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When severe violations of safety, trust, or vulnerability occur, including outright threats to survival, humans are wired to shut down higher-order neural functions and fight, flee, or freeze in order to survive the threat. Clients suffering from post-traumatic stress are faced with the dilemma of figuring out how to carry negative personal history in the present moment without letting it dictate or control their behav­ior.

A recent study published in Medical Care (Serpa, Taylor, Tillisch, 2014) showed that veterans who participated in a nine-week mindfulness-based stress reduction (MBSR) program experienced significant reductions in anxiety, depression, and suicidal ideation from baseline to completion of the nine weeks.

By Leslie Becker-Phelps, PhD

Clients who feel worthless are chronically unhappy. They might find some solace by throwing themselves into work or by being an incredibly kind and caring friend. But underneath it all, they have a nagging sense that they don’t matter. In therapy, they might express their emotions and dutifully complete their homework assignments, but it is all just to be cooperative and avoid rejection. So, the therapy remains stuck.

Christopher Willard, PhD, is a psychologist and learning specialist in the Boston area who specializes in work with adolescents and young adults in his private practice and at Tufts University. He regularly consults to schools, clinics, and other institutions, and teaches workshops around the US and around the world. He is the author of Mindfulness for Teen Anxiety: A Workbook for Overcoming Anxiety at Home, at School, and Everywhere Else.

By Michael A. Tompkins, PhD

Although cognitive behavioral therapy (CBT) works for most clients with anxiety disorders, the exposure tasks are not easy. Because exposure to anxiety-provoking situations is difficult, tending to your client’s willingness throughout treatment is essential to a good outcome. Here are two standard cognitive-behavioral strategies to enhance willingness:

A Letter from William J. Knaus, EdD

Clients with anxiety and fear will normally have co-existing problems, such as self-worth issues and depression. Cognitive behavioral therapy (CBT) is an evidence-based way to address these conditions. With over forty years of supportive research and over 269 meta-analyses, CBT is the gold standard for treating anxiety.

Editor’s Note: This is the second of a three-part Q&A with Lynne Henderson, PhD, author of Helping Your Shy and Socially Anxious Client: A Social Fitness Training Protocol Using CBT

In your book, you present your social fitness model for treating shyness and social anxiety. What are some of the key differentiating factors between this social fitness model and the previously used models for treating shyness and social anxiety?

Lynne Henderson, PhD, director of the Shyness Institute in Berkeley, CA, and developer of the groundbreaking social fitness training model for treating shyness, has been treating chronically shy and socially anxious clients for decades. Over the years, Henderson has noted some of the common obstacles associated with treating these clients.

Lynne Henderson, PhD, director of The Shyness Clinic—formerly known as the Stanford Shyness Clinic, where Philip Zimbardo developed revolutionary methords for treating problematic shyness-is the author of a new treatment guide, Helping Your Shy and Socially Anxious Client, that outlines an updated protocol for the treatment of social anxiety and shyness.


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