CBT for Appearance Anxiety: Psychosocial Interventions for by Alex Clarke

By Alex Clarke

This medical guide offers a CBT-based psychosocial intervention to be used with participants distressed approximately their visual appeal because of a disfigurement from start, coincidence or ailment, or these dealing with one other seen difference.


  • Contains a wealth of case fabric with particular relevance to actual medical conditions that impact visual appeal, useful suggestion on evaluation, and session-by-session information for addressing universal issues
  • Written by way of top lecturers and clinicians operating within the administration of disfigurement and rational visual appeal anxiety
  • Uses a versatile stepped-care version that permits to be used through skilled CBT practitioners in addition these wishing to carry a extra uncomplicated mental intervention
  • Identifies the mental elements fascinated with visual appeal anxiousness whereas additionally addressing the sensible issues of dwelling with a visual distinction, comparable to dealing with the reactions of others

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It is also very useful in identifying tangible treatment goals. Simple idiosyncratic psychological measurement tools including visual analogue or ordinal scales of noticeability and worry, which can be recorded on a daily basis to provide information about the process of change, are excellent practice-based tools (see section ‘Core Clinical Dataset’, Chapter 4). High scores on both are predictive of psychological distress. It is also helpful to be able to formulate treatment goals in terms of reducing worry or preoccupation, since most people will accept that it would be helpful for them to be less worried or preoccupied by their condition.

However, a greater number of good quality research studies testing its effectiveness in meeting patients needs is still required, and clinicians interested in this area are urged to consider using valid and appropriate measurement tools to document and share findings within the research and clinical community to help further understanding of what works for whom and in what context. Everyone working in this area in a clinical capacity can provide evidence of the effectiveness of a psychological approach using case history data; although there is considerable scope for better analysis of single case data.

2014 John Wiley & Sons, Ltd. Published 2014 by John Wiley & Sons, Ltd. 16 CBT for Appearance Anxiety The previous chapter provides an introduction to the problems of visible difference and appearance anxiety. Clinical examples illustrate the range of problems that people encounter. However, the majority of psychological support is provided by the health professional team, such as nurses, ­surgeons and doctors rather than a psychosocial specialist. It is important not to deskill those professionals who have the most interaction with people as part of their care.

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