Skip to main content
Home
  • Healthcare
    • Specialties
      • Cardiovascular Care
      • Oncology
      • Neurosurgery
      • Primary Care
      • View All Specialties >
    • For Health Professionals
      • Refer a Patient
      • Clinical Trials
      • Professional Development
      • View All >
    • For Patients & Visitors
      • MyChart Login
      • Accepted Insurance
      • Pay My Bill
      • Patient Information
      • View All >
    • Clinical Trials
      • Autism
      • Cancer
      • Obesity
      • Substance Abuse
      • View All Clinical Trials >
    • Find a Doctor
    • Make an Appointment

    General Inquiries

    Call today to schedule an appointment or fill out an online request form. If requested before 2 p.m. you will receive a response today.

    CALL

    713-798-1000

    Monday – Friday 8 a.m. – 5 p.m.


    ONLINE

    Request Now

    Request non-urgent appointments

    Request an appointment, learn about your rights as a patient, read about what to expect from your appointment, and more.

    As Houston's premier academic medical practice, Baylor Medicine delivers compassionate, innovative, evidence-based care.
    Find a Doctor

  • Education
    • Degree Programs & Admissions
      • M.D. Program
      • Ph.D. Programs
      • DNP Program (Nurse Anesthesia)
      • Genetic Counseling Program
      • P.A. Program
      • Orthotics & Prosthetics Program
      • Baccalaureate/M.D. Programs
      • Dual Degree Programs
      • View All Programs >
    • Financing Your Education
      • Tuition & Fees
      • Financial Aid
      • CARES ACT
    • Schools
      • School of Medicine
      • Graduate School of Biomedical Sciences
      • National School of Tropical Medicine
      • School of Health Professions
    • Advanced Training Programs
      • Residency Programs
      • Clinical Fellowships
      • Postdoctoral Research Positions
      • Continuing Professional Development
      • Diploma in Tropical Medicine
      • View All >
    • Resources
      • Departments
      • Academic Centers
      • Academic Calendars
      • Education Cores
      • View All >
    • Information For...
      • Students
      • Postdoctoral Researchers
      • Faculty
      • Alumni
    get-to-know-houston

    America's fourth-largest city is a great place to live, work, and play. Find out why.
    Get to Know Houston

  • Research
    • Research Offices
      • Advanced Technology Cores
      • Clinical Research
      • Institute for Clinical & Translational Research
      • Office of Research Leadership
      • Research IT
      • Sponsored Programs
    • Research at Baylor
      • Academic Centers
      • Departments
      • Faculty Labs
      • From the Labs
      • News
      • Our Research
      • Research Centers
      • Strategic Research Center
    • Additional Research Services
      • BCM Innovation Institute
      • Service Labs
      • VIICTR
    get-to-know-houston

    America's fourth-largest city is a great place to live, work, and play. Find out why.
    Get to Know Houston

  • Community
    • Healthcare Outreach
      • Community Programs
      • More >
    • Global Outreach
      • Global Health
      • Global Programs >
    • Educational Outreach
      • SMART Program
      • BioEd Online
      • More >
    • General Resources
      • Community Events
      • News
      • Blogs
      • Baylor in the Community
    get-to-know-houston

    America's fourth-largest city is a great place to live, work, and play. Find out why.
    Get to Know Houston

  • About
    • About Us
      • Academic Centers
      • Alumni
      • Careers
      • Departments
      • Giving
      • Leadership
      • Mission, Vision, Values
      • News
      • Our Affiliates
      • Fast Facts
      • Accreditation
    • Offices
      • President's Office
      • Office of Research
      • Ombuds Office
      • BCM Innovation Institute
      • View All >
    • Our Campus
      • Compliance
      • Safety and Security
      • Resource Stewardship & Sustainability
      • Team Shop
      • Find a Person
    get-to-know-houston

    America's fourth-largest city is a great place to live, work, and play. Find out why.
    Get to Know Houston

