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
Discomfort
(Rate 0-10 Discomfort Level)
         
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)