COGNITIVE-BEHAVIORAL THERAPY FOR BDD: COGNITIVE RESTRUCTURING (COGNITIVE THERAPY) – THE BASIC STEPS TO DO EXPOSURE, THEN ENTER A SITUATION WITH A HIGHER RATING
Once you feel more comfortable in the exposure situation, you’ll need to challenge yourself more by facing a situation with a higher rating. The goal is to move up your hierarchy as quickly as possible, but not so quickly that you can’t put yourself in the harder situation or leave it prematurely. After she felt more comfortable jogging around the neighborhood. Sandra moved up her hierarchy, frequently going to the grocery store and doing other kinds of shopping. At first, she felt very anxious because she worried that others would notice her scar, but the more she went, the better she felt. She then continued moving up the hierarchy. She eventually pushed herself to go to night school again, first three times a week and then five times. Gradually, over several months, she did activities with higher anxiety ratings. Eventually, she even talked with a man at a party. Gradually, her fear and avoidance diminished.
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