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Jan 29, 2018, 08:56 PM
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Reassurance in clinical settings
Where appropriate, reassurance can be an important aspect of psychotherapeutic techniques particularly where people feel they are going mad, are going to be sectioned, or that there is something seriously wrong with them.
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What is excessive reassurance-seeking?
Excessive reassurance-seeking is common and can
worsen symptoms in a range of anxiety and mood
disorders. The aim is often to prevent catastrophe
and reduce harm, tension and distress (Salkovskis
1985). It includes excessively seeking medical care,
internet-searching, checking bodily symptoms or
using hidden cognitive reassurance such as covert
counting in obsessive–compulsive disorder.
Excessive reassurance-seeking is addictive. It
quickly diminishes anxiety, leading to immediate
relief. However, the relief does not last and
reassurance-seeking returns. This backfires
because it strengthens the belief that, had reassur-
ance not been sought, anxiety may have increased
and the feared consequence occurred. Thus, the
behaviour is reinforced. Reassurance-seeking is
self-perpetuating, as no empirical evidence against
the occurrence of what was feared is observed.
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