Blow Out Sale! When Panic Attacks!

Blow Out Sale! When Panic Attacks!

The 1 Dollar 99 Cents Anxiety Cure!

when panic attacks ebook promo2 (002)

Hi therapists and patients alike,

In a totally unexpected and awesome development, my publisher has decided to make the eBook of When Panic Attacks available for a limited time for the ridiculously cheap price of $1.99 in the United States and Canada. I was thrilled to hear this, and applaud them for this bold move. When Panic Attacks has been invaluable for therapists and life-changing for thousands of people suffering from every form of anxiety (not just panic attacks).

I don’t know how long this sale will last, so move fast. Get your copy right away–from any book seller you want! It’s already available for this price on Amazon.com and should be available from all booksellers within a few days.

And please note my upcoming PESI workshop on the treatment of anxiety coming up later this week in San Francisco and in just a few days in Portland. Attend in person or join us live online for the Portland workshop which will be live-streamed so you can join from anywhere in the world.

In addition, note my three presentations at the Milton Erikson Brief Therapy Conference in Burlingame, California December 6 – 9, 2018. It promises to be a tremendous event, with chances to hear tons of top presenters.

David

* * *

Some Cool Upcoming Workshops for YOU!

TREAT ANXIETY FAST–

Powerful, Fast-Acting, Drug-Free Techniques 
to Defeat Anxiety & Worry

a 2-day workshop by David D. Burns, MD

November 29 and 30, 2018–San Francisco, CA (in person only)

and

December 3 and 4, Portland, Oregon (in person and live streaming)

PESI is proud to offer an exciting workshop by David Burns, M.D., a pioneer in the development of cognitive behavior therapy (CBT). Achieve rapid and lasting recovery with all your anxious clients, just as Dr. Burns has done in over 35,000 therapy sessions with severely troubled clients. Become skilled at treating every type of anxiety without drugs.

In this unique 2-day certificate course you’ll master more than 20 treatment techniques to help your clients eliminate the symptoms of anxiety quickly – even your most challenging, resistant clients.

Dr. Burns will illustrate concrete strategies that provide rapid, complete recovery and lasting change for your patients. You’ll learn…

  • How to integrate four powerful treatment models to eliminate symptoms.
  • How to enhance your client’s engagement in therapy.
  • How to develop a treatment plan that specifically targets each client’s unique problems and needs.
  • …and so much more!

David will provide you with guided instruction and share powerful video sessions that capture the actual moment of recovery. You will take away practical strategies to use immediately with any anxious client. Leave this certificate course armed with tools you can use in your very next session!

Don’t miss this opportunity to learn from one of America’s most highly acclaimed teachers!

Sponsored by PESI

To register, or for more information, call: 800-844-8260

* * *

Brief Therapy Conference, December 6 – 9, Burlingame, California

Sponsored by the Milton Erikson Foundation

1, Healing Yourself: A Live Demonstration of TEAM-CBT

on Friday, December 7, 2018, from  10:45  – 12:45 PM

Drs. David Burns and Jill Levitt will do a live therapy session
with a workshop volunteer.

2. “Great Conversations”

on Saturday, December 8, 2018, from  2:00  – 3:00 PM

Drs. Jeffrey Zeig and David Burns will discuss
treatment strategies for habits and addictions

3. Overcoming Therapeutic Resistance

Keynote Address by Dr. Burns on Sunday, December 9, 2018, from  2:30  – 3:30 PM

Dr. Burns will describe new techniques to reduce therapeutic resistance and trigger rapid recovery from depression, anxiety, and trauma

* * *

Time-Limited Blow Out Sale! When Panic Attacks!

Time-Limited Blow Out Sale! When Panic Attacks!

The 1 Dollar 99 Cents Anxiety Cure!

when panic attacks ebook promo2 (002)

Move Fast–Sale Ends December 9, 2018.

Hi therapists and patients alike,

In a totally unexpected and awesome development, my publisher has decided to make the eBook of When Panic Attacks available for a limited time for the ridiculously cheap price of $1.99 in the United States and Canada. I was thrilled to hear this, and applaud them for this bold move. When Panic Attacks has been invaluable for therapists and life-changing for thousands of people suffering from every form of anxiety (not just panic attacks).

