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One Panic Treatment Basic that Even Your Therapist Might not Know

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If you have panic disorder or suffer from panic attacks or agoraphobia, chances are you might be inadvertently doing one simple thing that is making your panic attacks and anxiety worse. You might have even learned this strategy from your therapist.  Although beneficial in many different contexts, when used inappropriately, this technique has the potential to dramatically increase symptoms of anxiety and panic. The technique in question? Deep breathing. What is deep breathing? Deep breathing, or diaphragmatic breathing, is a core coping skill taught by many excellent therapists of diverse theoretical orientations. It is a technique that has a long and revered history in the field of psychology due to its anxiety-reducing (anxiolytic) effects. Used alone or when combined with other strategies, such as visual imagery or progressive muscle relaxation (PMR), deep breathing can be a potent aid to...

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Test Anxiety Treatment & Diagnostic Considerations

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When considering treatment for test-taking anxiety, make sure that you have a comprehensive diagnostic assessment to rule out other possible causes of your symptoms.  Not all cases of test anxiety are alike, and sometimes symptoms of test anxiety actually reflect a separate, underlying condition.  If you’re located in South Florida (Palm Beach Gardens, Jupiter, West Palm Beach, Fort Lauderdale, Boca Raton, Boynton Beach, & Miami), I would be happy to meet with you to conduct an assessment of your symptoms and provide treatment (if appropriate). Regardless of where you live, here is a short list of factors to consider when getting help for your symptoms: Test Anxiety Diagnosis & Treatment Strategies 1. Don’t assume that just because you have test anxiety that the problem is only test anxiety. Test performance issues may also have an independent panic component. If...

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Test Anxiety & Test-taking Anxiety Myths

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Although most of us (at one point or another) have experienced significant fear, uncertainty, or dread about an upcoming examination or evaluation, oftentimes these milestones pass without incident. We get scared, our hearts race, and we ultimately live to fight another day. For millions of Americans, however, test anxiety poses potentially serious, life-altering problems that can indelibly change the trajectory of one’s career, permanently limit one’s options, and ravage one’s self-confidence. Let’s dispel some common myths about test-taking anxiety. These myths are derived from actual (mis)statements people have made to me in my South Florida (Palm Beach Gardens, Jupiter, West Palm Beach, Fort Lauderdale, Boca Raton, Boynton Beach, & Miami) psychological practice. Test Anxiety Myths Myth #1. Test anxiety is only a problem for students (i.e., once you’re out of school, test anxiety is irrelevant). FALSE. Although test anxiety...

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OCD perfectionism & social anxiety treatment: Tweet your way to greater health

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Looking for ways to overcome social anxiety or OCD-related perfectionism?  At the end of this post, you’ll find some strategies I use to help individuals in South Florida (Palm Beach, Fort Lauderdale, Boca Raton, Boynton Beach, & Miami) overcome their anxiety.  These exercises are examples of “Intentional Mistake Practice“, a CBT-based technique that can be used to challenge some of the problematic perfectionistic beliefs that are central to social anxiety and OCD. First, though, what do social anxiety and OCD-related perfectionism have in common?  Although on the surface, these anxiety disorders are quite different, individuals with social phobia and OCD often share many perfectionistic beliefs about the world.  Social anxiety (or “social phobia”) is characterized by excessive worry about being perceived negatively by others.  Individuals with social phobia often have perfectionistic expectations about their own behavior and question their social competence....

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Perfectionism in OCD: When the pursuit of success turns toxic

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There is more than one type of perfectionist. First, there is the adaptive perfectionist.  This perfectionist is the prototypical workaholic student/employee who goes above and beyond expectations.  This person is intelligent, hard-working, dependable, and passionate about meeting or beating deadlines.  He or she sets high personal standards of performance and has an attention to detail that is appreciated by (and often draws accolades from) others. However, not every perfectionist resembles this prototype.  There is another type of perfectionism that might be affecting you or someone you know.  This perfectionist doesn’t quite look like the adaptive perfectionist, and based on his or her observable behavior, their perfectionism might not even be readily apparent. Nevertheless, the maladaptive perfectionist shares many features in common with the adaptive perfectionist.   Similar to the adaptive perfectionist, the maladaptive perfectionist is likely to be intelligent and articulate.  He or she has very...

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