Lesson 1Session 5: Mindfulness and interoceptive exposure — body scan, focused attention, tolerating visceral sensationsTeach mindfulness skills to observe sensations widout judgment an reduce reactivity. Cover body scan, focused attention, an interoceptive exposure to GI sensations, emphasizing willingness, curiosity, an safety parameters.
Introducing mindfulness for GI symptomsGuided body scan for visceral awarenessBreath and anchor focused attentionPlanning interoceptive exposure exercisesManaging distress during exposure practiceIntegrating mindfulness into daily routinesLesson 2Overall format decisions: recommended number of sessions, session length, group vs individual delivery, mixed/online adaptations and rationaleOutline key format decisions fi GI Resilience Training, including recommended dose, session length, an delivery mode. Explain how to adapt fi online, hybrid, an group formats while preserving fidelity an safety.
Recommended total number of sessionsStandard session length and pacingCriteria for group versus individual formatHybrid and telehealth delivery adaptationsMaintaining treatment fidelity across formatsLesson 3Session 1: Assessment, psychoeducation, and collaborative formulation — goals, intake tasks, and baseline measuresCover intake procedures, rapport building, an risk screening. Guide clinicians in gathering GI, medical, an psychosocial history, delivering psychoeducation, an co-creating a shared biopsychosocial formulation an treatment plan.
Pre-session screening and referral pathwaysStructured GI and medical history takingAssessing avoidance, disability, and riskPsychoeducation on gut–brain interactionDeveloping a shared case formulationSetting goals and initial home practiceLesson 4Session 7: Sleep, lifestyle, and behavioral activation — sleep hygiene, activity scheduling, pacing to reduce avoidanceAddress sleep, physical activity, an daily routines dat influence GI symptoms an resilience. Cover sleep hygiene, graded activity scheduling, pacing strategies, an reducing avoidance-driven rest dat maintains disability.
Assessing sleep patterns and fatigueTeaching core sleep hygiene practicesDesigning graded activity schedulesPacing strategies for symptom flaresReducing avoidance and safety restMonitoring lifestyle changes over timeLesson 5Session 6: Emotion regulation and acceptance strategies — ACT exercises, values clarification, urge surfingIntegrate emotion regulation an acceptance-based strategies tailored to GI distress. Use ACT-informed exercises, values clarification, an urge surfing to help patients act in line wid values despite discomfort an urges.
Psychoeducation on emotions and urgesValues clarification and life domainsACT defusion and acceptance exercisesUrge surfing for symptom-driven behaviorsBuilding personalized coping menusAssigning values-based action tasksLesson 6Session 3: Cognitive patterns and cognitive restructuring — identifying catastrophic thoughts, thought records and behavioral experimentsFocus on identifying catastrophic interpretations of GI sensations an related safety behaviors. Teach cognitive restructuring, thought records, an behavioral experiments to test predictions an reduce symptom-related anxiety.
Mapping common GI-related thinking trapsLinking thoughts, emotions, and behaviorsUsing structured thought record worksheetsDesigning behavioral experiments safelyResponding to stuck or rigid cognitionsHomework review and refinementLesson 7Session 4: Exposure to feared foods and situations — graded exposure principles, hierarchy creation, in-session exposuresIntroduce graded exposure to feared foods, places, an bodily sensations. Guide hierarchy development, in-session exposure planning, an debriefing to reduce avoidance, safety behaviors, an catastrophic expectations.
Functional assessment of avoidance patternsBuilding individualized exposure hierarchiesPreparing patients for exposure rationaleConducting in-session food exposuresConducting situational and activity exposuresProcessing learning and updating beliefsLesson 8Session 8: Relapse prevention, maintenance plan, and discharge — personalized coping plan, booster scheduling, community resourcesGuide consolidation of gains, relapse prevention, an discharge planning. Include personalized coping plans, early warning signs, booster options, an linkage to medical, psychological, an community supports.
Reviewing progress and remaining barriersIdentifying personal relapse triggersCreating written coping and action plansPlanning booster and follow-up contactsCoordinating with medical providersConnecting to peer and community resourcesLesson 9Session 2: Stress–gut cycle and short-term skills — diaphragmatic breathing protocol and symptom/food diary setupExplain de stress-gut feedback loop an how arousal worsen GI symptoms. Teach diaphragmatic breathing, brief relaxation skills, an introduce symptom an food diaries to track triggers, patterns, an early treatment gains.
Teaching the gut–brain interaction modelExplaining the stress–symptom feedback loopDiaphragmatic breathing teaching protocolIntroducing brief in-the-moment calm skillsDesigning symptom and food monitoring toolsAssigning home practice and troubleshootingLesson 10Adaptations for severity and comorbidity: stepped adjustments, extended modules for comorbid anxiety/depression, safety planning for severe avoidanceDetail how to tailor de protocol fi varying symptom severity, comorbid anxiety or depression, an complex risk. Cover stepped-care adjustments, extended modules, an structured safety planning fi severe avoidance.
Stratifying patients by severity levelStepped-care and dose adjustmentsIntegrating anxiety and depression modulesCoordinating with prescribing cliniciansSafety planning for severe avoidanceMonitoring risk and escalation pathways
