APRENDENDO A TERAPIA COGNITIVO COMPORTAMENTAL #016 — Transcript

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1. 0:04what are you feeling is your your seeing
2. 0:06the elevator here look a little
3. 0:10squeamish like you want to step aside
4. 0:11from the elevator okay what I wanted to
5. 0:13show you was that
6. 0:15elevators are something that you can get
7. 0:19up close to they're not gonna come after
8. 0:21you they're not gonna do anything right
9. 0:22at this point let's look how close I'm
10. 0:24standing this elevator right now I see
11. 0:25where I am
12. 0:26yes Beck down really right up here
13. 0:28against it right now I know yes you are
14. 0:29okay and Here I am I'm touching the
15. 0:32number on the floor here and the
16. 0:38elevators there you're gonna fall do you
17. 0:40think that would happen they could okay
18. 0:41what do you think the chances are that I
19. 0:43would open in the elevator wouldn't be
20. 0:44there there we've done those things
21. 0:47before where there's how frequent the
22. 0:49chances are the things would actually
23. 0:50happen like that yeah okay so we did the
24. 0:53thing in the in the cafeteria with the
25. 0:55risk of your tray actually falling out
26. 0:58of your hands right straight to think
27. 1:00about what the risk would be of an
28. 1:02elevator opening and there not being an
29. 1:04elevator there the risk is pretty low
30. 1:07but in my mind in your mind to turn very
31. 1:09likely high yeah if I realize think
32. 1:12about it what do you think the chances
33. 1:13are that I would press this button the
34. 1:15doors would open and there would be no
35. 1:16elevator there just open before probably
36. 1:20I wanna know you know many many more
37. 1:22than that I've written a lot of
38. 1:23elevators I certainly never seen it
39. 1:24happen and then we can even go let's say
40. 1:26if I'm standing here and it opens and
41. 1:28there's no elevator there what are the
42. 1:29chances are that I'm gonna fall into
43. 1:31that hole I gotta jump in there looking
44. 1:34you went to step off well I think I'm
45. 1:36gonna look before I step in this okay
46. 1:37okay so I think I'm gonna show you how
47. 1:39this would work
48. 1:39okay okay with you that you could
49. 1:41actually be beside me as I press the
50. 1:44button and call an elevator and at least
51. 1:46go partly you know now
52. 1:47sure so what I'm gonna do is I'm gonna
53. 1:48show you how to press the button I'm
54. 1:50gonna go into the elevator and then I'm
55. 1:51going to step back out again which is
56. 1:54something you can practice you know
57. 1:56yours go okay in fact uh let's see
58. 2:00there's an elevator right there can we
59. 2:02go over and check that out sir would you
60. 2:03mind if we don't this elevator thank you
61. 2:05very much
62. 2:06you can just watch me I'm gonna go in
63. 2:07here and I can just actually hold my
64. 2:09hand on the side of the elevator and
65. 2:10there's an electric eye here so it's not
66. 2:12gonna open because I have my hand on
67. 2:13that there's also a button in here which
68. 2:15will open the elevator and if I press it
69. 2:18it keeps the door open so I can stand
70. 2:21here and talk with you okay
71. 2:22now I'm seeing a number of buttons for
72. 2:25the floors here no no when hear these
73. 2:28sounds what does it feel like to you
74. 2:29panic this is just telling me that
75. 2:33someone's holding the button and they
76. 2:35think it probably is a good idea if the
77. 2:36elevator gets on a switch this gentleman
78. 2:37is very nice and it's been listening to
79. 2:39this so I'm gonna go ahead let him take
80. 2:40the ride and I'm gonna step back out
81. 2:41again okay okay yeah so here we go
82. 2:43thank you very much sir okay so you've
83. 2:47been very good at watching this I can
84. 2:48tell you're just getting a little bit
85. 2:49hands are sweaty sure
86. 2:51remember our basic idea about how to
87. 2:53handle anxiety disorders that one of the
88. 2:55things is that we have a pattern of
89. 2:57avoiding things because we have a
90. 2:59built-up fear of how bad it's going to
91. 3:01be every time we avoided that makes it
92. 3:02feel worse yes
93. 3:04so our strategy gears in other ways to
94. 3:06break this pattern avoidance okay so
95. 3:08what do you say we call another elevator
96. 3:10you try to step in and out of the
97. 3:11elevator with me just like I did okay
98. 3:13okay okay the Steve will just press the
99. 3:15button if you press the button I can
100. 3:17push the button
101. 3:18great great yes there we go let's see
102. 3:22we'll take the first elevator that comes
103. 3:24there I guess for them right here okay
104. 3:26all right
105. 3:27I don't know if I can get in it if it's
106. 3:29crowded okay well if it's not then we'll
107. 3:31catch the nurse then I feel like I'd be
108. 3:32stuck yeah we'll talk with about that
109. 3:35one once we finish this exercise happen
110. 3:37I don't likelihood of being more stuck
111. 3:39if they're more people okay let's see
112. 3:41what happens here with now you see
113. 3:45assignment it says in case of fire you
114. 3:47stairs know of it yeah what do you think
115. 3:48when you see that sign that the fire
116. 3:50would just shoot right up the elevator
117. 3:52shaft well they do have a fire sign
118. 3:56right there don't they yes okay so
119. 3:58probably it is a good caution that when
120. 4:00there is a fire to take the stairs
121. 4:02that's what is generally recommended
122. 4:03okay now here's another elevator effect
123. 4:07this is the one that I was in earlier so
124. 4:09that's what I'm going to step inside and
125. 4:12I'm going to help a little bit by
126. 4:13holding this did you step inside with me
127. 4:15Ramon okay I'm breathing okay remember
128. 4:18your breathing your normal breathing
129. 4:20that's actually it's funny how the
130. 4:22button I'm holding it just like I did
131. 4:23before
132. 4:24see if we can wait until that buzzer
133. 4:26goes off and then we'll step outside let
134. 4:28my panic button when it goes off no it's
135. 4:30not the panic what just tells us that
136. 4:31someone's holding the button for a while
137. 4:33so here we are can you open the elevator
138. 4:35you can't no I want to look at the door
139. 4:38we'll do that another day this should
140. 4:40take a quick look up where here's this
141. 4:41is nice glass panels on the top mm-hm
142. 4:44here's the Lambert Iseman for the nurse
143. 4:46of the week okay which is very nice yes
144. 4:48okay in fact it's a very beautifully
145. 4:50designed elevator here okay so now we
146. 4:53said we'd step out so we're ready okay
147. 4:55excellent
148. 4:56great so that was our experience with
149. 4:59actually stepping in and outside of
150. 5:00knowledge I think it's probably been
151. 5:01some time since you've done that yes it
152. 5:03has
153. 5:04maybe a year how do you feel well I was
154. 5:08pretty anxious while we were doing it
155. 5:10but I guess now there's a sense of
156. 5:12accomplishment
157. 5:13it didn't fall yeah I didn't fall it
158. 5:16didn't I was actually an elevator floor
159. 5:17there is a loafer David you did check it
160. 5:20out
161. 5:21okay well it's pretty good to look
162. 5:22before you before you get into something
163. 5:24like that
164. 5:24all right well what we're gonna do today
165. 5:27is stop for now because we've had a good
166. 5:29experience with this and then we'll take
167. 5:30another day and we'll come back okay and
168. 5:32try to do some more things with
169. 5:33elevators okay