This can help you get your thinking straight before you go into the anxiety-provoking situation. You can also do cognitive restructuring during the exposure, while you’re actually in the situation, by identifying your cognitive errors and thinking alternative, more realistic thoughts. Filling out a thought record after the exposure may also be helpful, especially if the situation made you very nervous. This can help you reappraise what happened in a more accurate way.
If exposure therapy is too anxiety provoking, move back down to a lower-rated activity on your hierarchy. If this, too, is too anxiety provoking, you may need to modify the hierarchy, so less anxiety-provoking situations are included. Sometimes the SUDS levels need to be reevaluated and modified because you may underestimate the actual anxiety level you’ll experience in the situation. The important thing is not to give up! If you do it right, exposure will make you somewhat anxious, but the more you do it, the easier it will get. And the rewards can be enormous: you’ll be able to live a much freer and more enjoyable life.
*322\204\8*

COGNITIVE-BEHAVIORAL THERAPY FOR BDD: COGNITIVE RESTRUCTURING (COGNITIVE THERAPY)  - IT CAN ALSO HELP TO DO COGNITIVE RESTRUCTURING BEFORE, DURING, AND AFTER THE EXPOSURE  This can help you get your thinking straight before you go into the anxiety-provoking situation. You can also do cognitive restructuring during the exposure, while you’re actually in the situation, by identifying your cognitive errors and thinking alternative, more realistic thoughts. Filling out a thought record after the exposure may also be helpful, especially if the situation made you very nervous. This can help you reappraise what happened in a more accurate way.If exposure therapy is too anxiety provoking, move back down to a lower-rated activity on your hierarchy. If this, too, is too anxiety provoking, you may need to modify the hierarchy, so less anxiety-provoking situations are included. Sometimes the SUDS levels need to be reevaluated and modified because you may underestimate the actual anxiety level you’ll experience in the situation. The important thing is not to give up! If you do it right, exposure will make you somewhat anxious, but the more you do it, the easier it will get. And the rewards can be enormous: you’ll be able to live a much freer and more enjoyable life.*322\204\8*

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