Lesson 1Session-block goals: stabilization/engagement, skill-building (CBT core skills), exposure/interoceptive work, relapse preventionThis part sets goals per session block: steadying engaging, core CBT skills, exposure body work, relapse stop, with progress measure and phase shifts.
Stabilization and early engagement goalsSkill-building block: core CBT skillsExposure and interoceptive work blockRelapse prevention and consolidation blockCriteria for moving between treatment phasesLesson 2Skill modules: diaphragmatic breathing, progressive muscle relaxation, grounding, sleep optimization and activity schedulingThis part details skill sets like belly breathing, muscle relax, grounding, sleep improve, activity plan, stress practice and link to exposure.
Teaching diaphragmatic breathing skillsProgressive muscle relaxation trainingGrounding skills for acute anxiety spikesSleep hygiene and optimization methodsActivity scheduling to support recoveryLesson 3Relapse prevention and maintenance strategies: creating personalized relapse plans, booster session timing, and long-term self-monitoringThis part focuses relapse stop maintenance, personal plans, early signs, booster times, long self-check routines, ways to handle symptom rises well.
Identifying personal relapse risk factorsDesigning written relapse prevention plansScheduling booster and follow-up sessionsLong-term self-monitoring of symptomsResponding to setbacks and flare-upsLesson 4Treatment structure and session sequencing: recommended 12–16 session roadmap and rationale for order of targetsThis part outlines 12-16 session path, phases, reason for target order, balance exposure skills, flexible adjust keeping core.
Overview of 12–16 session treatment phasesCriteria for selecting initial treatment targetsRationale for ordering exposure and skillsBalancing structure with clinical flexibilityMonitoring progress and adjusting the planLesson 5Interoceptive exposure protocol: steps, common exercises, hierarchy development, and safety instructionsThis part gives body exposure steps, feared feeling check, hierarchy build, common exercises, safety screen, debrief after each try.
Assessing feared bodily sensationsDeveloping an interoceptive hierarchyCore interoceptive exposure exercisesMedical screening and safety guidanceDebriefing and consolidating exposure gainsLesson 6Adaptations for high avoidance or low adherence: motivational interviewing, session pacing, behavioral activation, use of between-session support, and brief phone coachingThis part covers tweaks for strong avoidance low stick, motivation talk, pace exposure, action boost, between support, short phone guide to keep going.
Identifying barriers to engagementUsing motivational interviewing techniquesAdjusting exposure intensity and pacingBehavioral activation to increase approachBetween-session support and brief coachingLesson 7Psychoeducation and motivational enhancement: explaining diagnosis, rationale for exposure, addressing ambivalence and readinessThis part explains teaching and motivation boost, clear diagnosis, exposure reason, fears myths, check change readiness for joint goals.
Explaining anxiety diagnoses clearlyPresenting the CBT and exposure rationaleAddressing fears and treatment mythsAssessing readiness and stages of changeCollaborative goal setting with patientsLesson 8Worry-focused interventions for GAD: stimulus control for worry, cognitive defusion, problem-solving training, and intolerance of uncertainty techniquesThis part tackles worry ways for GAD, worry control, thought loosen, problem solve train, uncertainty steps to cut endless worry.
Assessing worry patterns and triggersStimulus control strategies for worryCognitive defusion and distancing toolsStructured problem-solving training stepsTechniques for intolerance of uncertaintyLesson 9In vivo exposure for elevator phobia: hierarchy construction, graded approach, therapist-supported vs. self-directed exposure, and use of VR or imaginal exposure if neededThis part details real-life lift exposure, check, hierarchy, graded steps, therapist help vs self, VR or mind if needed for limits safety.
Functional assessment of elevator fearsConstructing a detailed exposure hierarchyDesigning graded in vivo exposure stepsTherapist-assisted versus self-directed plansUsing VR or imaginal exposure when neededLesson 10Cognitive interventions: cognitive restructuring, worry time scheduling, worry scripts, behavioral experiments for catastrophic beliefsThis part reviews thought steps, reframe disaster beliefs, set worry time, scripts, behaviour tests, link with exposure.
Identifying and tracking anxious thoughtsCognitive restructuring step by stepScheduling and running daily worry timeDesigning and using worry scriptsBehavioral experiments for catastrophic beliefsLesson 11Exposure for panic-related avoidance and agoraphobia: situational exposures, homework structuring, and managing anticipatory anxietyThis part explains exposure for panic avoidance open fear, map avoided spots, task design, homework set, handle before anxiety, fix practice blocks.
Mapping panic triggers and avoided placesDesigning situational exposure exercisesStructuring and reviewing exposure homeworkManaging anticipatory anxiety before tasksTroubleshooting avoidance and safety behaviors
