Hi members,

A recent article on CNN.com discusses a study which tested the effectiveness of online CBT therapy in helping individuals who have depression. The results were very interesting. According to the research, at the four month mark, 38% of the individuals recovered from their depression. That is about the same success rate as would be expected from face to face therapy.   This research is very positive; many people who may not have access to face to face therapy or who feel uncomfortable discussing mental health issues face to face can now be confident in the choice of online therapy.   I encourage members to read more at http://www.cnn.com/2009/HEALTH/08/31/online.internet.therapy.cbt/index.html

When we avoid things due to anxiety, we miss out. As you probably already know, escaping the situation you find yourself in when you have a anxiety can lead to problems.

• Problem 1: Some situations are more difficult to avoid than others. For instance, if you have a fear of snakes but you live in the city, it’s probably not a huge cause for concern. Chances are you’ll only be exposed to them at the zoo or pet store. However, if a person fears wide open spaces, crowds, shopping malls or riding in public transportation it can cause a much bigger problem.
• Problem 2: Escaping & avoiding situations works well to reduce anxiety in the short-term. However, in the long-term avoidance makes things worse. The problem is that escaping works too well. When you escape a situation, you receive immediate relief. The result is you become really good at escaping and avoiding. When you think about it, not dealing with problems isn’t what you want to be good at.

Members,

Do you struggle with anxiety? Today we will be looking at sample exposure plans to help you overcome your fears.

If you fear taking the bus:

* Walk to a bus stop, sit on a bench and watch the buses and traffic

* Go to the bus stop and ride for one stop. Sit near the door or window. Walk back to the first stop and repeat for 1 hour.

* Repeat the previous step but for two stops.

* Repeat the previous step but for five stops. Then cross the street and ride the bus that will bring you back to your original stop.

* Repeat the previous step but sit at the back of the bus or far from the door.

* Repeat the previous step but on a different bus.

* Repeat the previous step but go to the mall or another destination

Is riding the bus a big fear of yours?

Ashley, Health Educator

• Problem 3: The more you avoid, the less you’re able to lead a full, happy and productive life. As a result of escaping and avoiding, you don’t get to do a lot of things other people get to enjoy such as, going out with friends, driving, going to a movie or going away of vacation.
• Problem 4: When people aren’t able to enjoy life because of avoidance, they beat themselves up. People with panic or anxiety usually say escaping makes them feel better in the short-term but worse in the long-term. The end result is negative thoughts about themselves, the world and the future. This can lead to depression.