1, Self monitoring of problem areas, e.g. avoidance panic attacks, recorded daily in a standard diary.
2. Hyperventilation control:
(a) Recognition
(b) Hold breath
(c) Light breathing
(d) Re-breathing with bag
3. Time management
(a) Keep active
(b) Diversion
(c) Rubber band
(d) Reduce excessive stress
(e) Reduce tiredness
(f) Boredom
(g) Initiate conversation
(h) Reading
(i) Look at scenery and environment
4. Environmental changes to support new behaviours
5. Maintaining factors (or those reinforcing phobias)
(a) Relationship conflicts
(b) Unresolved grief
(c) Interpersonal conflict
(d) Intrapsychic conflict
6. Induced anger:
This can be used as an inhibitor of anxiety. Person could be trained to produce anger arousing images and express anger at these scenes or to real life situations that have previously provided anxiety. Thus, induced anger replaces the fear responses.
7. Reinforcement of progress to patient/relatives.
8. Re-training in control concepts.
9. De-brief techniques for patient and relative.
Credit: This resource was handed during my dr sessions. It has been transcribed with approval from psychiatrist but remains the intellectual property of him.