I have heard through the grapevine that this sale will only last until December 9, 2018, so move fast. Get your copy right away–from any book seller you want! It’s already available for this price on Amazon.com and Barnes and Noble, and should be available from all booksellers by tomorrow if not already.

And please note my upcoming PESI workshop on the treatment of anxiety coming up later this week in San Francisco and early next week in Portland. Attend in person in SF or join us live or online for the Portland workshop which will be live-streamed so you can watch and learn from anywhere in the world.

In addition, note my three presentations at the Milton Erikson Brief Therapy Conference in Burlingame, California December 6 – 9, 2018. It promises to be a tremendous event, with chances to hear tons of top presenters.

I am still looking for volunteers from the workshops for the live demonstrations on the evenings of day 1 of the Anxiety Workshop in SF and Portland. Contact me right away if you plan to attend in person and think you might want help with some form of anxiety, such as public speaking anxiety, social anxiety, and so forth.

I am also looking for a volunteer for the live demonstration I will do with Jill Levitt in Burlingame at the Brief Therapy Conference on the morning of Friday, December 7th. The live work is almost always transformative and provides a tremendous opportunity for the one who volunteers for the “patient role” and for all of those who attend.

So if you think you might be interested in one of these three opportunities, let me know. Please be aware that the live sessions in Burlingame and in Portland (but not SF) will be videotaped for later distribution to therapists. So I am hoping for two brave volunteers who would not mind appearing on video for later generations!

This is a big step, since live work is, of course, quite personal. if you decide to withdraw your consent after the demonstration, you will have the chance to do so, but I hope that won’t happen, especially if the sessions is super-inspirational. Wonderful videos of live therapy work where you see sudden, profound, and lasting change can be extraordinarily helpful.

David

* * *

Some Cool Upcoming Workshops for YOU!

TREAT ANXIETY FAST–

Powerful, Fast-Acting, Drug-Free Techniques 
to Defeat Anxiety & Worry

a 2-day workshop by David D. Burns, MD

November 29 and 30, 2018–San Francisco, CA (in person only)

and

December 3 and 4, Portland, Oregon (in person and live streaming)

PESI is proud to offer an exciting workshop by David Burns, M.D., a pioneer in the development of cognitive behavior therapy (CBT). Achieve rapid and lasting recovery with all your anxious clients, just as Dr. Burns has done in over 35,000 therapy sessions with severely troubled clients. Become skilled at treating every type of anxiety without drugs.

In this unique 2-day certificate course you’ll master more than 20 treatment techniques to help your clients eliminate the symptoms of anxiety quickly – even your most challenging, resistant clients.

Dr. Burns will illustrate concrete strategies that provide rapid, complete recovery and lasting change for your patients. You’ll learn…

  • How to integrate four powerful treatment models to eliminate symptoms.
  • How to enhance your client’s engagement in therapy.
  • How to develop a treatment plan that specifically targets each client’s unique problems and needs.
  • …and so much more!

David will provide you with guided instruction and share powerful video sessions that capture the actual moment of recovery. You will take away practical strategies to use immediately with any anxious client. Leave this certificate course armed with tools you can use in your very next session!

Don’t miss this opportunity to learn from one of America’s most highly acclaimed teachers!

Sponsored by PESI

To register, or for more information, call: 800-844-8260

* * *

Brief Therapy Conference, December 6 – 9, Burlingame, California

Sponsored by the Milton Erikson Foundation

1, Healing Yourself: A Live Demonstration of TEAM-CBT

on Friday, December 7, 2018, from  10:45  – 12:45 PM

Drs. David Burns and Jill Levitt will do a live therapy session
with a workshop volunteer.

2. “Great Conversations”

on Saturday, December 8, 2018, from  2:00  – 3:00 PM

Drs. Jeffrey Zeig and David Burns will discuss
treatment strategies for habits and addictions

3. Overcoming Therapeutic Resistance

Keynote Address by Dr. Burns on Sunday, December 9, 2018, from  2:30  – 3:30 PM

Dr. Burns will describe new techniques to reduce therapeutic resistance and trigger rapid recovery from depression, anxiety, and trauma

* * *

Blow Out Sale! When Panic Attacks!

