By Alec Grant
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Additional info for An introduction to cognitive behavioural interventions for mental health students
Reasonably, many people with health anxiety visit their physicians frequently in order to check their health status. However, others prefer not to have contact with physicians, hospitals and other situations that can trigger their worries. In addition, health-anxious individuals tend to use a variety of safety behaviours in order to ensure that they limit the risk of illness. They engage in increased checking, avoidance and reassurance seeking. Self-focused attention is usually dominant (focusing on bodily sensations, especially the ones related to the specific illnesses they worry about).
Therapist: Okay, I can see that must be really frightening for you. However, I wonder if we can just bear with this issue for a little while longer? Yes? Okay, I wonder if I can ask you to close your eyes and imagine going to Tesco after this session. This is hypothetical. I’m not going to ask you to do it . . Okay? Can you do this and tell me how it makes you feel in your body and what kinds of thoughts go through your mind about it? Client: Doing that makes me feel really panicky and faint, and I have images in my head of passing out in Tesco or making a fool of myself, by fainting or something.
Therefore, assessment of anxiety involves assessment of its many characteristics. Assessment is useful for understanding the individual’s experience of anxiety, as well as for research. Therefore, a broad range of assessment tools has been developed. Antony, et al. (2001) have edited an informative book that lists most of the anxiety measures used today. Frequently, clinicians assess anxiety with the help of self-report scales and questionnaires. g. g. g. avoidance, safety behaviours, new skills).