. The very moment the patient stops believing the Negative Thought, the negative feelings will go down dramatically, and may even disappear entirely.

When I’m treating public speaking anxiety, I think in terms of the “Internal Solution” and the “External Solution.” The Internal Solution is changing the way you think and feel about public speaking. Once you’ve done this, your feelings of intense anxiety will be greatly reduced, along with the rest of your negative feelings.

Here’s the good news: You’ll be feeling much better. Here’s the bad news: you’ll probably still be crappy at public speaking!

But there’s hope. The External Solution involves developing better public speaking skills, and those methods will be quite different. For example, Daeshim could attend a local Toastmasters group and get all kinds of tips on how to speak in a more dynamic and effective manner.

David and Fabrice bring several of the methods to life during the podcast, just to give you a feel for how the techniques on the Recovery Circle can help the patient challenge the Negative Thought in the middle. They do not include many crucial techniques because the goal for this podcast was on how to select techniques, from the list of 50, for the Recovery Circle, and how to individualize the treatment during the M = Methods phase of the session. If you are interested in learning more about the treatment of public speaking anxiety, contact David or make comments at the bottom of these show notes and we’ll be glad to follow up for you!

Why do we have so many methods for challenging negative thoughts? There are several reasons:

  • Different kinds of problems respond to different kinds of therapy techniques. The M = Methods I would use to treat depression are very different from the methods I would use to treat someone with an anxiety disorder, although there’s a little overlap. The methods for treating someone with a relationship problem, or a habit or addiction, are very different. It simply isn’t true that one size fits all!
  • Two individuals with what appears to be the exact same problem, such as public speaking anxiety, panic attacks, or depression, will rarely respond to the same methods. It can be difficult, if not impossible, to predict what method will work for which person. One person might be transformed by the Feared Fantasy Technique. Another person with the same problem might respond dramatically to the Hidden Emotion Technique, or Shame Attacking Exercises, or Self-Disclosure. If you have lots of Methods on your Recovery Circle, you won’t panic when one or even many of them do not work.
  • You may have to try many techniques that don’t work with a patient before you find the technique that does work. If you have lots of techniques on your Recovery Circle, you can “fail as fast as you can,” going from technique to technique until you find the one that works for each patient.

We hope you enjoyed today’s podcast. We’ve got tons of great stuff coming up, including a live session with a man asking for help with a marital problem. David and Dr. Jill Levitt worked as co-therapists, and the session was dynamic, emotional, and incredibly helpful. It will be broken down into three consecutive podcasts, with tons of live material from the actual session, along with helpful commentary and questions by our wonderful host, Dr. Fabrice Nye.

So, stay tuned!

David

 

* Copyright © 2018 by David D. Burns, MD

Fabrice and I hope you like our Feeling Good Podcasts, and also hope you can leave some positive comments for us and five star ratings if you like what we’re doing!

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Attend my 2018 Summer Intensive in San Francisco!

This year, I am again offering my annual SF summer intensive in August at the South San Francisco Conference Center. This four-day intensive is almost always my most exciting and rewarding workshop of the year.

Here are the details:

David’s TEAM-CBT Summer Intensive

August 6 – 9, 2018, South San Francisco Conference Center, California

For more information, click here, or call IAHB.org at 800-258-8411

Here are just a few of the really cool things about this intensive:

  • You will have the chance to practice techniques in small groups after I demonstrate each technique with a live demonstration in the front of the room.
  • You will get immediate feedback and personal grooming from me and from many of my colleagues from my weekly TEAM-CBT training group at Stanford. They’ll be there to help you, and I’ll be there to help you, too!
  • There will be a live demonstration on the evening of day 1. The amazing Dr. Jill Levitt will be my co-therapist. Last year’s live demonstration, and in fact all of them in recent years, have been jaw-dropping and incredibly inspirational!
  • You’ll get a chance to practice TEAM-CBT in real time the evening of day 3. This will be an incredibly challenging but rewarding “solo flight.”
  • You will be able to do your own personal work on the last day of the workshop using the Externalization of Voices and Acceptance Paradox. In previous workshops, at least 60% of the participants indicated they experienced jubilant enlightenment during this exercise. Their fears and insecurities suddenly vanished!
  • You’ll learn how to do Relapse Prevention Training (RPT).
  • You’ll learn how to improve your empathy skills.
  • You’ll learn tons of powerful cognitive, behavioral, and motivational treatment techniques for depression and all of the anxiety disorders.
  • You will have the abundant opportunities to schmooze with colleagues, network, and have fun.
  • You will have two fabulous free luncheon banquets featuring talks by Sunny Choi, LCSW, who is using TEAM-CBT successfully with an underserved population in primary care with limited resources and language skills (“I must apologize for my success.”), and the wonderful Vandana Aspen, PhD, who will speak on “New Treatment Strategies for Eating Disorders.”)
  • And much more.

If you can only attend one of my workshops this year, the South San Francisco August intensive is the one to attend!

 

094: 50 Methods in 50 Minutes! (Part 2)

094: 50 Methods in 50 Minutes! (Part 2)

Hi Everybody!

