Lesson 1Session 5: Mindfulness and interoceptive exposure — body scan, focused attention, tolerating visceral sensationsTeaches mind watch skills to see feels without judge and cut react. Covers body check, focus watch, and body sign face to gut feels, stressing willing, wonder, and safe limits.
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 rationaleLists main form choices for GI Resilience Training, including advised amount, meet time, and give way. Tells how to change for online, mix, and group forms while keeping true and safe.
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 measuresCovers start ways, trust build, and danger check. Guides healers in getting gut, body, and mind-social past, giving mind teaching, and together making shared body-mind-social plan and heal 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 avoidanceLooks at rest, body work, and daily ways that change gut signs and strength. Covers rest clean, step work plan, pace ways, and cut hide-rest that keeps no-work.
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 surfingJoins feeling control and take-in ways made for gut pain. Uses ACT-based tries, what matters clear, and urge ride to help patients act on values even with pain and wants.
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 experimentsLooks at finding worst think of gut feels and linked safe actions. Teaches thought change, think notes, and action tests to check guesses and cut sign-worry.
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 exposuresBrings in step face to feared foods, places, and body feels. Guides step list make, meet-face plan, and after-talk to cut hide, safe actions, and worst waits.
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 resourcesGuides hold gains, back-slide stop, and leave plan. Includes own cope plans, early warn signs, boost times, and link to body, mind, and village helps.
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 setupTells the stress-gut back loop and how wake-up makes gut signs worse. Teaches belly breath way, short calm skills, and brings in sign and food notes to follow starts, ways, and early heal wins.
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 avoidanceTells how to fit the plan for different sign badness, other worry or sad sickness, and hard danger. Covers step-care changes, long parts, and set safety plan for bad hide.
Stratifying patients by severity levelStepped-care and dose adjustmentsIntegrating anxiety and depression modulesCoordinating with prescribing cliniciansSafety planning for severe avoidanceMonitoring risk and escalation pathways
