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Los Angeles, California therapist: Jayson L. Mystkowski, psychologist
Anxiety or Fears

Jayson L. Mystkowski

Psychologist, Ph.D., ABPP
While Cognitive-Behavior Therapy (CBT) is highly effective in the treatment of anxiety disorders (e.g., Panic Disorder, Social Phobia, and Obsessive-Compulsive Disorder), clinicians do see some “return of fear,” or partial relapse, in some patients due to a variety of factors. Over the past two decades, treatment researchers, with whom Dr. Jayson Mystkowski had the pleasure of working with at UCLA for over 10 years, have studied “return of fear” and discovered some key variables that may optimize the effects of learning during CBT for anxiety disorders (Craske et al., 2008). First, evidence suggests that focusing on tolerating fear versus eliminating fear yields better clinical outcomes in the long term. Namely, teaching clients that fear and anxiety are normal feelings, rather than attempting to “down-regulate” such feelings all the time, is more realistic and seems to engender “hardier” clients. Second, helping clients to generate an expectancy that “scary things will not happen,” is very powerful. To do this, it is important for clinicians to create more complex exposure exercises (i.e., tasks in which a client confronts a stimulus of which they are afraid), using multiple feared stimuli instead of one at a time. Then, the lack of a feared outcome becomes particularly surprising and memorable for a client and fear reduction is more potent. Third, increasing the accessibility and retrievability of non-fear memories learned during treatment are powerful factors in mitigating against a return of fear. Craske and colleagues demonstrated that exposure to variations of a feared stimulus, using a random schedule across multiple contexts or situations, is more effective than exposure to the same stimulus, on a predictable schedule, in an unchanging environment. The former paradigm, it is argued, creates stronger non-fear memories that are easier for a client to access when subsequently confronting feared objects or situations outside of the therapy context, than the later scenario. In sum, clinicians have long been aware that some fear or anxiety returns following very successful CBT treatment. As mentioned above, there are some clear, empirically supported ways to modify the therapy we provide to further help clients generalize the gains made in therapy sessions to the real world.  
20 Years Experience
Online in Perry, Georgia
Centennial, Colorado therapist: Baumann Psychology, psychologist
Anxiety or Fears

Baumann Psychology

Psychologist, PhD
I use a Cognitive Behavioral Therapy-oriented approach that is also informed by Exposure with Response Prevention to help improve responses to feared situations. Additionally, I use principles from mindfulness-based approaches to improve clients' ability to cope with heightened anxiety and fear responses.  
1 Years Experience
Online in Perry, Georgia
Decatur, Georgia therapist: Mark Flanagan, licensed clinical social worker
Anxiety or Fears

Mark Flanagan

Licensed Clinical Social Worker, LCSW, MPH, MA
While some anxiety is good and normal, too much can get in the way of living a life that we want. I used CBT, Mindfulness, Acceptance and Commitment therapy to rapidly transform your anxiety into sensations and emotions that are more manageable. I will teach you to work with your body and befriend unwelcome sensations so you can live a fuller life with greater comfort and joy.  
9 Years Experience
Online in Perry, Georgia
Clarkesville, Georgia therapist: Peakminds Psychology, psychologist
Anxiety or Fears

Peakminds Psychology

Psychologist
With the ability to utilize a variety of psychological methods and techniques, the clinicians at Peakminds are adept at working with a diversity of anxieties and fears, holding the ability to support the needs and goals of clients.  
7 Years Experience
Online in Perry, Georgia
Union City, Georgia therapist: Courageous SELFcare Specialists, LLC, counselor/therapist
Anxiety or Fears

Courageous SELFcare Specialists, LLC

Counselor/Therapist, B.A. Christian Counseling, Certified Lay Counselor, Christian Counselor, and Life Coach
Do not let your fears get in the way of your success, let us help you overcome anxiety and start your journey to living a healthy prosperous life.  
4 Years Experience
Online in Perry, Georgia