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able activity afraid anxiety attack anxiety neurosis anxious patient appraisal approach arousal attack attitudes automatic thoughts autonomic nervous system avoid Beck becomes behavior therapy believes clinical cognitive distortions cognitive model cognitive therapy concept consequences considered critical danger depressed patient derived disease distortions disturbance domain emotional disorders emotional response evaluation event examination example experience experienced external fantasy fear felt formulations goals harm help the patient hysteria hysterical ideas ideation instance internal interpersonal interpretation kind label lead learning loss maladaptive meaning Meichenbaum mind-body problem negative neurotic notion noxious object observations occur pain paranoid person phobias phobic situation physical physiological problems produce psychiatric psycho psychoanalytic psychological psychophysiological disorders psychosomatic disorders psychotherapy react reactions realistic reality regard rejection reported rules self-criticisms sense sequence Similarly social somatic somatic disorder specific stimulus stress student studies suicide symptoms systematic systematic desensitization techniques theory therapeutic therapist thinking threat tion unpleasant unrealistic visual woman