Bonnie F. Cleaveland, Ph.D, ABPP

Board Certified Clinical Psychologist

1173 Southgate Drive Suite A Charleston SC 29407

 

 

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Cognitive Challenge

 

Cognitive challenge is a very specific journaling technique. Most of the time when we get anxious it’s because our thoughts are irrationally fearful. For example, a woman leaves the gym in her car just a few minutes after her husband leaves the gym on his motorcycle. Ambulances and police cars speed by her with sirens; she takes an alternate route home. From the car, she calls her husband at home, since he should be there already. He doesn’t answer, and she keeps calling. When she arrives home, he’s not there. She jumps to the conclusion that he must have been in an accident, and she gets panicked.

In cognitive challenge, she would start by writing out her emotions - fear. Then, she jots down the situation (husband not home, accident on the way home, he left before me). Then, and most importantly, she writes down her anxiety -producing thoughts. They may be like this:

"He left 15 minutes before me. He should already be home."

"He’s probably dead."

"EMS wouldn’t have had time to call me yet."

"How will I live without him?"

"Who will I call first to tell he’s been killed?"

"Why doesn’t he call me to let me know he’s OK?"

The next step in cognitive challenge is to challenge those thoughts. What’s irrational about them? She can take each one and challenge them.

"Perhaps he stopped to pick up dinner to surprise me, or he stopped for gas, or he got stuck behind the accident. Any number of things could have delayed him, and I’m jumping to conclusions.

"This is jumping to conclusions. I’m worrying myself over something that hasn’t yet happened. I’ll breathe deeply, and relax my muscles. When I get home, I’ll take a shower, and then if he’s not home, I’ll deal with it then."

I’m jumping to conclusions. Right now, there’s no reason for him to have come straight home; he still thinks I’m at the gym. If he’s not home in 1/2 hour, that’ll be out of character, and I’ll take action then.

Now I’m really getting ahead of myself. Even if he was in an accident, it may be minor. Even though it seems I can’t live without him, many people have grieved the deaths of people they love and survived it."

Let’s not focus on this unless it’s really happened."

"I left the gym earlier than he thought I would; there’s no way he could know I’m worried."

You can see that the second set of thoughts is much more reasonable. Sometimes you’ll be able to do cognitive challenge on your own, and, other times, you’ll need help from others challenging your negative thoughts.

 

 

 

Board Certified in Clinical Psychology

Registrant, National Register of Health Service Providers in Psychology

 

 843-571-4005    

bonnie@bonniecleaveland.com

 

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