Lesson 1Session-block goals: stabilization/engagement, skill-building (CBT core skills), exposure/interoceptive work, relapse preventionDis section define goals fi each session block, includin stabilization an engagement, core CBT skill-buildin, exposure an interoceptive work, an relapse prevention, wid guidance pon measurin progress an transitionin between 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 schedulingDis section detail key skill modules, includin diaphragmatic breathin, progressive muscle relaxation, groundin strategies, sleep optimization, an activity schedulin, emphasizin practice guidelines an integration wid exposure work.
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-monitoringDis section focus pon relapse prevention an maintenance, coverin personalized relapse plans, identification a early warnin signs, booster session schedulin, long-term self-monitorin routines, an strategies fi respondin effectively to symptom flare-ups.
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 targetsDis section outline a recommended 12–16 session roadmap, clarifyin phases a treatment, di rationale fi target orderin, how fi balance exposure wid skills trainin, an strategies fi flexibly adaptin di sequence while preservin core treatment elements.
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 instructionsDis section present an interoceptive exposure protocol, includin assessment a feared sensations, hierarchy development, common exercises, safety an medical screenin, an guidelines fi debriefin an consolidatin learnin after each exposure trial.
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 coachingDis section cover adaptations fi high avoidance or low adherence, includin motivational interviewin strategies, pacin an titratin exposure, behavioral activation, between-session support options, an brief phone or digital coachin fi sustain engagement.
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 readinessDis section explain psychoeducation an motivational enhancement, focusin pon presentin diagnoses clearly, explainin di rationale fi exposure an CBT, addressin fears an myths, an assessin readiness fi change fi collaboratively set treatment 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 techniquesDis section address worry-focused interventions fi GAD, includin stimulus control fi worry, cognitive defusion strategies, structured problem-solvin trainin, an techniques targetin intolerance a uncertainty fi reduce chronic, uncontrollable 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 neededDis section detail in vivo exposure fi elevator phobia, includin assessment, hierarchy buildin, graded exposure steps, therapist-supported versus self-directed formats, an when fi use VR or imaginal methods fi address practical or safety constraints.
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 beliefsDis section review cognitive interventions, includin cognitive restructurin fi catastrophic beliefs, scheduled worry time, worry scripts, an behavioral experiments, wid guidance pon integratin dese tools alongside exposure-based techniques.
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 anxietyDis section explain exposure fi panic-related avoidance an agoraphobia, focusin pon map avoided situations, designin situational exposure tasks, structurin homework, managin anticipatory anxiety, an troubleshootin common obstacles to real-world practice.
Mapping panic triggers and avoided placesDesigning situational exposure exercisesStructuring and reviewing exposure homeworkManaging anticipatory anxiety before tasksTroubleshooting avoidance and safety behaviors