Blow Out Sale! When Panic Attacks!

The 1 Dollar 99 Cents Anxiety Cure!

 

When Panic Attacks ebook promo

Hi therapists and patients alike,

In a totally unexpected and awesome development, my publisher has decided to make the eBook of When Panic Attacks available for a limited time for the ridiculously cheap price of $1.99. I was thrilled to hear this, and applaud them for this bold move. When Panic Attacks has been invaluable for therapists and life-changing for thousands of people suffering from every form of anxiety (not just panic attacks).

I don’t know how long this sale will last, so move fast. Get your copy right away–from any book seller you want! It’s already available for this price on Amazon.com and should be available from all booksellers within a few days.

And please note my upcoming PESI workshop on the treatment of anxiety coming up later this week in San Francisco and in just a few days in Portland. Attend in person or join us live online for the Portland workshop which will be live-streamed so you can join from anywhere in the world.

In addition, note my three presentations at the Milton Erikson Brief Therapy Conference in Burlingame, California December 6 – 9, 2018. It promises to be a tremendous event, with chances to hear tons of top presenters.

David

* * *

A Cool Upcoming Workshop for YOU!

TREAT ANXIETY FAST–

Powerful, Fast-Acting, Drug-Free Techniques 
to Defeat Anxiety & Worry

a 2-day workshop by David D. Burns, MD

November 29 and 30, 2018–San Francisco, CA (in person only)

and

December 3 and 4, Portland, Oregon (in person and live streaming)

PESI is proud to offer an exciting workshop by David Burns, M.D., a pioneer in the development of cognitive behavior therapy (CBT). Achieve rapid and lasting recovery with all your anxious clients, just as Dr. Burns has done in over 35,000 therapy sessions with severely troubled clients. Become skilled at treating every type of anxiety without drugs.

In this unique 2-day certificate course you’ll master more than 20 treatment techniques to help your clients eliminate the symptoms of anxiety quickly – even your most challenging, resistant clients.

Dr. Burns will illustrate concrete strategies that provide rapid, complete recovery and lasting change for your patients. You’ll learn…

  • How to integrate four powerful treatment models to eliminate symptoms.
  • How to enhance your client’s engagement in therapy.
  • How to develop a treatment plan that specifically targets each client’s unique problems and needs.
  • …and so much more!

David will provide you with guided instruction and share powerful video sessions that capture the actual moment of recovery. You will take away practical strategies to use immediately with any anxious client. Leave this certificate course armed with tools you can use in your very next session!

Don’t miss this opportunity to learn from one of America’s most highly acclaimed teachers!

Sponsored by PESI

To register, or for more information, call: 800-844-8260

* * *

Brief Therapy Conference, December 6 – 9, Burlingame, California

Sponsored by the Milton Erikson Foundation

1, Healing Yourself: A Live Demonstration of TEAM-CBT

on Friday, December 7, 2018, from  10:45  – 12:45 PM

Drs. David Burns and Jill Levitt will do a live therapy session
with a workshop volunteer.

2. “Great Conversations”

on Saturday, December 8, 2018, from  2:00  – 3:00 PM

Drs. Jeffrey Zeig and David Burns will discuss
treatment strategies for habits and addictions

3. Overcoming Therapeutic Resistance

Keynote Address by Dr. Burns on Sunday, December 9, 2018, from  2:30  – 3:30 PM

Dr. Burns will describe new techniques to reduce therapeutic resistance and trigger rapid recovery from depression, anxiety, and trauma

* * *

My Experience Resonates with Mona!

My Experience Resonates with Mona!

Hello Dr. Burns.

My experience resonates with Mona. Your book, When Panic Attacks, has helped me immensely. It was a turning point in my life. Now I am almost panic free and I am sharing my experience with others so that they can benefit from it.

I always wanted to thank you!

Himanshu

Hi Himanshu,

Thank you for your kind comments, and for giving me the permission to share them on my website. I greatly appreciated it!

David

 

If you are reading this blog on social media, I appreciate it! I would like to invite you to visit my website, http://www.FeelingGood.com, as well. There you will find a wealth of free goodies, including my Feeling Good blogs, my Feeling Good Podcasts with host, Dr. Fabrice Nye, and the Ask Dr. David blogs as well, along with announcements of upcoming workshops, and tons of resources for mental health professionals as well as patients!

