List of Figures and Tables |
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xi | |
Preface |
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xiii | |
Acknowledgments |
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xvii | |
1 Why Details Make a Difference |
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1 | (6) |
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3 | (2) |
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5 | (1) |
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Techniques Are Not the Answer |
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5 | (2) |
2 The Basics |
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7 | (8) |
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Three General Characteristics of Highly Anxious People |
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7 | (1) |
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7 | (1) |
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How an Anxiety Disorder Differs from Plain Anxiety |
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8 | (1) |
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The Three Types of Triggers |
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9 | (4) |
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The Defining Aspect of an Anxiety Disorder |
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13 | (1) |
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The Basic Principle: Identify and Treat Avoidance |
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14 | (1) |
3 A Contemporary View of Anxiety Disorders |
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15 | (22) |
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15 | (1) |
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A Discussion of Causation |
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15 | (1) |
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Insight: Cause Versus Maintenance |
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16 | (1) |
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Primary Versus Secondary Gains |
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17 | (1) |
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17 | (2) |
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19 | (1) |
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Consequences of Affect Intolerance |
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20 | (1) |
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The Value of Talking about Anxiety Symptoms |
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21 | (1) |
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A Direct Approach to Treating Anxiety Disorders |
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22 | (1) |
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The Neurological Perspective: Role of the Amygdala in Sensitization |
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23 | (5) |
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28 | (1) |
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The Fear-maintaining Cycle |
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29 | (1) |
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Avoidance, Resistance, Neutralization |
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30 | (1) |
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The Phenomenology of Anxiety: Anxiety Alters Consciousness |
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31 | (3) |
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With Anxiety, Common Sense Makes No Sense |
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34 | (1) |
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34 | (3) |
4 The Therapeutic Attitude of Acceptance |
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37 | (16) |
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Approaching Anxiety Mindfully |
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38 | (1) |
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39 | (3) |
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The Role of the Therapist |
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42 | (3) |
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45 | (2) |
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Essential Elements to the Therapeutic Attitude of Acceptance |
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47 | (6) |
5 Getting Started |
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53 | (14) |
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The First Contact Must Instill Hope |
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53 | (1) |
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Immediate Help: Embed Information in Your Questions |
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54 | (2) |
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56 | (4) |
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Find Out What They Have Tried |
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60 | (1) |
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Introduce the New Paradigm: Offer a More Profound Change Than Techniques |
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61 | (2) |
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Provide Information and Answer Questions |
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63 | (4) |
6 Techniques Your Patients Have Probably Already Tried and Misunderstood: What They Are and How to Make Them Helpful |
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67 | (22) |
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The Problem with Techniques |
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67 | (3) |
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How Techniques Can Be Helpful |
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70 | (1) |
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Techniques Are Temporary Help, Not Goals |
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70 | (1) |
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71 | (2) |
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Techniques That Can Be Helpful: "What Is," Not "What If?" |
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73 | (8) |
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Anxiety Management Tricks That Easily Backfire |
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81 | (1) |
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81 | (3) |
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Anxiety Management in Cases of Real Danger, Not False Messages |
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84 | (1) |
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Some Issues in Determining Patient Progress |
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84 | (5) |
7 Diagnoses: An Annotated Tour of the Anxiety Disorders |
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89 | (16) |
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89 | (3) |
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92 | (1) |
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93 | (2) |
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Obsessive-compulsive Disorder |
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95 | (5) |
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Generalized Anxiety Disorder |
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100 | (1) |
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101 | (4) |
8 Exposure: The Active Ingredient |
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105 | (21) |
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Exposure in the History of Psychotherapy |
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105 | (1) |
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Exposure Therapy Is More Than "Just Do It" |
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106 | (9) |
