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Handouts & questionnaires for panic, agoraphobia & depersonalization

I've been working on the 'Panic & depersonalization' handouts list in the Good Knowledge section of this website.  The list contains most of the handouts and questionnaires I currently use when working with people suffering from panic disorder, agoraphobia or depersonalization/ derealization disorder.  Here they are with brief descriptions: 

Relationships, self-esteem and health - first posting

Poor relationships damage our health.  Recent research powerfully demonstrates this point (Stinson, Logel et al. 2008).  In these studies, relationships were assessed in three different ways - relationship quality (closeness, trust, satisfaction), number of friends, and relationship stress.  Sheldon Cohen (Cohen 2004) has argued that these three aspects of relationships are all important in the relationships-health link - emotional closeness, broader social network, and low interpersonal conflict.  In this Stinson et al research, all three aspects were assessed and all three predicted subsequent health.  In the team's second study, they showed relationship stress (function) and number of friends (structure) were independently linked to health outcomes - the former a bit more strongly than the latter.  More stress and fewer friends both predicted more health difficulties.  Health difficulties too were assessed in three different ways - simply by asking participants whether they had developed any health problems during the study period, by asking about time off work, and by asking about visits to doctors.  Poor relationships led to increases in all three of these health indicators.

Wellbeing, time management, self-control & self-determination

“ Without numbers, stories are just anecdotes, but without stories, numbers are just dry statistics.


- Tara Lamont

This is a bit of a ragbag section.  It contains a mixture of handouts on wellbeing, time management and related topics.  A lot of my work involves helping people face fear and anxiety.  The "Determination training" and more straightforward monthly "Practice record" are often helpful here.  The "Respected figures exercise" is one of the most frequent forms that I ask people to fill in - it clarifies values and so highlights how one wants to act.  The handout on Kohlberg's work is relevant to values too, especially at times when the focus is on fairness and assertiveness.  I often move from the "Respected figues exercise" to the five "Goals for roles" handouts.  They build from clarifying "Role areas" and using this for the "Funeral speeches" or "80th birthday party exercise&qu

Increasing access to psychological therapies (IAPT) outcomes toolkit

“ Only dead fish swim with the stream. ” - Anonymous

The "Improving Access to Psychological Therapies" (IAPT) initiative is very ambitious and exciting.  It states its principal aim is to support English Primary Care Trusts in implementing "National Institute for Health and Clinical Excellence" (NICE) guidelines for people suffering from depression and anxiety disorders.  It comments "The Improving Access to Psychological Therapies (IAPT) programme began in 2008 and has transformed treatment of adult anxiety disorders and depression in England. Over 900,000 people now access IAPT services each year, and the 'five year forward view for mental health' committed to expanding services further, alongside improving quality."  

PTSD assessment, images, memories & information

Of all the means which are procured by wisdom to ensure happiness throughout the whole of life, by far the most important is the acquisition of friends.

- Epicurus

Here are a whole series of handouts and questionnaires on intrusive memories, imagery, trauma and PTSD.  They overlap with handouts listed in the "Life review, traumatic memories & therapeutic writing" section of this website.  The "tag cloud" provides links to further relevant information - for example by clicking on tags like "PTSD""trauma" or "imagery".  Also of specific relevance are three posts about Marylene Cloitre's

Panic, OCD & depersonalization information & assessment

“ The body is only as open as the heart; and the heart only as open as wisdom allows. ” - Anonymous

Here are many of the handouts and questionnaires I use currently (autumn '09) when working with people suffering from panic disorder, agoraphobia, OCD or depersonalization/derealization disorder. 

Social anxiety information & assessment

“ [This is] the doctrine that we cannot accept the command of an authority, however exalted, as the ultimate basis of ethics. For whenever we are faced with a command by an authority, it is our responsibility to judge whether this command is moral or immoral. The authority may have power to enforce its commands, and we may be powerless to resist. But unless we are physically prevented from choosing the responsibility remains ours. It is our decision whether to obey a command, whether to accept authority. ” - Immanuel Kant

In May 2013, the National Institute for Health and Clinical Excellence (NICE) published a new evidence-based clinical guideline on "Social anxiety disorder: recognition, assessment and treatment".  They state: "This clinical guideline offers evidence-based advice on the recognition, assessment and treatment of social anxiety disorder in children and young people (from school age to 17 years) and adults (aged 18 years and older).

GAD and health anxiety

Nothing in life is as important as you think it is, while you are thinking about it

- Daniel Kahneman

Here are a series of assessment questionnaires and handouts for Generalized Anxiety Disorder and Health Anxiety Disorder.  Note that the 2010 Increasing Access to Psychological Therapies "IAPT Data Handbook" recommends using the GAD-7 to monitor progress in Generalized Anxiety Disorder and the short 18-item version of the Health Anxiety Questionnaire to monitor Health Anxiety progress. 

GAD, 2 question screen - answering "yes" to either of the two screening questions on this sheet suggests it's worth checking for a diagnosis of full Generalized Anxiety Disorder (GAD) - for example by using the GADQ (see below).

Depression, CBASP & neuroscience

“ The "real world" is a construct, and some peculiarities of scientific thought become more intelligible when this fact is recognized ... Einstein himself in 1926 told Heisenberg it was nonsense to found a theory on observable facts alone, saying "In reality the very opposite happens. It is theory which decides what we can observe." ” - D. O. Hebb

Here is a mixed bag of handouts and questionnaires.  Most are spin-offs from CBASP (pronounced 'seebasp') - the awkwardly named cognitive behavioral analysis system of psychotherapy.  There are also a few handouts which are adapted downloads from the neurosciences site "The brain from top to bottom".   When in 2000, Keller et al reported on the very impressive results obtained by treating chronic depression with a mixture of CBASP and antidepressants, it seemed likely that a big step forward had been taken in improving the lot of chronic depression sufferers.  The "CBASP research results" handout (below) gives the abstracts for 14 research papers that are both relevant to CBASP and also highlight other important related themes like th

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