Once you link to my blog, you can sign up using the widget at the top of the column to the right of each page. Please forward my blogs to friends as well, especially anyone with an interest in mood problems, psychotherapy, or relationship conflicts.

Thanks! David

 

 

Priceless and Beyond Valuable

Priceless and Beyond Valuable

Hi, Dr. Burns.

This is Mona, I’m writing to you the second time.

Not sure if you can remember my case with hypochondriasis. I was reading the What-If Technique in your book, When Panic Attacks, and did the exercise, starting with my Negative Thought, “I think I have Hepatitis C or HIV.” As you suggested, I asked myself, “If that were true, what’s the worst that could happen? What am I the most afraid of?” You said you could ask this question over and over, and it was a good way to get at the deepest core fears that fuel our anxiety.

It worked really well, and the end result was, “I’m gonna end up being alone and lonely,” which send tears streaming down my face. As a result, I had a conversation about my fear of rejection with my husband sitting next to me that made me feel very relieved.

Now the second very emotional moment came when I was listening to your podcast describing the case of Ralph which was EXACTLY identical to my case. I couldn’t hold back my tears listening to his struggle and couldn’t stop laughing with my tears coming down when you said the good news is that you’re going to experience the same whenever you have a Hidden Emotion.

I just wanted to let you know that these podcasts are all very constructive and I’d recommend them to anyone who is reading either Feeling Good: The New Mood Therapy, or When Panic Attacks. The podcasts really showcase each technique and make the points made in the books crystal clear.

Dr. Burns, I don’t know how to thank you for all these insights and I would like you to know that your contributions are priceless and beyond valuable.

I don’t really believe in God but if you do, God bless you!

Mona

Thank you, Mona! Your email means a great deal to Fabrice and me. We are so happy that people like the Feeling Good Podcasts and find them beneficial! They are fun to do because I really enjoy working with Fabrice, but I hear from many therapists and non-therapists alike who say they really help, and that is what we hoped might happen.

On one of the Sunday hikes, a young therapist who works with children and teenagers told me that he listed to one Podcast per day for 30 days, and this really boosted his understanding of TEAM-CBT. I could see that this was absolutely true, because he has only recently joined my free weekly training group at Stanford, but his psychotherapy skills are simply zooming forward.

Mona, all the very best to you!

David

If you are reading this blog on social media, I appreciate it! I would like to invite you to visit my website, http://www.FeelingGood.com, as well. There you will find a wealth of free goodies, including my Feeling Good blogs, my Feeling Good Podcasts with host, Dr. Fabrice Nye, and the Ask Dr. David blogs as well, along with announcements of upcoming workshops, and tons of resources for mental health professionals as well as patients!

Once you link to my blog, you can sign up using the widget at the top of the column to the right of each page. Please forward my blogs to friends as well, especially anyone with an interest in mood problems, psychotherapy, or relationship conflicts.

Thanks! David

 

An Anxiety Question and a Blessing from Turkey for “David Uncle!”

An Anxiety Question and a Blessing from Turkey for “David Uncle!”

Hi Dr. Burns,

whenpanicattacks-sm  Thank you for your life-saving books and blogs. They really help. I have given your book, When Panic Attacks, to others. It is so good! What I admire the most is your empathy and your desire to seek the truth.

I have a simple request. Can you clarify the use of cognitive flooding and thought-disputing? I find these two methods to be quite useful but confusing at times. For example, it doesn’t seem logical to flood my mind with panic thoughts and then turn around and dispute them. Perhaps morning flooding and evening disputing?

I don’t know that a general answer is possible but any thoughts you have are sincerely appreciated. I understand you do not give personal advice and that if you do answer, it will be for the help of many others who follow your blogs and appreciate your insights.

Bill

Hi Bill, Thanks for your kind comments and question. I am embarrassed that I can’t give you a good clear answer. But I’ll try to babble briefly. Remember that there are four treatment models for anxiety, and I use all four with every anxious patient I treat.

