Anxiety therapists in Geneva, Ohio OH
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
Anxiety or Fears
Dr. David Steinbok
Psychologist, M.S., Psy.D.
Dr. David Steinbok believes that change occurs within the individual, through insight and awareness. By utilizing the therapist as an accepting, non-judgmental participant, one can come to understand what keeps them from moving forward and achieving more satisfaction in their lives.
13 Years Experience
Anxiety or Fears
Erika Gray
Psychologist, Psy.D
Anxiety is the most pervasive mental health concern in our society. I utilize CBT and exposure approaches to address the thoughts that fuel the anxiety that is disrupting your life.
13 Years Experience
Anxiety or Fears
Roger Lin
Psychologist, Psy.D.
Anxiety is one of the most treatable mental health disorders. I will give your effective to skills to address your anxiety symptoms.
11 Years Experience
Anxiety or Fears
Dr. Mike Strand
Psychologist, PsyD
Living with anxiety and fear can shrink your world, turning every day into a battle against invisible threats. I understand the weight of constant tension and how it saps joy from your life. My targeted therapy offers a sanctuary of understanding and strategies to reclaim your peace and confidence, guiding you one day at a time.
16 Years Experience