Healthcare Training Institute - Quality Education since 1979  
 
Section 17 
 
CD Track #17: Treating Anxiety in Children with  
Video Visualizations and Wall Pictures  
 
Table of Contents | NCCAP/NCTRC CE Booklet 
 
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  Video Time Visualization  
Next, I will outline for you two techniques 
by Shurts I use specifically with children. While I am explaining the technique, 
think of a child in a foster home who has suffered abuse, a child who has an illness, 
a child who is acting out behavior in school, or a child with behavioral symptoms 
following his parents' divorce. 
 
This first intervention is called video time. Here's a brief outline of what I say to the child. This may take several 
sessions. I say: 
 
"Remember when your mom and dad had that big fight, right 
before dad left? What happened? Did you feel pretty sad or angry? "No, I 
felt it was my fault" was the reply. After we explore this I ask, "If 
you could put a number from 1 to 10 on your feelings with 10 being at the 
top busting with feeling, what number would you say?  
 
"After I explain this further 
I say... Imagine you are at home and you are going to watch a video. This 
is a video of the night your father got mad and left. Begin watching the video 
of that night. Now rewind your video back to the beginning, just like when you 
rent a video. Watch it in fast forward. Rewind it fast. Forward it even 
faster. Rewind even faster. Play forward even faster still. Rewind still 
faster. Continue forwarding and rewinding faster and faster until the tape "POP" 
destructs.  
 
"Now wrap your arms around yourself from shoulder to shoulder. Love yourself the best you can at this moment. Now with your arms around yourself, 
watch the video again. Is your feeling any less strong? Now imagine a new video showing you doing something you really like to do. How do you feel now? (Rate: 
0-10)." 
 
Here's an outline of video time 
1. Awareness of 
the feeling, situation, and habit your client wants to change. Rate: 0-10, 10 
being the highest/most intense. 
2. Watch movie going forward of 
you with whatever you want to transform. 
3. Imagine self 
at home. Watch movie forward of you with what you want to transform. 
4. 
Rewind. 
5. Faster forward. Faster rewind and forward 
tape until self-destructs in smoke. 
6. Hug self and love 
yourself the best you can at each moment while watching movie of you with old 
habit. Imagine a new future having your desired goal. 
7. Notice the differences. Rate: 0-10. 
   8 Steps for the Picture 
    On The Wall 
    Children who are good at visualizing really like this one. 
    Here is what I say:  
  "Think back to the scene of you on the playground when 
    the kid pushed you down. 
  1. If you could put a number from 0 to 
    10 on your feelings with 10 being at the top busting with feeling, what 
    number would you say.  
  2. See an 8x10 picture out in front 
    of you with the scene from the playground.  
  3. In the bottom right-hand 
    side of this picture, see a picture the size of a postage stamp of you with 
    the result you desire.  
  4. Start bringing this whole picture intowards you. As it comes towards you, say, "Whish" very long and 
    drawn out. Also, as it comes towards you, the little picture grows bigger and 
    bigger. 
    5. At the end of saying, "Whish," the little picture is now the size 
      of the 8x10 and is near you. Faster and faster.  
  6. Hug and 
      love yourself the best you can at each moment while seeing yourself with your 
      desired result.  
  7. Notice what is different. Rate: your 
      feelings now from 0-10. 
  8. If necessary, repeat." 
   
   Outline of the Picture On The Wall Intervention. 
  1. Become aware of what you want to transform. Rate 0-10 (10 
      most intense). 
  2. See 8x10 picture of you with what you want to 
      transform. 
  3. Postage stamp size picture of you with desired results 
      is in bottom right-hand corner. 
  4. Say, "Whish," with 
      picture coming toward you. Little one getting bigger and bigger. Small 
      picture is now 8x10 size and jumps inside you. 
  5. Repeat steps 2-4. 
      Picture comes in faster and faster until you see you with only the desired result. 
  6. Hug and love yourself the best you can at each moment while seeing 
      yourself with desired outcome. 
  7. Notice what is different. Rate: 
      0-10. 
  8. Repeat, if necessary. 
  Summary and Conclusion  
    We have discussed the 
    intervention techniques of Cognitive Model: overcoming resistance to learning, 
    keeping brief therapy brief, assisting your client in distancing himself from 
    the anxiety, guidelines for asking specific questions, techniques to explore the 
    questions of What's the evidence, What's another way of looking at it, and So 
    what if it does happen... Also, we discussed how to help your client to break 
    the vicious cycle of anxiety, cognitive mapping restructuring, and ways to raise 
    self-confidence as well as visualizations to use with children. 
       
      Four Techniques I Use  
    In conclusion, 
    I'd like to share the 4 techniques I use the most frequently with clients.  
      First, I find making the client aware that their anxiety may come from 
    thoughts which are so fast they are unaware of the cause of their anxiety.  
      Second, to understand the difference between I am anxious and I feel 
    anxious.  
      Third, pending assessment of other disorders, having the 
    client separate from the anxious thoughts by saying, "Mary is upset about 
    the expression on her husband's face."  
      Fourth, putting the 
    situation in perspective and developing a cause of action if their worst fears 
    materialize. 
       
    It is hoped this learning experience has proven to be a 
    valuable one for you. This is Tracy Catherine Appleton. Thank for your purchase 
    of this course. Talk to you in the next home study course! 
 
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