In today’s episode, David and Fabrice describe and discuss the remaining 26 techniques on David’s list of “Fifty Ways to Untwist Your Thinking.” They fall into the following categories:

  1. Uncovering Techniques
  2. Motivational Techniques
  3. Classical Exposure Techniques
  4. Cognitive Exposure Techniques
  5. Interpersonal Exposure Techniques
  6. Interpersonal Techniques

Hope you enjoy today’s podcast! We’ve got lots of good stuff coming up soon, including:

Do you have a “self?” Can your “self” be judged?

Why do people resist using the Five Secrets of Effective Communication? (a very exciting topic!)

Live therapy: David and Jill treat someone with a relationship problem.

So stay tuned! And please spread the word among your friends and colleagues if you like our show. We are trying hard to expand our audience. We are now seeing more than 50,000 downloads of our Feeling Good Podcasts every month, but would love to grow even larger. Feel free to share them with your friends.

In our next Feeling Good Podcast, we will show you how to use the Recovery Circle to select the most helpful techniques to challenge your own negative thoughts so that you’ll be Feeling Good!

Thanks so much!

David

* Copyright © 2018 by David D. Burns, MD

 

Fabrice and I hope you like our Feeling Good Podcasts, and also hope you can leave some positive comments for us and five star ratings if you like what we’re doing!

Subscribe

Attend a Summer Intensive!

This year, I am offering a July summer intensive in Whistler, Canada, and one in August at the South San Francisco Conference center. The intensives are almost always my most exciting and fun workshops of the year. Hope you can join us at one of these locations.

Here are some details:

Advanced Cognitive Behavioral Therapy: 

A Four-Day Intensive Training in TEAM-CBT

July 3 – 6, 2018 Whistler, BC, Canada

For more information, contact Jack Hirose & Associates Inc.
Phone: 604.924.0296, Toll-free: 1.800.456.5424

* * *

High Speed, Drug Free Treatment of Depression and Anxiety Disorders–

A Four-Day

Advanced TEAM-CBT Intensive

August 6 – 9, 2018, South San Francisco Conference Center, California

For more information, click here, or call IAHB.org at 800-258-8411

If you can only attend one of my workshops, consider attending one of these intensives!

 

 

 

093: 50 Methods in 50 Minutes! (Part 1)

093: 50 Methods in 50 Minutes! (Part 1)

How to Break Out of a Bad Mood

Hi Everybody!

For a long time, Fabrice has wanted to do a show on my list of “Fifty Ways to Untwist Your Thinking” called “Fifty Ways in Fifty Minutes.” So we finally did it, and it was fun!

If I’m helping you overcome depression or anxiety, I’ll ask you to fill out a Daily Mood Log, so you can list your negative thoughts and feelings at some specific moment when you were upset. You may be thinking, “I’m a failure,” or “I should not have made that mistake,” or “I’m unlovable.”

Your negative thoughts will nearly always be distorted, but you’ll still believe them, and that’s why you’re feeling depressed and anxious. And the moment you discover that your negative thoughts aren’t true, you’ll immediately feel better. But that’s not going to be easy, because you’ve probably been giving yourself the same negative messages for years, or even decades.  And friends and family members, and even your therapist, may have been trying, unsuccessfully, to talk you out of them.

That’s why I’ve developed more than fifty methods to help you crush the negative thoughts at the heart of your suffering. So today, you’ll take a look at the landscape!

However, it took two fifty-minute shows to cover all the methods. In today’s episode, David and Fabrice describe and discuss 24 of the 50 techniques, which fall in the following categories:

  1. Basic Techniques
  2. Compassion-Based Techniques
  3. Truth-Based Techniques
  4. Logic-Based Techniques
  5. Semantic Techniques
  6. Quantitative Techniques
  7. Humor-Based Techniques
  8. Role-Playing Techniques
  9. Philosophical / Spiritual Techniques
  10. Visual Imaging Techniques

Next week we will complete the remaining 26 techniques on the list.

Why are there so many techniques? Well, if someone has a negative thought, like “I’m a hopeless case,” or “I’m a worthless human being,” you never know what technique will be effective for that person. So the philosophy is: fail as fast as you can. That’s because the faster you fail, the faster you’ll get to the technique that will change your life!

Hope you enjoy today’s podcast!

* Copyright © 2018 by David D. Burns, MD

 

Fabrice and I hope you like our Feeling Good Podcasts, and also hope you can leave some positive comments for us and five star ratings if you like what we’re doing!

Subscribe

Attend a Summer Intensive!

This year, I am offering a July summer intensive in Whistler, Canada, and one in August at the South San Francisco Conference center. The intensives are almost always my most exciting and fun workshops of the year. Hope you can join us at one of these locations.

Here are some details:

Advanced Cognitive Behavioral Therapy: 

A Four-Day Intensive Training in TEAM-CBT

July 3 – 6, 2018 Whistler, BC, Canada

For more information, contact Jack Hirose & Associates Inc.
Phone: 604.924.0296, Toll-free: 1.800.456.5424

* * *

High Speed, Drug Free Treatment of Depression and Anxiety Disorders–

A Four-Day

Advanced TEAM-CBT Intensive

August 6 – 9, 2018, South San Francisco Conference Center, California

For more information, click here, or call IAHB.org at 800-258-8411

If you can only attend one of my workshops, consider attending one of these intensives!