Introduction to worry and panic: characteristics of anxiety spirals -- Section one: traditional and new pragmatic approaches to coping strategies -- Early cue detection and prevention -- Self-control desensitization -- Don't panic; don't worry - not! -- Mindfulness as acceptance -- Relaxation -- Better but believable thoughts -- Wanting to be free from anxiety and other cognitive therapy tools -- Section two: negative reinforcement and exposure therapies -- The power of negative reinforcement -- Traditional exposure therapy: in vivo and imaginal exposure -- New directions in exposure therapy: interoceptive exposure, flooding feared thoughts and words, using technology in exposure -- Section three: common characteristics of clients with GAD and panic and how to treat them -- Perfectionism -- People-pleasing -- Procrastination -- Hypochondriasis -- When CBT isn't enough -- Afterword: when CBT is not enough