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(p. 77) Session 3 

(p. 77) Session 3
(p. 77) Session 3

Michael W. Otto

and Mark H. Pollack

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date: 26 January 2021

Chapter 5 outlines the third SAM treatment session. The primary goal of this session is to expand the role of interoceptive exposure as a preparation for medication taper. Interoceptive exposure rehearsal with a broader set of sensations is the primary intervention for this goal. All interoceptive exposure practice is placed firmly within the context of learning an alternative response (noticing the sensations and doing nothing to manage them; relaxing with the sensations) to the current panicogenic processing of these symptoms. Review of all home practice (diaphragmatic breathing, relaxation exercises, as well as the core interoceptive exposure homework) is essential to underscore the step-by-step skill acquisition that is at the heart of cognitive-behavioral treatment.

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