Considering Alternatives
While not usually included in Cognitive Behavioral Therapy, I often also teach my patients Assertiveness as well (i.e. a technique I call a "Mind Bomb"). This is for three reasons: 1. Anxious people often have difficulty being assertiveness. 2. A lack of assertiveness often leads to anxiety (due to feeling victimized or harassed). and 3. Assertiveness often ends up being one of my patients’ favorite techniques.
Teaching all of these techniques usually takes five to seven sessions. So, after five to seven sessions, my patients usually know whether or not it's working. If it is working, then we keep meeting, but for shorter sessions, and we start to spread them out. If it’s working, then we focus on medications and/or I recommend a therapist who does a different type of therapy (such as EMRD, general talk therapy, couples therapy, or ISTDP).