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Patient Handouts
Page 1 of 2
Behavior Therapy
What is behavior therapy?
Behavior therapy helps people change behavior patterns.
Behavior therapy is based on theories about how people learn and why they develop certain behavior patterns. Those theories include:
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classical conditioning
operant conditioning
social learning.
Behavior therapy can help with:
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anxiety
habits such as smoking, overeating, thumb-sucking, bedwetting, and nail biting
depression
obsessive compulsive disorder
substance abuse
sleep disorders.
What is classical conditioning?
Classical conditioning is one of the ways habits get started.
For instance, a dog drools when it gets food. If a bell is rung every time the dog gets food, after awhile the dog will drool whenever the bell is
rung, even if no food is given. This is called a "conditioned response." If the bell is then rung many times without food being given, the dog's
response to the bell may change. He may no longer drool when the bell is rung. In this case the "conditioned response" is said to be
"extinguished."
A lot of fears are learned through this kind of conditioning. For example, if you had a panic attack on a bus, you might forever fear riding on a
bus. You might also be more likely to have panic attacks in the future when you ride a bus.
A goal of behavior therapy may be to replace fear of events, things, or places with a response that relaxes you. The relaxation response will
help you feel less fearful. The more times the event is followed by relaxation, the less likely it is that the event will cause fear. Over time, the
fear response is "extinguished." This takes a lot of practice and hard work, but it is a very successful form of therapy.
For example, if you are afraid of dogs you might be taught ways to relax. You might be asked to think of things related to your fear, such as
holding a dog or seeing a picture of a dog. Next, you rank these things from least stressful to most stressful. Then you might be asked to look
at a picture of a dog while using the relaxation methods you have learned. As you learn to relax while seeing the dog, the link between dogs
and fear may weaken. Once you are comfortable, you can move up your list. You can use the same methods with other situations that make
you afraid until you can get to the actual thing you most fear.
What is operant conditioning?
Operant conditioning theory says that learning also occurs as a result of the rewards and punishments you get. If the result of your behavior
is a reward, you are likely to repeat the behavior. If the result is a punishment, you are less likely to repeat the behavior.
Making a behavior painful and reducing the reward of a behavior are 2 ways to change behavior. For example, some medicines used to treat
alcoholism cause you to feel sick if you drink alcohol while taking them. Others reduce or eliminate some of the good feelings you get with
drinking.
What is social learning theory?
This theory stresses that the responses of people in your life, their opinions of you, and your opinion of yourself help determine your
behavior. You may also learn behavior by watching and imitating others.
Training to make you more assertive and group therapies that use role-modeling and imitation are examples of social learning theory. Group
therapy also helps you to know you are not alone, that it is possible to solve your problems.
Patient handouts provided by Merck Medicus. Copyright © 2012-2013 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.
Patient Handouts
Page 2 of 2
Patient handouts provided by Merck Medicus. Copyright © 2012-2013 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.