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Combating Anxiety with ABCDE

two women, one mind

Last week, we reviewed Ellis’ ABC model as a means for understanding our negative responses to situations. As a quick refresher, it goes like this:

A-Activating event 

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B-your Belief about the event

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C-the Consequence (your response to our beliefs about the event)

Previously, we discussed that our negative belief about the activating event causes the negative reaction, not the event itself. This week, we’re going to discuss the D and E additions to this model, and how they can help combat our negative reactions. Let’s review and define some terms:

A-Activating event 

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B-your Belief about the event

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C-the Consequence (your response to our beliefs)

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D: Dispute (your attempt to look at the event objectively and challenge your negative beliefs/responses to the event)

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E: The Effect of challenging/defeating your initial belief.

 

So, where to begin?  When challenging/disputing a belief you hold, here are some questions to ask yourself:

 

Let’s start with an example from last week: fear of needles.

A- Activating event 

You need a shot or to have blood drawn.

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B- your Belief about the event. 

Fill in your personal thoughts about the event here.

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C: the Consequence (your response to our beliefs) 

Fill in your specific reactions here. For example, hyperventilating, panicking, becoming oppositional or just plain combative with medical personnel, avoiding medical care altogether, etc.

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D: Your attempt to Dispute your belief/response 

For example: 

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E: The Effect of your dispute 

Ideally, in this example, you’d feel less anxious about needles and develop positive coping mechanisms for the future. 

Bear in mind, an emotional response to a not-so-positive situation is normal, and ignoring or eliminating your emotions entirely is not the point of this exercise. It’s all about keeping things in perspective. Emotions only become problematic when they are excessive for the situation, all-consuming, or prevent you from engaging in necessary tasks. As a personal example, while I’m not afraid of needles, I have tiny little veins and often have to be stuck multiple times. Once the technician even brought in a sonogram machine to help them see my veins. It still took him three tries. Needless to say, having blood drawn is definitely not the highlight of my day. But I can, and do, let technicians draw my blood, despite my very real not so great past experiences, because the pros still outweigh the cons. Do I like it? No. Do I do it? Yes.  

The most important thing is to be mindful of your emotions and make sure they don’t become excessive or unrealistic. The next time you’re confronted with a situation you find daunting, try mapping out the ABCDE of what you’re facing, and see how your experience changes!

This blog is not designed to diagnose, treat, or prevent illnesses or trauma, and Dr. Emick is not responsible for your use of this educational material or its consequences. Furthermore, reading this blog does not create a doctor-patient relationship. The information contained within this blog is not intended to dictate what constitutes reasonable, appropriate, or best care for any given physical or behavioral health issue, nor does it take into account the unique circumstances that define the health issues of the reader. If you have questions about the diagnosis, treatment, or prevention of a condition or illness, you should consult your personal health care professional. As always, consult with your personal health care professional before beginning or changing any fitness or nutrition program to make sure that it is appropriate for your needs. Dr. Emick reserves the right to modify her positions on a subject based upon new research or data as it presents.
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