  • GIVE
  • CAREERS
  • INTRANET
  • Careers
  • Contact Us
  • News
LUNA (Learning to Understand and Navigate Anxiety)
  • Caregiver Modules
  • Child Modules
  • Teen Modules
  • Teen Caregiver Modules
  • ASTRO Teen Modules
  • ASTRO Teen Caregiver Modules
  • Caregiver Modules
  • Child Modules
  • Teen Modules
  • Teen Caregiver Modules
  • ASTRO Teen Modules
  • ASTRO Teen Caregiver Modules
  1. Baylor College of Medicine
  2. Research
  3. Faculty Labs
  4. LUNA (Learning to Understand and Navigate Anxiety)
  5. ASTRO Teen Caregiver Modules
  6. ASTRO Module 3: The Avoidance Cycle and Quick Fixes
  • Caregiver Modules
    • Module 1: About LUNA, Anxiety and Your Child's Goals
      • Design of LUNA
      • Structure of our Treatment Program
      • What is Anxiety?
      • Supplemental Information for Autism: Understanding Anxiety in Autistic Children
      • When Does Anxiety Become a Problem?
      • Anxiety or Something Else
      • My Child's Anxiety
      • Setting Goals
      • Summary
    • Module 2: Learning How to Identify Anxiety and Motivate your Child
      • What is Anxiety is Made of?
      • Measuring How Anxious You Are
      • LUNA Rewards System
      • Brave Bucks with a Rewards Menu
      • Direct Rewards
      • Direct Rewards, Brave Bucks, or both?
      • Summary
    • Module 3: The Avoidance Cycle and Fix-Its
      • What Are Quick Fixes?
      • Accommodation of Anxiety Behaviors
      • Congratulations!
    • Module 4: Facing our Fears - Preparing for Mission Plans
      • Avoidance versus Exposure
      • Creating Mission Plans
      • Select a Target Fear
      • Supplemental Information for Autism: Choosing mission plans
      • Specific Mission Plan Goal
      • Mission Plan Steps
      • Assign Anxiety Ratings
      • Make a Rewards Plan
      • Summary
    • Module 5: Executing Mission Plans
      • Plan Your Practice
      • Monitor Progress
      • Repeat Steps of your Mission Plan while also Mixing it Up
      • Debrief After Mission Plan Practice
      • Forms to use When Completing Mission Plans
      • Troubleshooting Mission Plans
      • Summary
    • Module 6: Learning Coping Skills to Manage Anxiety
      • What are Coping Skills? 
      • Relaxation and Mindfulness Skills
      • Other Mindfulness Exercises
      • Choosing your Coping Tools
      • Supplemental Information for Autism: Self-Stimulating Behaviors or "Stimming" as Coping
      • How to Approach Coping Practice
      • A Note on Coping Skills and Exposure Therapy (Facing Fears)
      • Summary
    • Module 7: Testing Expectations during Mission Plans
      • Changing expectations through mission plans
      • Experiencing Feared Consequences
      • Reflecting after doing mission plan activities
      • Summary
    • Module 8: Social Coaching
      • Social Skills
      • Supplemental Information for Autism: Social Coaching
      • Handling Bullying
      • Social Coaching Instructions
      • Social Coaching Example
      • Planning a Social Coaching Mission Plan Step
      • Summary
    • Module 9: Mission Plans for Autism-Related Anxiety
      • Targeting Anxiety Related to Sensory Sensitivity
      • Example of a mission plan with sensory components
      • Making Mission Plans Gradual for Anxiety Related to Features of Autism
      • Example of a mission plan with insistence on sameness and wanting to stick to routines
      • Your Turn to Practice
      • Caregivers Module 9 Summary
    • Module 10: Parenting Strategies for Managing Challenging Behavior
      • How Behaviors are Learned: The ABC Model
      • Supplemental Information for Autism: How Behaviors are Learned
      • Managing Challenging Behaviors by Focusing on Antecedents
      • How to use prevention strategies
      • Caregivers Module 10 Summary
    • Module 11: Managing Multiple Mission Plans
      • When to work on multiple mission plans? - Neil's example
      • When to work on multiple mission plans? - Sally's example
      • Managing multiple mission plans
      • Challenging feared expectations during mission plans
      • Caregivers Module 11 Summary
    • Module 12: Reviewing Your Progress and Planning for the Future
      • Planning for the Future
      • Planning for Anxiety Flares
      • Escalations in Anxiety
      • Finding Future Treatment
