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31 Dec

Researchers from the University of Alabama in Tuscaloosa evaluated a 10-week psychosocial treatment designed specifically for children with attention-deficit/hyperactivity disorder (ADHD) & concomitant anxiety disorder.

Using a non-concurrent multiple baseline design, the authors treated 8 children ages 8-12 with ADHD, combined type, and at least 1 of 3 major anxiety disorders (separation anxiety disorder, generalized anxiety disorder, social phobia).
 
The integrated treatment protocol involved parent management training for ADHD and family-based cognitive-behavioral therapy for anxiety.

26 Nov

Researchers from the National Center for PTSD at the Boston V.A. conducted a long-term follow-up on participants 5-10 years after completing a randomized controlled trial comparing cognitive processing therapy (CPT) with prolonged exposure (PE) for posttraumatic stress (PTSD) on traumatized survivors of rape.
 
Intention-to-treat (ITT) participants were assessed 5-10 years after participating in the study (M = 6.15, SD = 1.22).  The investigators attempted to locate the 171 original participants - women with PTS who had experienced at least one rape.
 
Of the 144 participants located, 87.5% were reassessed (N = 126), which constituted 73.7% of the original ITT sample.  Self-reported PTS symptoms were the primary outcome.  Clinician-rated PTSD symptoms, comorbid diagnoses, and self-reported depression constituted secondary outcomes.

19 Nov

Question:

Belleruth, I love your products and suggest them to my patients.  Which performance CD would you recommend for a musician with performance anxiety?

Thank you.

Dr. O’Boyle

Answer:

Dear Doc,

I think there are several titles I could suggest for your musician with performance anxiety. Let me try to differentiate them a little, to hopefully make your choice easier.

05 Nov

Hello Belleruth,

I attended your Conference on guided imagery in New Orleans after Katrina. I utilize TF-CBT (Trauma Focused Cognitive Behavioral Therapy) with children, but had not been maximizing the relaxation-imagery component.  This helps me ramp that up to help our severely traumatized children and youth.

Now, I am in my forties and suffered from what I now know were panic attacks for most of my late teen and early adult years, possibly due to hormonal shifts I now describe as anxiety.
 
I believe in the guided imagery work and felt its deep movement during your conference, after which I bought a pile of products for personal use. I have immersed myself in these audios and now, a few days later, I am exhausted and have muscle soreness, chest pains and shortness of breath.

05 Nov

Researchers from the Kognio Centre for CBT in Lund, Sweden, conducted a small pilot study to see whether Imagery Rescripting Therapy can reduce the distressing images and memories from childhood in people suffering from SAD or Social Anxiety Disorder, enough to lower their distress and anxiety in social situations.
 
Earlier research has shown that cognitive restructuring combined with imagery rescripting works to remediate social anxiety.  This study examined whether the imagery rescripting without the cognitive restructuring could replicate these effects, using an experimental, between-groups design.

22 Oct

Question:

Thanks so much for writing the Invisible Heroes book.  I'm a survivor of childhood ritualistic sexual abuse, and suffer from posttraumatic stress, panic attacks, bipolar illness, and DID (Dissociative Identity Disorder).

This book has helped me to understand what is happening to me and will hopefully help my husband understand what I'm dealing with as well.

My therapist has discovered that EMDR (Eye Movement Desensitization and Reprocessing) triggers me badly, but I respond well to guided imagery and EFT (Emotional Freedom Technique), so we are using this combination to help me get through my issues.

My question is: do you have anything that is specifically written for survivors of sexual abuse? Or is there something that you would recommend for a survivor of childhood sexual ritualistic abuse?

PS. I checked do not post my message on healthjourneys… but you may post it PROVIDED YOU DON'T USE MY NAME.

Thanks.
Calista

08 Oct

Mario is crippled by severe anxiety when it comes to even thinking about completing his dissertation.   He wants to know what he can do.  

Question:
 
Belleruth,

I have many stories I could tell you about the success I have had using your guided meditations.  Most recently, I recovered from heart surgery so quickly through listening to your meditations, that I went on a three mile hike 4 days after surgery with no problems! I'm happy to tell you more if you like.

But I'm writing for a different reason. I suffer from severe anxiety, and your meditations have helped tremendously. I am trying to finish a PhD dissertation in sociology and suffer tremendous performance anxiety - to the point I avoid my desk altogether for fear of panic attacks, etc.

02 Oct

Dear Belleruth and Health Journeys,

I have been an ER Nurse for over 20 years.  We are currently seeing a dramatic rise in patients coming through the door with injuries due to domestic violence.  A colleague suggested it might be connected to increased unemployment or maybe other factors in the larger, societal picture, but whatever the reason, it’s increasing a lot. 

Emerson P., ER RN

03 Sep

Online CBT (cognitive behavioral therapy) has already proved effective for alleviating depression in adults. So, researchers from the Trimbos Institute in Utrecht, Netherlands explored whether an online course for depressed adolescents would be efficacious as well.
 
This randomized, controlled trial to investigate the effectiveness of online treatment for depressed young people (ages 16-25) used for the intervention arm an online group course called Grip op Je Dip (Master Your Mood, or MYM).
 
The investigators randomly assigned 244 young people with depressive symptoms to the online MYM course or to a wait-list control condition. The primary outcome measure was the Center for Epidemiologic Studies’ Depression Scale, administered at 3 months and 6 months post-treatment.  Secondary outcomes were anxiety (measured by the Hospital Anxiety and Depression Scale) and mastery (Mastery Scale).

23 Jul

Question:  

Dear Belleruth,

I have a friend in hospice care (heart probs) - sadly young at 59 who has decided not to opt for a heart transplant but is still not ready to let go.  Is there a CD you could recommend to help him relax and fear less?  I think the hospice one is too final... he's not there yet... but he will benefit from that one eventually. Right now he has trouble falling asleep b/c he's afraid he won't wake up - something for general relaxation?

- Virginia.