Maladaptive Cycle of Symptoms | Three Component Model
| Trigger = An Overwhelming situation, place, physical sensation, feeling, thought, impulse, etc.) |  |
Irrational Thoughts or Exaggerated Beliefs (e.g. Negative about Self, Others or the World) (e.g. Catastrophic, or Worried) | |
Uncomfortable Physical Sensations |
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Discomfort (Rate 0-10 Discomfort Level) |
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| Increase in Vigilance & Increase in Maladaptive Behavior |  |
Increased Fear of Triggers | |
Temporary Decrease in Discomfort Level | |
(Maladaptive) Safety or Soothing Behavior |
Cycle of Maladaptive Behavior | 3 Components of Emotion
Physical Sensations = Physiological
Thoughts / Beliefs = Cognitive
Soothing / Safety Behavior = Behavior
—Concept & Diagram by S Josephson, PhD & J Levitan, RN, MS, NP ø The NY Hospital- Cornell Med. Ctr. (1991)
Revised Concept & Diagram by L Martin, RN, MS, NP & Amori Mikami, PhD ø UCSF Medical Center (2003)