      • Supplemental Information for Autism and Special Education: Other Helpful Resources
      • Checking in with YOU
      • Caregivers Module 12 Summary
  • Child Modules
    • Module 1: About LUNA
      • Meet Sally and Neil!
      • What will I do in LUNA?
      • Knowing My Anxiety
      • LUNA Goals
      • Congratulations!
    • Module 2: How do I know when I’m anxious? How do I get my rewards?
      • Knowing how anxious you are using the anxiety scale
      • LUNA Rewards
      • Becoming an Astronaut
      • Congratulations!
    • Module 3: The Avoidance Cycle and Fix-Its
      • Fix-Its
      • ASTRO: The OCD Cycle
      • Congratulations!
    • Module 4: Learning About Mission Plans
      • What is Exposure?
      • Making a Mission Plan
      • Congratulations!
    • Module 5: Doing Mission Plans
      • Planning Practice
      • Practicing Mission Plan Steps
      • Congratulations!
    • Module 6: Coping with Anxiety
      • Deep Breathing
      • Mindfulness
      • Coping Skills Cards
      • Choosing your Coping Tools
      • Congratulations!
    • Module 7: Testing Expectations during Mission Plans
      • Challenging “stinking thinking” during mission plans
      • Congratulations!
    • Modules 8-10: Making Mission Plans Work Better
    • Module 11: Working on More Than One Mission Plan
      • Mission Plan Steps
      • Congratulations!
    • Module 12: Reviewing Your Progress and Planning for the Future
      • When You Start to Feel More Anxious or Afraid
      • Congratulations!
  • Teen Modules
    • Module 1: About LUNA
      • Knowing My Anxiety
      • Setting Goals
      • Congratulations!
    • Module 2: Identifying Anxiety and Staying Motivated
      • Introducing the Anxiety Intensity Scale
      • Getting Motivated
      • Congratulations!
    • Module 3: The Avoidance Cycle and Quick Fixes
      • Congratulations!
    • Module 4: Your Plan of Action
      • Making a Plan of Action
      • Congratulations!
    • Module 5: Completing Your Plan of Action
      • Practicing Your Exposure Activities
      • Congratulations!
    • Module 6: Coping with Anxiety
      • Example Coping Skills
      • Choosing Your Coping Tools
      • Congratulations!
    • Module 7: Challenging Our Expectations
      • Challenging Anxious Thoughts
      • Congratulations!
    • Module 8: Social Barriers and Social Skills
      • Social Skills
      • Handling Bullying and Rejection
      • Practicing Social Skills
      • Congratulations!
    • Module 9: When Anxiety Overlaps with Autism
      • Autism and Anxiety
      • Example Plans of Action
      • Congratulations!
    • Module 10: Managing More Than One Plan of Action
      • Are You Ready for a New Plan of Action?
      • Tips for Managing Multiple Plans of Action
      • Congratulations!
    • Module 11: Maintaining Progress
      • Congratulations!
    • Module 12: Planning for the Future
      • When You Start to Feel Anxious
      • Congratulations!
  • Teen Caregiver Modules
    • Module 1: About LUNA
      • More About Anxiety
      • Is My Child’s Behavior Due to Anxiety?
      • Your Child’s Anxiety
      • Congratulations!
    • Module 2: Identifying Anxiety and Staying Motivated
      • Different Aspects of Anxiety
      • Introducing the Anxiety Intensity Scale
      • Pros and Cons of Making a Change – Getting Motivated!
      • Congratulations!
    • Module 3: The Avoidance Cycle and Quick Fixes
      • What Are Quick Fixes?
      • Accommodation of Anxiety Behaviors
      • Congratulations!
    • Module 4: Your Plan of Action
      • Steps for Making a Plan of Action
      • Congratulations!
    • Module 5: Completing Your Plan of Action
      • Practicing Exposure Activities
      • During Exposure Activity Practice
      • After Practices
      • Troubleshooting
      • Congratulations!
    • Module 6: Coping with Anxiety
      • Example Coping Skills
      • Choosing Coping Tools
      • Congratulations!
    • Module 7: Challenging Our Expectations
      • Challenging Anxious Thoughts
      • Experiencing Feared Consequences & Accepting Uncertainty
      • Congratulations!
    • Module 8: Social Barriers and Social Skills
      • Social Skills
      • Social Coaching
      • Congratulations!
    • Module 9: When Anxiety Overlaps with Autism
      • Anxiety Related to Autism
