Common Problems and Clinical Considerations

  • Holly Hazlett-Stevens
Part of the Series in Anxiety and Related Disorders book series (SARD)

Over the course of therapy, a variety of pitfalls may occur. Problems in treatment most often are revealed when clients express reluctance toward home practice assignments or fail to complete them between sessions. Poor homework compliance can arise from factors ranging from a breakdown in the therapeutic alliance to practical time management difficulties. Other complications are associated with specific treatment components. For example, relaxation techniques occasionally produce paradoxical increases in anxiety. During cognitive therapy, clients may experience difficulty performing initial thought tracking steps or responding to Socratic questions. In some cases, clients may misapply cognitive therapy techniques such that substituting new thoughts functions as a new covert worry safety behavior. Behavior therapy and live exposure exercises do not always go as planned, and some clients have difficulty engaging in imagery exposure. A final clinical consideration arises as therapy...


Cognitive Therapy Therapeutic Alliance Response Prevention Cognitive Therapy Process Continue Practice 
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Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Holly Hazlett-Stevens
    • 1
  1. 1.Department of Psychology/298University of Nevada, RenoRenoUSA

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