The Vicious Cycle of Anxiety

downward spiralAccording to the cognitive behavioural therapy (CBT) approach to anxiety, one of the reasons that overcoming anxiety can be so difficult is that anxiety generates vicious cycles involving your physiological, cognitive, behavioural, and emotional domains. We looked at these four components of anxiety in a previous post. Now we’ll look at how they act together to form vicious cycles that create and maintain anxiety.
 
In the cognitive behavioural therapy (CBT) model of anxiety, the vicious cycle begins with an anxiety-provoking situation. This situation can be something external such as a work commitment, a trip, a social engagement, or any other event happening in the future that you’re worried about. Anxiety can also be provoked by something internal such as a physiological sensation, a thought about something you’re dreading, or an unpleasant emotion.

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STOPP and Be Mindful

 
 

STOP is a distress tolerance skill from dialectical behavior therapy we can use whenever we’re feeling overwhelmed by stress and anxiety or distressing emotions.

Often we allow our stress and anxiety and emotions to build and build all day without doing anything to calm them, trying to just ignore them and hoping they’ll go away. Then, when we finally can’t take it anymore and start feeling overwhelmed and desperate, things have often accumulated too much and begun to spiral downwards and it can be so hard to get any relief.

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The Four Components of Anxiety

anxietyCognitive behvioural therapy (CBT), sometimes called cogntive therapy, is a type of thereapy that focuses on how various factors within us and our environment interact with each other to to produce and maintain many issues that people struggle with such as anxiety and depression.

In CBT/cognitive therapy, we recgonize that, in addition to your environment, there are generally four components that act together to create and maintain anxiety: the physiological, the cognitive, the behavioural, and the emotional. These are described below.

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Cognitive Behavioural Therapy (CBT) and Cognitve Therapy in Theory and Practice

cbtCcognitive behavioural therapy (CBT), or cognitive therapy, focuses on the relationships and connections between our thoughts, feelings, actions, and our body. This sounds simple, but what does it mean?

In the CBT/cognitive therapy model, we recognize that we are each affected by the environment in which we live. This environment involves both our current situations (family, friends, job, culture, various stressor and supports, etc.), as well as our past (our family history, past relationships, previous successes and failures, etc.).

Within our environment, there are four elements of ourselves that interact with each other:

  • Cognitive: thoughts, cognitions, beliefs, self-talk

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