Cognitive Therapy of Anxiety Disorders

290 TREATMENT OF SPECIFIC ANXIETY DISORDERS

PRIMAL MODE

Activation of

Physiological or Mental

Threat Schemas

ORIENTING MODE

(Selective attention to

interoceptive cues)

AUTONOMIC AROUSAL^

(Physical symptoms intensify)

IMMEDIATE^

DEFENSIVE RESPONSE^

(Escape)

AUTOMATIC THOUGHTS

(Exaggerated, catastrophic

threat appraisals)

BIASED COGNITIVE

PROCESSING

SEARCH FOR

SAFETY

AVOIDANT

COPING

LOSS OF

REAPPRAISAL

CAPABILITY

WORRY, APPREHENSION

ABOUT ANXIETY, AND

FUTURE PANIC

PHASE II

PROCESSES

PHASE I

PROCESSES

PERCEIVED LOSS

OF CONTROL

ACTIVATING CUES, TRIGGERS

(Internal bodily sensation, physiological change)

figure 8.1. Cognitive model of panic disorder.