Download CBT for Appearance Anxiety: Psychosocial Interventions for by Alex Clarke PDF

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By Alex Clarke

This scientific handbook presents a CBT-based psychosocial intervention to be used with participants distressed approximately their visual appeal as a result of a disfigurement from start, coincidence or disorder, or these dealing with one other noticeable difference.


  • Contains a wealth of case fabric with particular relevance to actual medical conditions that have an effect on visual appeal, useful suggestion on overview, and session-by-session tips for addressing universal issues
  • Written by means of top lecturers and clinicians operating within the administration of disfigurement and rational visual appeal anxiety
  • Uses a versatile stepped-care version that permits to be used through skilled CBT practitioners besides these wishing to bring a extra uncomplicated mental intervention
  • Identifies the mental elements all for visual appeal anxiousness whereas additionally addressing the sensible matters of dwelling with a visual distinction, corresponding to dealing with the reactions of others

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Extra info for CBT for Appearance Anxiety: Psychosocial Interventions for Anxiety due to Visible Difference

Sample text

32 CBT for Appearance Anxiety Example 2 Ann had a facial palsy as a result of an acoustic neuroma, resulting in a lack of mobility on one side of her face. In the middle of a conversation with a woman at a Christmas party and well into a discussion of her daughter’s progress in her piano lessons, the woman suddenly leaned closer to her and said ‘I think you are so brave dear, coming out when you look like that’. Ann described herself as caught off guard. Because there had been no warning of this remark and even though she interpreted it as supportive, she was embarrassed and unable to frame a suitable reply.

This can result in extreme isolation and low mood (see Working with CBT Level 4, Example 5, Chapter 7 for an example of working with someone to manage fears of intimacy). Anticipatory anxiety about a feature being noticed or stared at is common. People report ‘hypervigilance’ or scanning other people for evidence of a negative reaction. Because normal communication involves close attention to the other person via sustained eye contact, people can make incorrect attributions that someone has noticed or is staring, particularly when a condition is not particularly noticeable to an observer.

This experience supported a core belief that she was ‘spoiled’ or’ deformed’ and that any attention was negative. In exploring this further, it became clear that she had put in place a number of safety behaviours. She was wearing a baseball cap pulled low over her forehead and avoiding eye contact. So that this ‘fitted’ with what she was wearing, she stopped wearing skirts and switched to jeans and boots. Combined with her height, her attempts to avoid eye contact and conversation, she could easily be perceived as threatening.

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