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Anxiety therapy

GAD, panic, social, OCD, phobias — and the modalities that move them.

What works first-line for each anxiety presentation, the worksheets clients actually fill out, and worked cases that show the formulation.

5 modalities6 disorders11 worksheets5 cases3 client explainers

Modalities

The therapies most relevant to this topic.

Disorders

First-line picks and clinical guidance for the presentations under this topic.

Generalized Anxiety Disorder

Chronic worry across multiple life domains, often with intolerance of uncertainty.

GAD is driven by worry as a strategy — clients believe it prepares or protects them. Treatment targets worry behavior, intolerance of uncertainty, and avoidance, alongside relaxation and metacognitive beliefs about worry itself.

First-line:CBT

Panic Disorder

Recurrent panic attacks plus fear of future attacks; often with agoraphobic avoidance.

Panic is maintained by catastrophic misinterpretation of body sensations (I'm dying, going crazy) and by avoidance/safety behaviors. Interoceptive exposure — deliberately producing the sensations — is the core intervention.

First-line:CBT

Social Anxiety Disorder

Fear of negative evaluation that drives avoidance, safety behaviors, and post-event rumination.

Treatment targets self-focused attention, safety behaviors, and avoidance of feared social situations. Behavioral experiments that drop safety behaviors are more effective than habituation alone.

First-line:CBT

Obsessive-Compulsive Disorder

Intrusive obsessions paired with compulsions that temporarily relieve anxiety and reinforce the loop.

OCD is maintained by the compulsion, not the thought. Treatment that reduces compulsions (overt and mental) breaks the cycle and lets new safety learning form. Medication (SSRIs at higher-than-depression doses) often adjuncts therapy in moderate-to-severe cases.

First-line:ERP

Specific Phobias

Marked, persistent fear of a specific object or situation, with avoidance.

Single-session exposure-based treatment (Öst) achieves clinically meaningful gains in many specific phobias. The active ingredient is exposure with inhibitory learning maximizers.

First-line:CBT · ERP

Health Anxiety

Excessive worry about having a serious illness, checking and reassurance-seeking behaviors.

Treated as an OCD-spectrum / anxiety problem. Cognitive misappraisal of body sensations + checking/reassurance behaviors maintain the disorder. ERP-style work targets the safety behaviors directly.

First-line:CBT · ERP

Worksheets

Free, printable, Quick-Send to clients.

For clients

Plain-language explainers you can share or open together in session.

Worked cases

Anonymized vignettes with formulation across 2–3 modalities.

How-to

Step-by-step walkthroughs.