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https://notonanemptymind.thinkific.com for more great, exclusive content! Register as a prospective student at my online academy free of charge or obligation to receive special notices and offers. Anxiety frequently sabotages its own treatment. Those suffering from endogenous syndromes are among the most challenging to treat, because a lifetime of anxiety leads to poor coping in the form of constant worry, the development of many dysfunctional defense mechanisms, and poor insight. The worry is not only ineffective, but ironically, entirely unnecessary. These patients are typically loathe to submit to treatment with psychotropic medication, and when they do, they are frequently victims of bias and misinformation, and demonstrate an irrational motivation difficult to dissuade. One of the reasons that patients end up moving through a gauntlet of failed, yet inadequate, therapeutic trials is that inexperienced or disengaged practitioners fail to recognize the problem and/or take the path of least resistance, accept that the patient abandoned the trial on their own, between visits, and simply prescribe something else. This video examines the subject through the lens of two extreme case studies: two saboteurs on opposite ends of the spectrum, in terms of insight, judgment, and ultimately, prognosis. 00:00 Intro 00:37 The Gauntlet Course 01:35 Not On An Empty Mind Academy 02:20 Endogenous Anxiety 03:28 Insight 07:37 Paradoxical Reaction vs. Nocebo Response 11:23 Sabotage! 14:36 Patient One 26:07 Patient Two