  • The Motivational Model—where you bring the anxious patient’s Outcome and Process Resistance to conscious awareness and melt them away.
  • The Cognitive Model—where you challenge the distorted negative thoughts that trigger the anxiety, using a wide variety of techniques such as Identify the Distortions, Externalization of Voices, the Experimental Technique, and so forth. You call this “thought disputing,” but there are more than 50 ways of disputing and crushing negative thoughts.
  • The Hidden Emotion Model—often the overly “nice” anxious individual is sweeping some feeling, conflict, or problem under the rug and not dealing with it. When the patient brings the problem to conscious awareness and deals with it, the anxiety often disappears completely.
  • The Exposure Model—where you flood yourself with anxiety by facing your fears. If you stick with it, in most case the anxiety will diminish over time and then disappear. You call this “cognitive flooding,” although that’s just one of many exposure techniques.

I describe these four models and methods in my recent series of Feeling Good Podcasts on the treatment of anxiety (Podcasts 22 to 28). You might enjoy listening to them, and can link to the first one if you CLICK HERE. All four treatment methods are helpful, but they work in different ways. You never know which method or methods will be the most helpful to any individual.

But I have to confess I don’t “schedule” them as you have suggested. However, that’s not a bad idea! In my experience, depressed and anxious individuals who work with these techniques, and actually try them, including the written exercises, as opposed to just reading about them, nearly always have the best outcomes. So stick with it!

And of course, if you need help or guidance, it never hurts to check with a mental health professional. However, I would personally tend to avoid a psychiatrist as my first choice, as you are likely to get drugs, drugs, drugs. Although I am a psychiatrist, and have prescribed medications on occasion, I find that most depressed and anxious individuals can now be treated quickly and effectively without medications. In addition, research studies indicate that many people recover from depression anxiety on their own after reading one of my books, but if you need a little guidance from an expert, there’s no shame in that at all! Sometimes, we all need a little help from our friends!

Sincerely,

David

 

Hi Dear David Burns,

feelinggood  Firstly, I want to say thanks a lot for you book, “Feeling Good: the New Mood Therapy”! This book has changed my life! Now I love life and enjoy everything in life.

My story started after reading your book second time! Thanks very much! God bless you David uncle!

Sedef (from Turkey)

Hi Sedef,

Thank you so much for your kind and incredible comments, and for your blessing! I am thrilled that you are now loving life and enjoying life! That is like a miracle and the greatest gift a human being can receive.

It is many years since I wrote Feeling Good as a young man, editing it while we were on summer vacation in California, at Lake Tahoe. You might not have even been alive at that time! It seems like a miracle that my words have now touched you, so many miles away. God bless you, too, Sedef!

All the best,

David Uncle

Some Nice Endorsements

Some Nice Endorsements

Hi web visitors,

I have received some very kind comments recently, and wanted to share a couple of them them with you! I hope it won’t sound like excessive self-promotion. Be assured I occasionally get some harsh and disturbing emails as well from individuals who don’t take kindly to some of the views I post. I do encourage criticism, since I am often off base, but sometimes the tone of the criticism can be painful and somewhat shocking. So I guess I am trying, perhaps, to balance that with samples of large numbers of heartwarming emails I receive from so many of you!

As an aside, I also just received a phone call from a patient I had not spoken to in 40 years. In my book, Feeling Good, I described him, and the very intense challenges he presented to me as a young and enthusiastic cognitive therapist, just feeling my way along. I often presented him in the weekly Aaron Beck seminar I attended, where I’d get guidance on especially difficult and disturbing therapeutic dilemmas. But we persisted, and he recovered, and became a leader in the Recovery Incorporated movement, which I have always supported.

Recovery Incorporated is a free of charge self-help group started by Abraham Lowe in the 1930s, and it still serves many individuals throughout the United States. Much like AA, but for depression, in many cities you can attend daily meetings.

Well, it was wonderful touching base again, and he was in tears with gratitude. What a gift that phone call was! He said I changed his life, and I pointed out it was mutual, and that I had gained an enormous amount from the work we did together!

David

Hi Dr. David

Just a quick email to say I am reading your book, When Panic Attacks, again. Just like your first book, Feeling Good, this book on anxiety is a very interesting read and makes a ton of sense! Absolutely fantastic! You are a gifted doctor and author.

