Table 3 Therapy protocol session plan

One

◦ Problem identification, goals, formulation, psychoeducation, worry history outcome

◦ Problem identification, goals, formulation, safety seeking behaviours (SSB), psychoeducation, panic diary

◦ Problem identification, goals, formulation, psychoeducation, socialise to video recording, focus of attention work, anxiety trigger diary

◦ Problem identification, goals, formulation, psychoeducation, problem-specific homework diary

◦ Interoception training

◦ Interoception training

◦ Interoception training

◦ Interoception training

Two

◦ Evidence for beliefs, thought suppression, worry postponement. Worry free zones

◦ Panic diary in formulation, SSB, downward arrow for threat beliefs, selective attention training

◦ Review between session work, identify safety behaviours and avoidance, observer vs. field perspective, attention training

◦ Review homework, socialising to model, belief identification, theory A/theory B

◦ Interoception training.

◦ Interoception training

◦ Interoception training

◦ Interoception training

Three

◦ Diaphragmatic breathing, challenge beliefs, positive behaviour scheduling

◦ Review formulation, BE relating to feared symptoms, symptom-induction, review BE and beliefs, theory A/theory B

◦ Manipulation of self-focused attention, plan and do BE (video/audio).

◦ Review beliefs and SSB, threat versus coping, plan BE

◦ Interoception training

◦ Interoception training

◦ Interoception training

◦ Interoception training

Four

◦ Progressive muscle relaxation, attention training, behavioural experiment (BE)

◦ BE, review beliefs, verbal reattribution, theory A/theory B

◦ BE feedback review, prediction versus outcome, explore feared consequences, BE planning

◦ BE, unhelpful thinking styles psychoeducation/survey work

Five

◦ Introduction of the worry tree, imagery re-scripting.

◦ BE, review beliefs

◦ Review BE and beliefs, survey work

◦ Review BE, review goals and formulation, plan BE, imagery re-scripting

◦ Interoception training

◦ Interoception training

◦ Interoception training

◦ Interoception training

Six

◦ Continue BE, surveys and imagery work continued

◦ BE, review beliefs and imagery

◦ Widening the bandwidth experiments, review BE

◦ Review BE, review goals and formulation, survey/unhelpful thinking styles work

Seven

◦ Continue BE and exploration of beliefs in relation to cognitive formulation

◦ BE, reappraise beliefs, imagery re-scripting

◦ Review BE, imagery re-scripting, function of worry and rumination, BE

◦ Review BE, imagery re-scripting

◦ Interoception training

◦ Interoception training

◦ Interoception training

◦ Interoception training

Eight

◦ Conclusion of therapy, review goals, relapse prevention

◦ Conclusion of therapy, review goals, relapse prevention

◦ Conclusion of therapy, review goals, relapse prevention

◦ Conclusion of therapy, review goals, relapse prevention