By Alec Grant

ISBN-10: 0857256009

ISBN-13: 9780857256003

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1 Links between cognitions and anxiety (affect) based on the cognitive model of anxiety (Clark and Beck, 2009) Moreover, the above negative thoughts are linked to counter-productive coping strategies, such as avoidance and safety behaviours. Avoidance prevents us from testing whether our fear is as bad as we think it is, and whether we can cope with the situation or the negative emotion. g. pretending to look for something in the handbag to avoid interaction, or sitting near the exit in a crowded restaurant).

Its shorter version (MCQ-30) comprises five sub-scales: positive beliefs about worry, negative beliefs about the uncontrollability and harmfulness of worry, beliefs about one’s confidence of their cognitive functioning, beliefs about being aware of such cognitive functioning, and beliefs about the need to control thoughts (Wells and Cartwright-Hatton, 2004). g. g. ranging from 0 to 100 or from 0 to 10), diaries, and thought records. The mental health worker’s awareness of cultural issues and individual differences are crucial for clinical assessment and for the application of therapeutic interventions.

Such interpretation causes great distress and can influence the individual’s everyday functioning. Diagnosis requires that this preoccupation does not subside when appropriate tests and physicians have ruled out any actual health problems, and that it lasts for more than six months (APA, 1994). Furthermore, the DSM-IV (APA, 1994) requires clinicians to specify if there is poor insight: meaning that the individuals do not acknowledge the possibility that the fear can be exaggerated or unreasonable.

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