Integrative CBT for Anxiety Disorders Integrative CBT for Anxiety Disorders An Evidence‐Based Approach to Enhancing Cognitive Behavioural Therapy with Mindfulness and Hypnotherapy Assen Alladin This edition first published 2016 © 2016 John Wiley & Sons, Ltd. Registered Office John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial Offices 350 Main Street, Malden, MA 02148‐5020, USA 9600 Garsington Road, Oxford, OX4 2DQ, UK The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK For details of our global editorial offices, for customer services, and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley‐blackwell. The right of Assen Alladin to be identified as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied warranties of merchantability or fitness for a particular purpose. It is sold on the understanding that the publisher is not engaged in rendering professional services and neither the publisher nor the author shall be liable for damages arising herefrom. If professional advice or other expert assistance is required, the services of a competent professional should be sought. Library of Congress Cataloging‐in‐Publication Data Alladin, Assen, author. Integrative CBT for anxiety disorders : an evidence-based approach to enhancing Cognitive Behavioural Therapy with mindfulness and hypnotherapy / Assen Alladin. pages cm Includes bibliographical references and index. ISBN 978-1-118-50992-0 (cloth) 1. Anxiety disorders–Treatment. 2. Cognitive therapy. I. Title. RC531.A43 2016 616.85′2206–dc23 2015021084 A catalogue record for this book is available from the British Library. Cover image: alenkadr/ iStock 177263382 Set in 10/12.5pt Galliard by SPi Global, Pondicherry, India 1 2016 Contents About the Author viii Foreword x Preface xiii Acknowledgements xvi 1 An Integrative Approach for Understanding and Treating Anxiety Disorders 1 Overview 1 Introduction 1 Self‐Wounds Model of Anxiety Disorders 2 Summary 13 2 Integrated Therapy for Anxiety Disorders 14 Overview 14 Integrated Therapy 14 Cognitive Hypnotherapy for Anxiety Disorders 16 Summary 52 3 Social Anxiety Disorder (Social Phobia) 54 Case of Betty 54 Diagnostic Criteria for Social Anxiety Disorder (Social Phobia) 55 Prevalence of Social Anxiety Disorder 56 Causes of Social Anxiety Disorder 57 Treatment of Social Anxiety Disorder 58 Cognitive Hypnotherapy for Social Anxiety Disorder 59 Summary 77 4 Specific Phobia 79 Case of Mandy 79 Diagnostic Criteria for Specific Phobia 80 vi Contents Prevalence of Specific Phobia 80 Causes of Specific Phobia 81 Treatment of Specific Phobia 83 Cognitive Hypnotherapy for Specific Phobia 84 Summary 103 5 Panic Disorder 104 Case of Harry 104 Diagnostic Criteria for Panic Disorder 105 Prevalence of Panic Disorder 106 Causes of Panic Disorder 106 Treatments for Panic Disorder 108 Cognitive Hypnotherapy for Panic Disorder 109 Summary 139 6 Generalized Anxiety Disorder 141 Case of Fred 141 Diagnostic Criteria for Generalized Anxiety Disorder 142 Prevalence of Generalized Anxiety Disorder 143 Causes of Generalized Anxiety Disorder 144 Treatment of Generalized Anxiety Disorder 144 Cognitive Hypnotherapy for Generalized Anxiety Disorder 146 Summary 175 7 Agoraphobia 176 Case of Margaret 176 Diagnostic Criteria for Agoraphobia 177 Prevalence of Agoraphobia 178 Causes of Agoraphobia 178 Treatment of Agoraphobia 181 Cognitive Hypnotherapy for Agoraphobia 184 Summary 207 8 Separation Anxiety Disorder 208 Case of Andrew 208 Diagnostic Criteria for Separation Anxiety Disorder 209 Prevalence of Separation Anxiety Disorder 210 Causes of Separation Anxiety Disorder 211 Treatment of Separation Anxiety Disorder 212 Cognitive Hypnotherapy for Separation Anxiety Disorder 213 Case of Fran 233 Summary 239 Contents vii 9 Selective Mutism 241 Case of Jessica 241 Diagnostic Criteria for Selective Mutism 243 Prevalence of Selective Mutism 243 Causes of Selective Mutism 244 Treatment of Selective Mutism 245 Cognitive Hypnotherapy for Selective Mutism 246 Summary 275 10 Conclusions and Future Directions 276 Appendix A 278 Appendix B 280 References 285 Index 319 About the Author Dr Assen Alladin is a clinical psychologist and adjunct associate professor in the Department of Psychiatry at the University of Calgary Medical School. He is a fellow of the Royal Society of Medicine, president‐elect of the American Society of Clinical Hypnosis and Conference Coordinator and past president (two terms) of the Canadian Federation of Clinical Hypnosis – Alberta Society. He has been practicing and teaching hypnosis, cognitive behavioural therapy (CBT), psychotherapy and clinical psychol- ogy for over 30 years, and he is the 2005 recipient of the Best Research Paper from Division 30 of the American Psychological Association.