      • Example Plans of Action
      • Congratulations!
    • Module 10: Managing More Than One Plan of Action
      • Is Your Child Ready for a New Plan of Action?
      • Tips for Managing Multiple Plans of Action
      • Notes About Oppositional Behavior
      • Congratulations!
    • Module 11: Maintaining Progress
      • Congratulations!
    • Module 12: Planning for the Future
      • Thinking About the Future
      • Anxiety Flares and Escalations
      • Finding Future Treatment and Resources
      • Congratulations!
  • ASTRO Teen Modules
    • ASTRO Module 1: About LUNA
      • ASTRO: Knowing My Anxiety
      • ASTRO: Setting Goals
      • Congratulations!
    • ASTRO Module 2: Identifying Anxiety and Staying Motivated
      • ASTRO: Introducing the Anxiety Intensity Scale
      • ASTRO: Getting Motivated
      • Congratulations!
    • ASTRO Module 3: The Avoidance Cycle and Quick Fixes
      • Congratulations!
    • ASTRO Module 4: Your Plan of Action
      • ASTRO Making a Plan of Action
      • Congratulations!
    • ASTRO Module 5: Completing Your Plan of Action
      • ASTRO: Practicing Your Exposure Activities
      • Congratulations!
    • ASTRO Module 6: Coping with Anxiety
      • ASTRO: Example Coping Skills
      • ASTRO: Choosing Your Coping Tools
      • Congratulations!
    • ASTRO Module 7: Challenging Our Expectations
      • ASTRO: Challenging Anxious Thoughts
      • Congratulations!
    • ASTRO Module 8: Social Barriers and Social Skills
      • ASTRO: Social Skills
      • ASTRO: Handling Bullying and Rejection
      • ASTRO: Practicing Social Skills
      • Congratulations!
    • ASTRO Module 9: When Anxiety Overlaps with Autism
      • ASTRO: Autism and Anxiety
      • ASTRO: Example Plans of Action
      • Congratulations!
    • ASTRO Module 10: Managing More Than One Plan of Action
      • ASTRO: Are You Ready for a New Plan of Action?
      • ASTRO: Tips for Managing Multiple Plans of Action
      • Congratulations!
    • ASTRO: Module 11: Maintaining Progress
      • Congratulations!
    • ASTRO: Module 12: Planning for the Future
      • ASTRO: When You Start to Feel Anxious
      • Congratulations!
  • ASTRO Teen Caregiver Modules
    • ASTRO Module 1: About LUNA
      • ASTRO: More About Anxiety
      • ASTRO: Is My Child’s Behavior Due to Anxiety?
      • ASTRO: Your Child’s Anxiety
      • Congratulations!
    • ASTRO Module 2: Identifying Anxiety and Staying Motivated
      • ASTRO: Different Aspects of Anxiety
      • ASTRO: Introducing the Anxiety Intensity Scale
      • ASTRO: Pros and Cons of Making a Change – Getting Motivated!
      • Congratulations!
    • ASTRO Module 3: The Avoidance Cycle and Quick Fixes
      • ASTRO: What Are Quick Fixes?
      • ASTRO: Accommodation of Anxiety Behaviors
      • Congratulations!
    • ASTRO Module 4: Your Plan of Action
      • ASTRO: Steps for Making a Plan of Action
      • Congratulations!
    • ASTRO Module 5: Completing Your Plan of Action
      • ASTRO: Practicing Exposure Activities
      • ASTRO: During Exposure Activity Practice
      • ASTRO: After Practices
      • ASTRO: Troubleshooting
      • Congratulations!
    • ASTRO Module 6: Coping with Anxiety
      • ASTRO: Example Coping Skills
      • ASTRO: Choosing Coping Tools
      • Congratulations!
    • ASTRO Module 7: Challenging Our Expectations
      • ASTRO: Challenging Anxious Thoughts
      • ASTRO: Experiencing Feared Consequences & Accepting Uncertainty
      • Congratulations!
    • ASTRO Module 8: Social Barriers and Social Skills
      • ASTRO: Social Skills
      • ASTRO: Social Coaching
      • Congratulations!
    • ASTRO Module 9: When Anxiety Overlaps with Autism
      • ASTRO: Anxiety Related to Autism
      • ASTRO: Example Plans of Action
      • Congratulations!
    • ASTRO Module 10: Managing More Than One Plan of Action
      • ASTRO: Is Your Child Ready for a New Plan of Action?
      • ASTRO: Tips for Managing Multiple Plans of Action
      • ASTRO: Notes About Oppositional Behavior
      • Congratulations!
    • ASTRO Module 11: Maintaining Progress
      • Congratulations!
    • ASTRO Module 12: Planning for the Future
      • ASTRO: Thinking About the Future
      • ASTRO: Anxiety Flares and Escalations
      • ASTRO: Finding Future Treatment and Resources
      • Congratulations!

