Falls Final �ݺ�ߣs.pptx

Oct 14, 2022Download as PPTX, PDF0 likes5 views

Center for Cognitive and Behavioral Therapy of Greater Columbus

For patients who have fallen and are anxious about falling again. The slides review how to understand the anxiety about falling and to manage it effectively. Learn how to get your life back and re-discover what matters most to you.

MANAGING
ANXIETY ABOUT
FALLING
KEVIN D ARNOLD, PHD, ABPP
PSYCHOLOGIST
PRESIDENT OF CCBT, INC.
TOTAL CARE THROUGH CO-
LOCATION
Total Care Through Co-Location
A Partnering between Central Ohio Primary
Care and The Center for Cognitive and
Behavioral Therapy

Anxiety and falling
What Science Says
• “The dizzy group was more likely to report anxiety and depressive
symptoms than their nondizzy peers.” Menant, JC et al., 2013.
• “The number of recurrent fallers was significantly lower in the
intervention group [CBT of Fear of Falling] than in the control
group 1 year after the intervention.” Ziljstra et al., 2009.

What are anxious thoughts
Can we talk about thoughts about falling that are scary?
• What are scary thoughts?
• Predict bad things will happen
• Some are realistic, many are not
• How to tell if they are realistic or not
• Deciding if they are believable or not
• Are you living in these thoughts (in your head) or in the vital world of
reality?
• Write down three ideas that scare you about falling
• Prediction of catastrophe
• Be careful!!
• Stay away/stay safe.

What things have you begun to avoid
Can we talk about any things that you have stopped doing or places you’ve
stop going because you are afraid of falling?
• Let’s do an inventory of
• Places you stopped going
• Things you’ve stopped doing
• What are the differences between avoiding vs. not liking something
• Are you avoiding or asserting preferences
• How to overcome avoiding
• Slow but steady restarting one or two things or places you’ve avoided
• Stay with each step toward each thing or place until the anxiety or scary
feelings go down and stop
• The principle of running toward anxiety and avoiding scared feelings

What do you want your life to be about?
• What are the things you want to be known for 50 years from now?
• What is a “vital” life
• Setting your “what matters most” goals each day
• Do the anxious thoughts or avoidance behaviors increase or decrease your
vital life?
• Would your “what matters most” goals be strong enough to do the
important things that “matters most”
• Let’s think about the last week.
• Think of something on the “matters most” list that you didn’t do because
you were afraid of falling
• Let’s create a vital life coping plan

What do you want your life to be about?
• Vital Life Coping Plan
• Name the ”matters most” activity and place where it occurs
• Imagine the situation when you could avoid the activity and place where it occurs, then see yourself
doing it for a second and listen to your happiness as you imagine making a vital life choice
• Contact your primary care physician or health care provider to be sure you know how to do the activity
safely
• Write out a flashcard to carry that includes these four (4) things:
• WHY A VITAL LIFE:
• Why you want a vital life and to do what matters most
• WHAT, WHERE, AND SAFELY HOW:
• What you want to do, where you will do it, and how you will do it safely
• RECALL THE REWARD:
• Recall what kind of rewarding things come from doing your “matters most” activity and be aware of how that
happiness feels
• DECIDE AND ACT:
• Write out your decision to do your “matters most” activity
• Write out a plan for the when, where, and how you will do your “matters most” activity

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Falls Final �ݺ�ߣs.pptx

1. MANAGING ANXIETY ABOUT FALLING KEVIN D ARNOLD, PHD, ABPP PSYCHOLOGIST PRESIDENT OF CCBT, INC. TOTAL CARE THROUGH CO- LOCATION Total Care Through Co-Location A Partnering between Central Ohio Primary Care and The Center for Cognitive and Behavioral Therapy

2. Anxiety and falling What Science Says • “The dizzy group was more likely to report anxiety and depressive symptoms than their nondizzy peers.” Menant, JC et al., 2013. • “The number of recurrent fallers was significantly lower in the intervention group [CBT of Fear of Falling] than in the control group 1 year after the intervention.” Ziljstra et al., 2009.

3. What are anxious thoughts Can we talk about thoughts about falling that are scary? • What are scary thoughts? • Predict bad things will happen • Some are realistic, many are not • How to tell if they are realistic or not • Deciding if they are believable or not • Are you living in these thoughts (in your head) or in the vital world of reality? • Write down three ideas that scare you about falling • Prediction of catastrophe • Be careful!! • Stay away/stay safe.

4. What things have you begun to avoid Can we talk about any things that you have stopped doing or places you’ve stop going because you are afraid of falling? • Let’s do an inventory of • Places you stopped going • Things you’ve stopped doing • What are the differences between avoiding vs. not liking something • Are you avoiding or asserting preferences • How to overcome avoiding • Slow but steady restarting one or two things or places you’ve avoided • Stay with each step toward each thing or place until the anxiety or scary feelings go down and stop • The principle of running toward anxiety and avoiding scared feelings

5. What do you want your life to be about? • What are the things you want to be known for 50 years from now? • What is a “vital” life • Setting your “what matters most” goals each day • Do the anxious thoughts or avoidance behaviors increase or decrease your vital life? • Would your “what matters most” goals be strong enough to do the important things that “matters most” • Let’s think about the last week. • Think of something on the “matters most” list that you didn’t do because you were afraid of falling • Let’s create a vital life coping plan

6. What do you want your life to be about? • Vital Life Coping Plan • Name the ”matters most” activity and place where it occurs • Imagine the situation when you could avoid the activity and place where it occurs, then see yourself doing it for a second and listen to your happiness as you imagine making a vital life choice • Contact your primary care physician or health care provider to be sure you know how to do the activity safely • Write out a flashcard to carry that includes these four (4) things: • WHY A VITAL LIFE: • Why you want a vital life and to do what matters most • WHAT, WHERE, AND SAFELY HOW: • What you want to do, where you will do it, and how you will do it safely • RECALL THE REWARD: • Recall what kind of rewarding things come from doing your “matters most” activity and be aware of how that happiness feels • DECIDE AND ACT: • Write out your decision to do your “matters most” activity • Write out a plan for the when, where, and how you will do your “matters most” activity

7. Questions?

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