exposure to distressing thoughts - discuss Nov. Ask the expert question
I just read the November "ask the expert" post about how CBT can help people with GAD (generalized anxiety disorder?).
I found the response really helpful because I have been confused about what my exposure would be but I think i have a better handle on it now. can someone weigh in:
I have been confused about how to plan exposure work because my distress and anxiety seemed to be triggered by what people do. however i am now thinking that the distress and attacks are triggered by certain thoughts. (i.e. the thought "she is upset with me" causes anxiety as does "she isn't really my friend" and so on...) there are thoughts that rate a 10 out of 10 on the fear scale for me. In the section on exposure planning on this site it says not to start out with something that triggers a full 10 / 10 level of fear. to expose myself to something that is a 5 or 6. Is that correct?
Ok so a 10 / 10 thought for me is thinking that I'll end up alone in old age. When I really think about that and follow that train of thought I end up fully distressed. How do I back up and find thoughts that cause mild distress so I can practice exposure? Or am I still confusing exposure work with challenging negativity work? that is possible.
my understanding is that the goal of exposure work is to hold on to the thought for a while and see that it didn't have to cause panic. i am a long ways away from being able to hold my most distressing thoughts without panicking. i know that.
what do i do during the exposure session once i identify a thought that will bring on moderate anxiety?
anyone else do exposure work with thoughts? i feel like i am able to write out a list of distressing thoughts that i currently either avoid or react to with panic but should i do that and rate them in terms of level of fear they cause? would that be useful?
thanks in advance for any feedback anyone can offer.