ASTRO Module 3: The Avoidance Cycle and Quick Fixes

Welcome to the third module of LUNA! This week, you will learn more about avoidance and about why avoiding things that cause anxiety will not help your child overcome their fears. You will also learn about behaviors that we call “quick fixes” which can also make it harder to overcome anxiety.  

You will spend about 30 minutes reading, watching videos, and doing activities. We encourage you to take breaks and come back to the material as much as you need. Remember, your child will also have readings, videos, and worksheets to complete in their own modules, which can be done on their own or with your support.

Previously on LUNA…

Over the last two weeks, you and your child: 

  1. Learned that anxiety is a normal emotion everyone has, and a healthy amount of anxiety keeps us safe. The LUNA program is for kids and teens who feel too much anxiety too often or experience anxiety in situations where it isn’t helpful.
  2. Learned about the three parts of anxiety: The physical aspect (heart beating fast, sweating), anxious thoughts (expecting something bad to happen), and behaviors (avoiding feared situations).
  3. Set goals for the program.
  4. Brainstormed ways to keep your child feeling motivated and supported throughout this journey. 

The Behavior Aspect of the CBT Triangle- The Avoidance Cycle

Last week, your child learned about identifying anxiety and other emotions by noticing how their body feels and by paying attention to their thoughts and behaviors. This week, we will focus more on the behavior aspect of anxiety by looking at the connection between your child’s anxiety and their actions.

It’s only natural for your child to avoid things that make them anxious, but avoidance will not help them overcome anxiety in the long run. Avoidance usually creates a cycle that makes anxiety worse over time. If your child avoids a feared situation over and over again, this will reinforce their fear, making it stronger each time they do not face their anxiety. Repeated avoidance will not give them the opportunity to learn anything new about their fears. It can trick your child into thinking that feared outcomes are more likely to happen, causing them to continue to avoid their fears. 

Watch the video below to learn more about the avoidance cycle:

Sometimes when we encounter challenging situations, it’s easier to avoid them than to face them. Some difficult emotions – like anxiety, fear, or worry – stick around or get worse because of this. It’s natural to avoid things that challenge us.    

Sophia’s new friend Bethany asks Sophia if she wants to go to anime club after school. Sophia loves anime, but this would disrupt her normal routine of going home right after school, changing her clothes, and watching anime. This makes her feel anxious and she wants to avoid changing her routine, so she decides not to go. It makes her feel a little better at first knowing she can do her normal routine, but she’s also disappointed that she didn’t hang out with Bethany. Sophia’s avoidance does not help her overcome her anxiety. In fact, Sophia ends up doubting her ability to handle any future changes in her routine. Let’s look at Sophia’s avoidance cycle to see how this happens. The cycle is triggered by Bethany’s invitation to go to anime club after school. Because of this, Sophia’s starts worrying about the possibility of changing her routine. This thought makes Sophia anxious. Because of her anxiety, Sophia avoids changing her routine to hang out with Bethany. Avoidance makes Sophia feel better at first. But Sophia never learns that she can handle changing her routine to do the things she wants to do.