Thank you very much,

Kind regards

Shane

Hi Shane,

Thank you! I appreciate your kind note, and I’m sure my daughter will as well. She was my editor, and really helped a lot on the writing.

David

Hello Dr. Burns,

I wanted to send you a quick email to let you know that I truly appreciate your book Feeling Good. I have read several chapters several times and will for years to come! I’m sure I didn’t understand depression before reading Feeling Good, and now I realize that I had been suffering from depression and anxiety pretty much since puberty.

I initially bought the book to help my wife. She has also gone through years of emotional, psychological, spiritual and physical abuse and it has brought her from feeling hopeless every day to feeling good most days. Upon reading it with her, I realized that I also had irrational thoughts which were causing me to miss out on happiness in my life.

I’ve always been very interested in psychology. I’ve listened to a lot of lectures which are available online and I’ve gone through researching the history of psychotherapy, most of which horrifies me because of the unbelievable amount of harm caused. Your methods are by far the most effective I’ve found.

It’s refreshing to see effective talk therapy succeeding in a system which seems to think that pumping people full of anti-depressants (without talk therapy) will correct years of abuse and neglect.

I appreciate your work and your value as a person. Your work has helped at least 10 people I personally know who were suffering. I’ve bought your book for a few of my friends, and all of them said it’s helped their marriages and happiness.

I saw you were in Calgary in November and I really wish I could have come to see your workshop, but hopefully you will be in the area again and I can shake your hand and thank you in person.

Much love from Canada,

Harold

Hi Harold,

Thank you for your kind comments. It is deeply meaningful to hear from someone who has been helped by one of my books. That’s terrific!

You mentioned that you missed me in Calgary. Actually, I will be in Calgary on November 27th of this year (2017) for the large trauma conference sponsored by Jack Hirose and Associates. I will be giving a morning keynote address, followed by a four-hour afternoon workshop, and will illustrate the new, high-speed TEAM-CBT treatment methods for trauma patients who are struggling with depression and anxiety disorders. I will also deliver a two hour evening presentation for the general public (as well as mental health professionals) on Skills, Not Pills for Depression and Anxiety. You can get more details on my workshop page if you CLICK HERE.

If you plan to attend any of my presentations, make sure you come up and say hello so we CAN shake hands!

David

Hi Dr. David,

I’m not expecting a response, nor do I necessarily expect that you read all the messages that come your way, but I feel like I owe you a lot at this point. My dissertation was on reciprocity, and while I do not suffer from too many “should” thoughts directed at others, I do like to practice what I’ve studied.

I consider myself fairly intelligent, generally logical, and have an undergraduate degree in Psychology. All of which made me even more surprised with how much the first couple of chapters of “Feeling Good” resonated with me after suffering pretty badly for a year and a half following a very painful breakup. I feel silly for convincing myself I could never be happy again because I would never find someone to be with. Unproductive at research, a series of non-starting romantic endeavors, “wishing” I didn’t have kids so suicide was an option, not wanting to leave my house, dwelling on what I could have done differently so that I wouldn’t be alone the rest of my life.

I just finished the book after finally picking it up last week (my therapist recommended it a year ago). I realized that these cognitive distortions have been with me throughout my life – not that I’ve been depressed my whole life (although I probably would have claimed that 2 weeks ago). My cause is clearly a love addiction, but I’m not contacting you for therapy!

I’m contacting you because I wanted to say thank you. I feel like I have a strong understanding of the cognitive distortions that have plagued me any time I’ve faced real sad events in my life and I now have tools to combat this now and in the future. I purchased copies of your book for my ex-wife, a recent failed romantic interest, my father, my brother, and I am going to have my 17 year old daughter read through the first three chapters to see if it resonates with her as well.

I never wanted to admit that I might suffer from depression. I kept putting off facing it, even though my mother suffered from depression her whole life. My father is a retired Marine and I was raised to believe that you should be strong enough to overcome challenges “on your own”. That put me at a disadvantage in some ways, but I’m optimistic that my copious notes and highlighting in your book will be with me the rest of my life – or that I’ll never need them after I practice some of the techniques.

Anyways, this is way longer than I intended! Thank you for showing me that the dark mood spirals I’ve experienced throughout my life are treatable and not uncommon. I wish I would have realized this long ago… but I’m trying to avoid “should” thinking, so I don’t let that thought persist!

Don

Hi Don.

Thank you so much for contacting me. Greatly appreciated. And thanks, too, for permission to post your wonderful note!

All the best,

Treatment of Hypochondriasis / Health Anxiety

Treatment of Hypochondriasis / Health Anxiety

Hi Dr. Burns,

I have read feeling good and listened to all your podcasts as of today. I have a history of hypochondria and depression and your book helped me tremendously in overcoming my anxiety. I am beyond happy that I can finally have control over my emotions.

I used to go to psychotherapy sessions with multiple different psychotherapists and more often than not the solutions they offered were along the line of “keep as busy as possible not to give in to the thoughts” or “imagine the obsessive thoughts as a spoiled brat that you should not give into” which all failed dramatically. And believe me when I say they even made it worse than before!

Recently I was listening to some your anxiety podcasts in which you introduced the exposure technique. You described how it worked in the case of Pedro, the young man with OCD who was having intrusive thoughts of Jesus having sex with Mary in all the positions of the Kama Sutra. And the harder he tried to control these forbidden thoughts, the more intense they became!

You also described the Experimental Technique you used in your panic attack patients. I was wondering if these techniques can be helpful in the case of patients dealing with health anxiety.

I read a research paper of a psychiatrist treating her hypochondriac patients with exposure techniques. For example, in my case, if I’m always scared of contracting HIV, I might volunteer to work with HIV positive patients so I could confront my fear. I was wondering if that could help with the urge to get tested very often and if there are any other techniques you specifically find useful in this case.

I used the exposure technique successfully to eliminate my frightening thoughts of slitting my wrists or throat with a razor. These thoughts used to give me a tremendous amount of anxiety and I would always try to eliminate them from my mind as soon as they appeared, almost automatically thinking that’s the way to protect myself. That didn’t work! But now they are completely gone as I spent a full half-day just repeating those images in my mind, over and over again. I tried to imagine all the graphic details until I was completely bored with them! I would like to thank you for reaching out and sharing your knowledge and expertise with people despite the fact that you don’t practice anymore.

And by the way that jumping jacks story with your patient who thought she was about to die during a panic attack has become an inside joke between me and my husband!

Sincerely,

Mona

Hi Mona,

Thank you for your kind comments about the Feeling Good podcasts! I know that my host, Fabrice, will be thrilled to hear that you like them and find them helpful!

There are so many things I appreciate about your wonderful email that I’m not sure where to begin. I do want to emphasize that I cannot treat anyone or give medical advice in this medium, so my answer, as always, will consist of general teaching.

First, I resonated when you described previous therapists who gave you advice, thinking that would help. To my way of thinking, an awful lot of “psychotherapy” consists of schmoozing behind closed doors with the occasional piece of advice thrown in, and in most cases, that just doesn’t get the job done. In fact it can make people feel worse, because it is often sounds patronizing.

Second, I have a current series of several Feeling Good podcast on the treatment of anxiety using four models that are all described in my book, When Panic Attacks. They are the Motivational Model, the Cognitive Model, the Exposure Model, and the Hidden Emotion Model. All four models have tremendous healing power, and I integrate all four into my treatment of each individual with anxiety, because you never know which one, or which combination, will give you the “ah-ha” moment when the anxiety suddenly disappears completely. You can listen to those podcasts right now if you like, either on iTunes or right here on my website, feelinggood.com.

In the treatment of OCD, the Exposure Model usually has two components: Exposure and Response Prevention. So if a person has an irrational fear of HIV, as you described in your email, they could use Cognitive Exposure or Classical Exposure. Cognitive Exposure might involve fantasizing dying of HIV until the fantasy becomes totally boring. Classical Exposure might involve volunteer work with HIV patients, as you mentioned.

In therapy, I work with the patient to figure out what type of Exposure will be the most effective. The Exposure has to be anxiety-provoking, or it won’t be helpful. And, as you say, the goal of exposure is not to control the anxiety—which makes it worse—but simply to flood yourself with the anxiety until it finally loses its power over you.

