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(p. 105) Session 5 

(p. 105) Session 5
(p. 105) Session 5

Michael W. Otto

and Mark H. Pollack

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date: 26 January 2021

Chapter 7 outlines session five of the SAM program. This session continues a focus on transforming the meaning of somatic sensations of anxiety and on ending the fear-of-fear cycle. Patients are provided with additional information to consider in the context of ongoinginteroceptive exposure. In this session, the range of sensations induced in interoceptive exposure is expanded with the use of additional exercises. Likewise, patients are introduced to a model for increasing the tolerability of withdrawal sensations (benzodiazepine flu), as well as conceptualizing withdrawal sensations as a form of interoceptive exposure useful for the management of panic disorder over time.

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