George sees the new kid at school, Jerry, reading a medieval book and wants to talk to him. George always wants to connect with people who are also interested in medieval times, but he is anxious he won’t know what to say or will act awkwardly, so he avoids talking to Jerry. It makes him feel better at first knowing that he will not embarrass himself, but it also makes him sad that he didn’t get to become friends with Jerry. George didn’t get the chance to learn that talking to new people can be exciting and rewarding, and not as scary as it seems. He also didn’t get to learn that he has the ability to socialize and make friends if he reaches out to others. Let's look at this cycle to see how avoidance makes George's anxiety worse over time. The cycle starts with George’s interest in becoming friends with Jerry. George starts to think that he will embarrass himself if he talks to Jerry. This thought makes him anxious. So, George avoids talking to Jerry. This makes George less anxious at first, but he never gets to learn that he can face his fear of embarrassment in order to make new friends.

Sophia has a big math test coming up, and she’s scared she’s going to fail the test. This makes her feel so nervous that she procrastinates studying for her test by drawing comics for hours. This makes her feel a little less nervous, but because she’s not studying, she worries again that she’s going to fail the test, and the cycle continues. If Sophia had tried to study, she could have learned that even though studying is hard and makes her feel anxious, she can handle it. Plus, she would have felt prepared for the test. Let's see how Sophia's avoidance stops her from overcoming her anxiety. First, Sophia encounters a trigger- remembering that the math test is just a few days away. Sophia starts worrying that she will fail the test. This thought makes Sophia anxious. Sophia avoids studying so that she does not have to face her anxiety about the test. This makes her feel better at first, but when Sophia is forced to think about the test again, she feels even more anxious. It’s natural to avoid things that are hard for us, but we will work on overcoming this cycle! 

As you can see, it is important for your child to work on breaking out of these avoidance cycles by changing their actions when they are anxious. This is exactly what we will be focusing on in the LUNA program! We will teach you how to help your child identify and break out of these patterns. 

To get more familiar with avoidance, let's take a look at some more Avoidance Cycle Examples.

Then, go ahead and take a look at the list of common avoidance behaviors: 

List of Common Avoidance Behaviors:

  • Not talking or interacting with others
  • Canceling plans with others or missing events
  • Isolating yourself by staying in your room or by not leaving the house
  • Procrastinating on things you need to do like assignments or chores because of anxiety
  • Refusing to do things or put yourself in certain situations because of anxiety
  • Distracting yourself from things that make you anxious

Anxiety and Avoidance

As we have mentioned before, anxiety can be a very helpful emotion in certain situations. Anxiety is also a natural emotion which means that everyone gets anxious sometimes, and that's okay! But anxiety can be unhelpful if it is too intense or if your child experiences it in situations that are not really dangerous.  

Just like anxiety, avoidance can also be helpful and necessary to keep us safe. However, avoidance is usually only helpful in situations that are truly and immediately dangerous. For example, if your child is feeling anxious because of a tornado warning in your area, it may be necessary for them to avoid going outside and to stay in a safe location. Also, if your child is trying to overcome their fear of dogs, but they know that the neighbor’s dog often bites and attacks people, it would still be helpful for your child to avoid the neighbor’s dog to keep themselves safe. 

Remember, if your child experiences too much anxiety that stops them from doing things that they want to do, then avoiding things that make them anxious will only make the anxiety worse. But it’s important to know that both avoidance and anxiety can be helpful in dangerous situations. You can identify helpful vs. unhelpful avoidance by assessing whether an avoidant behavior is realistically necessary for protecting your child’s safety and wellbeing.

Next Page: What Are Quick Fixes?
LUNA (Learning to Understand and Navigate Anxiety)
  • Caregiver Modules
    • Module 1: About LUNA, Anxiety and Your Child's Goals
      • Design of LUNA
      • