Every individual is unique, and proper treatment is unique to each individual.
- Dr. Stephen Pravel

Act Normal to Be Normal

Act Normal to Be Normal

When I say, “act normal”, I mean: try to behave like a normal person in that situation.  It condenses the cognitive work they have been doing especially with Step 1 Labeling of their anxiety and Step 2 Devaluing of the threat. The suggestion to “act normal” is a concise behavioral guide for how they need to implement Step 3 Refocusing/Replacing behavior…

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How Sam Learned to Overcome the Fear of Flying

STORY UPDATE!
I just wanted to tell you that I am still flying with no problems. I have even stopped the preflight Xanax. Since our sessions, my wife and I have visited about 90% of all islands in the Caribbean and even Columbia SA. I still credit you with getting me off the ground. I now live in Ohio, actually we moved back home after Brenda retired. Her parents are 90 and we knew it was time to go and take care of them…

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Amplification, Somatization and the Somatoform Disorders by Arthur J. Barsky, M.D.

Somatosensory amplification refers to the tendency to experience bodily sensation as intense, noxious and disturbing. It includes an individuals disposition to focus on unpleasant sensations and to consider them as pathological rather than normal. Amplification appears to have both trait-like and state-like properties. As such, amplification may have a role in a variety of medical and psychiatric conditions characterized by somatic symptoms that are disproportionate to demonstrable organ pathology. Amplification may serve as a pathogenic mechanism in hypochondriasis, for example, or it may be a  more nonspecific concomitant of many psychiatric disorders that are characterized by prominent somatic features such as panic disorder and major depression. Amplification may also explain some of the variability in somatic symptomatology found among different patients with the same serious non psychiatric medical disorder.

AMPLIFICATION AND THE SENSITIVITY TO BODILY SENSATION

There is great variability among individuals in sensitivity to visceral and somatic sensation. The threshold and tolerance of pathological pain, for example, varies widely among individuals…

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