Cognitive Behavioral Therapy.

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Cognitive Behavioral Therapy. This therapy is modeled on a combination of two distinct techniques: Cognitive Therapy and Behavior Therapy. In the initial phases of this approach, patients are often asked to keep a diary or journal in which they record their thoughts, feelings, and behaviors. From these notebooks, the therapist will gain insight into how patients think about themselves as well as how they act. The rewards are great! The more you look at your specific patterns of thinking and behavior, the better you will be able to identify ways to make changes that will help reduce your agoraphobic symptoms. Mariel can also expect to learn relaxation strategies to reduce stress and help her cope with normal day-to-day situations. A behavioral technique called exposure (also called systematic desensitization) can be used in conjunction with cognitive learning strategies to help patients overcome specific phobias. In this technique the patient is gradually exposed to the feared stimuli (i.e., seeing strangers), first utilizing imaginal exposure, then moving on to real life exposure in a gradual yet systematic fashion.

The most successful therapy for phobic disorders is systematic desensitization. However, this is a very time-consuming and intensive therapy and so it is usually reserved for only the most severe cases of phobia. Cognitive behavior therapy (CBT) is the second most effective treatment for agoraphobia, but it has much less potential than systematic desensitization. Cognitive Behavioral Therapy.

The most successful therapy for phobic disorders is cognitive-behavioral therapy (CBT). However, the effectiveness of CBT can be increased when combined with medication.

Cognitive Behavioral Therapy.

Regardless of the type of phobia, behavior therapy has been shown to be the most successful treatment. The therapist can use this therapy system in which exposure is the main focus. In behavioral exposure, the patient is exposed to the feared stimuli in vivo or imaginal desensitization. For example, Mariel may make herself go outside with a platonic friend until she becomes comfortable with going outside. She then would continue this type of exposure to help her get over her agoraphobia. Cognitive Behavioral Therapy.

Removing yourself from the situation you are afraid of (the best possible care for agoraphobia is psychotherapy). While medications can be helpful for anxiety disorders, the most successful treatment for phobic disorders is psychotherapy.

Cognitive behavioral therapy (CBT) is the most successful chronic disorder therapy, including for people with agoraphobia. CBT was designed for use for anxiety disorders, depression and other mental health concerns, however it can be modified for use with specific phobias.

Cognitive behavioral therapy (CBT) has the most evidence for success in the treatment of agoraphobia and specific phobias.

Cognitive-Behavioral Therapy. The cognitive-behavioral approach to treating phobias has been shown to result in the greatest gains for patients. A particularly useful tool is the exposure and response prevention (ERP) technique, which involves gradual exposure to feared situations in a step-by-step format while simultaneously helping the patient avoid behaviors that serve as a ‘safety’ mechanism.

A multimodal approach to therapy that includes cognitive behavioral therapy, exposure therapy, and medications. Cognitive Behavioral Therapy.

Cognitive-behavioral therapy. It is a short-term strategy that focuses on teaching the patient new methods for modifying behavior and testing out the situations causing anxiety. It also helps patients recognize and replace irrational thoughts that support phobias, as well as evaluate ways to avoid the phobias by following a graded exposure sequence.

A combination of therapies for individuals with agoraphobia. Although the treatment component parts may vary, they commonly include:


Mariel is a middle-aged woman who is referred by her primary care provider for management of agoraphobia. Mariel has had this fear as long as she can remember, but now that her children have moved away from home she will need to be more independent and is very committed to trying to manage her fear. The PMHNP counsels Mariel that the most successful therapy for phobic disorders is:

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