Lesson 1Session-block goals: stabilization/engagement, skill-building (CBT core skills), exposure/interoceptive work, relapse preventionThis part sets goals for each meeting group, like steadying and joining, core CBT skills, exposure and body work, and comeback stop, with tips on measuring and shifting phases.
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 key skill parts, like belly breathing, muscle loosen step-by-step, grounding, sleep best, and task timing, stressing practice tips and mix with 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 on comeback stop and keep-up, covering personal comeback plans, early signs, booster timing, long self-check habits, and 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 a suggested 12–16 meeting path, clearing phases, reason for target order, balancing exposure with skills, and flexible tweak ways keeping core parts.
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 feel checks, fear ladder build, common tries, safety and health screens, and tips for after-talk and learning lock-in.
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 much dodging or poor stick, like motive talk, pace exposure, action spark, between-meeting help, and short call or digital 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 motive boost, clear on diagnosis, why exposure and CBT, tackle fears and wrong ideas, and check change ready to set goals together.
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 handles worry ways for general anxiety, like worry control, thought loosen, problem fix train, and unknown hate tricks to cut long, out-of-control 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 exposure for lift fear, check, ladder build, step-up, guide vs. self, and VR or mind ways for real or safe limits.
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 ways, like reframe disaster beliefs, set worry time, worry tales, action tests, with tips to mix with exposure tools.
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 dodge and open fear, mapping dodged spots, task design, homework set, pre-anxiety handle, and fix common real blocks.
Mapping panic triggers and avoided placesDesigning situational exposure exercisesStructuring and reviewing exposure homeworkManaging anticipatory anxiety before tasksTroubleshooting avoidance and safety behaviors