Response Prevention would mean, in this case, refusing to give in to the urge to get repeated blood tests, if that’s what you are doing to deal with your fear of HIV. But the Response Prevention has to be tailored to your compulsion. Let’s assume that you had OCD with a handwashing compulsion, so you are washing your hands repeatedly all day long to get rid of the imagined “contamination.” Response Prevention would mean refusing to give in to the urge to wash your hands repeatedly. The anxiety will increase for several days, but if you refuse to give in, the compulsion will generally diminish and disappear. This is a bit like drug withdrawal, actually.

But Exposure is just one of four effective treatment models. I treated a medical student with severe OCD who also had the fear of HIV, and Exposure and Response Prevention were only somewhat helpful, and definitely not curative. In his case, the Hidden Emotion Technique ruled the day. If you are interested, you can read about that fantastic technique in my book, When Panic Attacks, and of course, one of the Feeling Good podcasts on anxiety will focus on this technique.

I have treated many patients with health anxiety / hypochondriasis and the Hidden Emotion Technique almost always contributed greatly to their (frequently rapid and complete) recovery. But in therapy, I use more than 75 techniques to help folks—it just isn’t the case that you can have one “formula” that works for everyone, since we are all individuals and our negative thoughts and feelings will be unique—so that requires an individualized approach to treatment, namely TEAM-CBT. (That’s my commercial message!)

All the best,

David

News Release: When Panic Attacks

WHEN PANIC ATTACKS
The New, Drug-Free Anxiety Therapy That Can Change Your Life
By David D. Burns, M.D.

 “Another masterpiece from the author who helped millions help themselves with Feeling Good: The New Mood Therapy. Dr. Burns’ elegant writing style, compassion and humor translate powerful psychotherapy methods into accessible, practical, and helpful tools for the vast number of individuals who struggle with anxiety.”

—Henny Westra, Ph.D., Associate Professor and Director of the York University Anxiety Research Clinic

Anxiety is the most common mental health problem of all. Whether it’s as mild as shyness and chronic worrying or as severe as Obsessive-Compulsive Disorder and Post-Traumatic Stress Disorder, most of us suffer from some type of anxiety. Your doctor will probably tell you that these conditions result from a chemical imbalance in the brain, and therefore drugs represent the best—and only—effective treatment.

Not so, says highly regarded psychiatrist and bestselling author David Burns, M.D. in his new book WHEN PANIC ATTACKS (Broadway Books; June 12, 2007; 464 pages; 978-0-7679-2083-4; $14.95). According to Dr. Burns, there’s no convincing evidence that anxiety results from a chemical imbalance in the brain. Furthermore, every type of anxiety—including chronic worrying, phobias, test anxiety, social anxiety, public speaking anxiety, Panic Disorder, hypochondriasis, Post-Traumatic Stress Disorder, Obsessive-Compulsive Disorder, and Body Dysmorphic Disorder—can be treated effectively and quickly without medications.

Dr. Burns explains that anxiety, like depression, is never caused by reality, but rather from the negative way we think about things. When we’re feeling anxious or insecure, we’re involved in a gigantic mental con but we don’t realize it. Do any of these thoughts sound familiar?

  • “I just know this plane is going to run into turbulence and crash.”
  • “What if my mind goes blank when I give my presentation at work? Everyone will see how nervous I am and think that I’m a complete idiot.”
  • “Why am I so shy and insecure? Other people don’t feel this way. I’m such a loser.”
  • “I feel like I’m about to crack up and have a nervous breakdown.”

In WHEN PANIC ATTACKS, Dr. Burns shows readers how to defeat their fears without having to take pills or delve into the past. He describes 40 powerful anti-anxiety techniques and shows readers how to select the methods that will work best for them. He brings these techniques to life with stories of real people who quickly overcame every conceivable type of anxiety, emphasizing that the goal is not just feeling somewhat better, but complete and lasting recovery.

If you’re worried sick and sick of worrying, if you’ve spent sleepless nights obsessing about your work, family, relationships, or health, and you want to enjoy greater creativity, productivity, and self-confidence, WHEN PANIC ATTACKS is the book for you.