By Louis J. Bevilacqua

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ADDITIONAL HOMEWORK THAT MAY BE APPLICABLE TO AGORAPHOBIA/PANIC • • • • Anxiety Depression Phobias—Specific/Social Phobias—Specific/Social What Happens When I Feel Anxious? My Feelings Journal I Can Picture It Let’s Float with It Page 36 Page 123 Page 207 Page 212 ADDITIONAL PROBLEMS IN WHICH THIS EXERCISE MAY BE USEFUL • • • • Anger Control Problems Anxiety Phobias—Specific/Social Shyness SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT Group members need to be able to apply the strategies that they have learned from the previous exercises to any other anxiety-provoking situation or experience.

For example, one anxiety situation might be walking around the block. The first step may be picturing yourself opening the front door. Step 2 would be picturing yourself spending a few minutes outside on the front step. Step 3 could be imagining yourself walking to the sidewalk. Step 4 could be imagining yourself walking to the corner. Step 5 could be imagining yourself walking halfway around the block. Step 6 could be picturing yourself walking all the way around the block. Constructing your hierarchy should be done in-group and reviewed by your therapist before you try it at home.

Step 2 is the negative and catastrophic thoughts that go through your mind. Step 3 is the avoidance behavior you engage in to decrease the physical symptoms and negative thoughts or the panic attack that result. This exercise is designed to help you break that panic cycle. 1. List the emotional or physical trigger(s) that lead you to feel stress/anxiety. Over the next week, when these or other emotional/physical triggers occur, use the following chart to keep track of what you do (physically and cognitively) and what you can do differently.

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