This approach involves a varying mixture of behavioural strategies often taught in a group setting to people with anxiety problems. Stress management, assertiveness training and structured problem-solving may also be included, depending upon the training and background of the therapist and the needs of the clients. Breathing and relaxation techniques are used to help the patient remain in the feared situation until the anxiety diminishes and the patient learns that they can cope with the situation. The clinician supports the clients but does not need to accompany them in their assignments. Cognitive therapy Cognitive therapy is based on the idea that how you think largely determines the way you feel.
Cognitive therapy teaches the individual to recognise and challenge upsetting thoughts.
Learning to challenge negative or fear-inducing thoughts helps people think more realistically and feel better. Patients are given homework assignments. Cognitive therapy is more complex than positive thinking. It is usually given in fifty minute sessions over 10-15 weeks. This is a structured treatment combining elements of cognitive and behavioural therapy approaches, used to change a patient's thought processes and behaviour in order to bring about relief of symptoms or other practical objectives agreed by the patient.