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Role of the Therapist During Exposure: What to Say and Do |
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115 | (3) |
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Exposure Can Be an Intrinsic Part of Diagnosis and Assessment |
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118 | (1) |
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Exposure for Patients with Obsessive-compulsive Disorder: Exposure and Response Prevention |
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118 | (1) |
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OCD with Purely Mental Obsessions and Compulsions |
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119 | (2) |
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The Right Way to Practice Exposure |
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121 | (5) |
9 The Curious Case of Worry |
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126 | (18) |
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Varieties of the Worry Experience |
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127 | (2) |
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A Caveat: Generalized Anxiety Disorder-Rarely a Stand-alone Diagnosis |
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129 | (1) |
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Worry Is Not an Affect: It Is Thinking-And Thoughts Are Not Facts |
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129 | (1) |
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Productive Versus Unproductive Worry |
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130 | (1) |
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An Important Insight: Some Worry Thoughts Raise Anxiety and Some Lower It |
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130 | (1) |
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The Therapeutic Perspective on Worry |
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131 | (1) |
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About Worry and Time: The Role of Urgency |
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132 | (1) |
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132 | (1) |
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Rumination: A Different Kind of Worrying |
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133 | (1) |
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Coping with Worry: What Doesn't Work |
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134 | (2) |
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Coping with Worry: Strategies That Work |
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136 | (8) |
10 Unwanted Intrusive Thoughts: All Bark and No Bite |
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144 | (12) |
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How Unwanted Intrusive Thoughts are Maintained |
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144 | (5) |
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Living with Joy Despite Unwanted Intrusive Thoughts |
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149 | (1) |
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Treating Unwanted Intrusive Thoughts |
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150 | (1) |
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Issues for Therapists: Varieties of Presentation |
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150 | (3) |
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Issues for Therapists: Therapist Anxiety and a New Construct |
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153 | (1) |
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Exposure to Unwanted Intrusive Thoughts |
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154 | (2) |
11 Classic Pitfalls: Common Mistakes Non-Specialists Make |
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156 | (10) |
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Pitfall Number 1: Turning the Causation Arrow Around |
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156 | (2) |
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Pitfall Number 2: Pathological Doubt OCD-Misidentifying OCD Thoughts as Issues and the Seduction of Co-compulsions |
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158 | (2) |
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Pitfall Number 3: Intrusive Thoughts or Doubts about Sexual Orientation or Identity-Misdiagnosing OCD Thoughts as a Sexual Issue |
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160 | (2) |
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Pitfall Number 4: Get Your Feelings Out |
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162 | (2) |
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Pitfall Number 5: Mistakes in the Application of Exposure-based Treatment |
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164 | (2) |
12 Another View of Resistance: Issues that Interfere with Treatment |
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166 | (10) |
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When People Come Back Without Doing Home Practice |
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166 | (1) |
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Anticipatory Anxiety: When People Need Help Getting over the Hump |
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167 | (4) |
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The Reassurance Junkie: When People Are Constant Callers |
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171 | (5) |
13 Some Hard to Treat Problems: A New Perspective |
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176 | (5) |
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Illness Worries (Health Anxiety and Hypochondria) |
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176 | (1) |
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Scrupulosity (Religious and Secular) |
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177 | (1) |
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Emetophobia (Fear of Vomiting) |
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178 | (1) |
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Paruresis (Shy Bladder Syndrome) |
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179 | (2) |
14 Relapse Prevention |
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181 | (6) |
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Anxiety Disorders Are Chronic Intermittent Disorders: They Come Back |
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181 | (1) |
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The Most Enduring Recovery Is When Symptoms Do Not Matter |
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182 | (1) |
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Search and Destroy: The Role of Subtle Avoidance |
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183 | (1) |
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The Role of Psychotherapy in Relapse Prevention |
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183 | (1) |
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The Proper Place for Stress Management |
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184 | (2) |
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186 | (1) |
Appendix 1 Additional Metaphors |
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187 | (2) |
Appendix 2 A Summary of the Labeling Process That Can Be Given to Patients |
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189 | (1) |
Appendix 3 How to Learn Diaphragmatic Breathing |
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190 | (2) |
Appendix 4 Anxiety Diary |
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192 | (1) |
Index |
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193 | |