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(p. 91) Session 4 

(p. 91) Session 4
(p. 91) Session 4

Michael W. Otto

and Mark H. Pollack

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date: 25 January 2021

Chapter 6 discusses the fourth treatment session to stop anxiety medication. This session continues a focus on transforming the meaning of somatic sensations of anxiety. The primary strategy is still interoceptive exposure, but in this session, additional time is devoted to cognitive restructuring and teaching patients about classic thinking errors in anxiety disorders: overestimations of the probability and degree of catastrophe of negative outcomes. Depending on the patient’s focus this week, these skills can be targeted to benzodiazepine withdrawal symptoms or to panic patterns. Again, all interoceptive exposure practice is placed firmly within the context of learning alternatives (noticing the sensations and doing nothing to manage them; relaxing with the sensations) to fearful processing of these symptoms.

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