InInshirahislamically integrated self-help
Areaanxiety
ThemeFacing it a step at a time
Time20 minutes
MomentAny
1A ladder worth climbing has six things: real steps, built with you rather than for you, in your own words, a first rung that is genuinely easy, your hand on the pace throughout, and practice often enough to add up.
cbtFacing it a step at a time20 minutesQur'an 84:19

Most ladders come apart for dull reasons. The bottom rung was somebody else's idea of easy. The wording came out of a manual. Nobody said you were allowed to stop. Or the practice was so spread out that every attempt started from cold. If you are drawing one up, check it against those six before you climb anything.

Islamic evidence

you will progress from stage to stage (Quran 84:19). Growth is described as staged, which is the shape a ladder is trying to copy.

you will progress from stage to stage

Qur'an 84:19

Psychological evidence

Across seventy five studies of treatment for childhood anxiety, how much exposure a programme contained was more strongly related to symptom improvement than the anxiety management components were. Amount and frequency matter, which is the argument for practice that is regular rather than occasional. These were treatment studies in children, so what the pooled figures cannot tell you is how much any one person's ladder needs.

Whiteside SPH, Sim LA, Morrow AS, Farah WH, Hilliker DR, Murad MH, Wang Z. (2020). Clinical child and family psychology review · doi

Review detail

Why it works. Each of those six takes away one of the usual reasons people stop partway up.

anxietyEverydayscholar review pendingadhd-1723-what-a-workable-ladder-needs

Feedback

none yet
On:
2When something frightens you the mind offers one option: do not go. Force out two or three more before judging any of them, daft ones included. Choosing needs something to choose between.
cbtFacing it a step at a time20 minutesQur'an 12:87

There is an order that works. Say what the problem actually is, in one sentence. List some options without weighing them yet. Then go through what is good and bad about each, pick one, try it, and look at what happened. The listing has to come before the judging, or the second option never gets said out loud at all.

Islamic evidence

go and seek news of Joseph and his brother and do not despair of God's mercy (Quran 12:87). The instruction is to go and find out, which is the opposite of the option fear keeps putting forward.

My sons, go and seek news of Joseph and his brother and do not despair of God’s mercy- only disbelievers despair of God’s mercy.’

Qur'an 12:87

Psychological evidence

A randomised clinical trial found that a focused treatment built around behavioural experiments, in which people go and test what they believe about uncertainty, helped adults with generalised anxiety disorder. Trying an option and seeing what happens is that same move in ordinary clothes. The trial was in generalised anxiety and is evidence about testing beliefs rather than about this particular sequence of steps.

Dugas MJ, Sexton KA, Hebert EA, Bouchard S, Gouin JP, Shafran R. (2022). Behavior therapy · doi

Review detail

Why it works. Avoidance stays the only answer for as long as it is the only one that ever gets thought of.

anxietyUnder stressscholar review pendingadhd-2802-two-options-beyond-avoiding

Feedback

none yet
On:
3Years of avoiding people leave real gaps, not only fear. How to start small talk, how to join a group already talking, how to get out of a conversation. Those can be taught, and being taught them is not an insult.
cbtFacing it a step at a time20 minutesQur'an 20:28

Sending someone into a peer group without the ordinary moves risks a genuinely bad afternoon, which then teaches exactly the wrong lesson. Practise the mechanics first. An opening line, something to do with your hands, a way out. Then the exposure is testing a fear rather than testing a skill nobody ever gave them.

Islamic evidence

so that they may understand my words (Quran 20:28). What Moses asks for is to be understood, which is a practical aim and a good deal kinder than being impressive.

so that they may understand my words

Qur'an 20:28

Psychological evidence

A meta-analysis of twenty nine randomised studies found that psychological treatments for social anxiety disorder produce moderate to large effects. Social skills work sits inside some of those packages alongside exposure and cognitive work, so the pooled figure is evidence for the combination rather than for skills training taken on its own.

Acarturk C, Cuijpers P, van Straten A, de Graaf R. (2009). Psychological medicine · doi

Review detail

Why it works. A step goes wrong for real reasons when the skills it needs were never learned.

anxietyEverydayscholar review pendingadhd-2804-teach-the-missing-skills

Feedback

none yet
On:
4Put a number on each step, nought to ten, and let it be your number. Two people facing the same school will not agree about which part is worst, and the ladder has to belong to the person climbing it.
cbtFacing it a step at a time20 minutesQur'an 23:62

One child dreads the bus and is fine once inside the building. Another would happily ride the bus all morning and cannot get through the front door. A borrowed hierarchy gets this backwards. Rating each step yourself also leaves you something to compare against later, which is how you notice that the thing that was an eight has quietly become a four.

Islamic evidence

We do not burden any soul with more than it can bear (Quran 23:62). The verse adds that people will not be wronged, so a step sized honestly to you is not a trick being played on you.

We do not burden any soul with more than it can bear- We have a Record that tells the truth- they will not be wronged

Qur'an 23:62

Psychological evidence

Across one hundred and twenty four studies of panic disorder, cognitive and behavioural treatment outperformed no treatment and placebo, and the cognitive elements added little beyond the behavioural ones for anxiety outcomes. The doing is where the weight sits, which is a reason to spend your effort building a ladder you will actually climb. What the numbers you write beside each step measure is your expectation, and nothing more than that.

Mitte K. (2005). Journal of affective disorders · doi

Review detail

Why it works. Only your own ratings put the steps in the order you will be able to climb them.

anxietyEverydayscholar review pendingadhd-2810-rate-your-own-steps

Feedback

none yet
On:
5Run it in your head first, then act it out with someone safe, then do it for real. It is a preseason, and nobody thinks the preseason is cheating.
cbtFacing it a step at a time20 minutesQur'an 92:7

Each round adds a little pressure while help is still to hand. Imagining it stirs the fear enough to show whether your plan holds up. Acting it out puts the words in your mouth, so your body has been through it once already. Both of them turn up the flaws cheaply, which is a great deal better than finding them in the corridor.

Islamic evidence

We shall smooth his way towards ease (Quran 92:7). The smoothing is tied to what a person actually does, and a rehearsal is one of the things you can do.

We shall smooth his way towards ease

Qur'an 92:7

Psychological evidence

Pooling twenty three studies with six hundred and eight participants, exposure carried out in virtual environments performed comparably to established treatments for anxiety disorders. Another meta-analysis of twenty one studies with three hundred participants found large reductions in anxiety from virtual exposure, with the authors cautioning about how much the outcome measures varied between studies. Practice in a stand in version of a situation does real work, though virtual reality is a more convincing stand in than a role play in a room.

David Opriş; Sebastian Pintea; Azucena García‐Palacios; Cristina Botella; Ştefan Szamosközi; Daniel David (2011). Depression and Anxiety · doi

Parsons TD, Rizzo AA. (2008). Journal of behavior therapy and experimental psychiatry · doi

Review detail

Why it works. Rehearsal gets the response into your body while the cost of getting it wrong is still low.

anxietyEverydayscholar review pendingadhd-2814-rehearse-before-the-real-thing

Feedback

none yet
On: