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Client Homework Page 

Uncertainty = Anxiety 

The Uncertainty Loop 

Uncertain Situation/Trigger
Increase in Negative Assumptions  About the Uncertian Situation/Trigger
Increase in Anxiety About the Uncertian Situaion/Trigger
Decrease in Tolerance for Uncertain Situation/Trigger

Anxiety = Discomfort

The Anxiety Tolerance Loop  

Increase in Anxiety About the Uncertian Situation/Trigger
Increase in Protective Behaviors to Reduce Anxiety
Decrease in Tolerance for Anxiety 

Uncertainty Tolerance Score 

Think about the things and situations that trigger you and make you anxious. How well do you tolerate the uncertainty of those things when you feel they are about to happen?  0 = No tolerance - 10 = High tolerance​​

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Anxiety Tolerance Score 

Think about where you feel your anxiety when you're anxious and how intense it can feel. How well do you tolerate your anxiety when it's at its worst?  0 = No tolerance - 10 = High tolerance​​

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Adaptive Anxiety Therapy Treatment Program

Stage 1: Increase Tolerance to Uncertainty (4 modules)

Stage 1: Objectives

  • Identify core beliefs about uncertainty 

  • Exposure to beliefs

  • Habituate & desensitize to beliefs

  • Neutral & indifferent responses to beliefs

  • Increase tolerance to anxious beliers & uncertianty

Stage 2: Increase Tolerance to Anxiety by Identigying Protective Behaviors (2 modules)

Stage 2: Objectives

  • Identify anxious protective behaviors 

  • Reduce the use of low-level protective behaviors

  • Organize high-level protective behaviors for exposure.

Stage 1: Modules 

Module 1: Past Scary Assumptions

Module 2: Current Scary Assumptions

Module 3: Creating Absolute Beliefs

Module 4: Belief Exposure & Neutralizing

Stage 2: Modules 

Module 5: Tracking Avoidance & Safety Behaviors

Module 6: Tracking Reassurance, Worry & Rumination

Stage 3: Increase Tolerance to Anxiety Through Exposure (6 modules)

Stage 3: Objectives

  • Organize mid-level & high-level protective behaviors.

  • Exposure to removing protective behaviors

  • Replacing protective behaviors with tolerance skills

  • Increase tolerance to anxiety

Stage 4: Uncertianty & Anxiety Tolerance Relapse Plan (1 module)

Stage 4: Objectives

  • Create a detailed plan for how to regain tolerance to uncertainty & anxiety if it decreases after therapy.

  • Move to check-in status

  • End standing appointments

Stage 3: Modules 

Module 7: Creating Behavioral Exposure Hierarchy 

Module 8: Creating & Planning Exposures

Module 9: Low/Medium Exposures & Neutralizing Beliefs

Module 10: Low/Medium Exposure & Opposite Action

Module 11: Medium Exposure & Acceptance Focus

Module 12: High Exposure & Adaptive Anxiety Skills

Stage 4: Module 

Module 13: End Treatment: Relapse Plan

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The Anxiety Treatment Center of West Michigan, PLLC

Email: atc@anxietykalamazoo.com

Phone: 269-359-1873

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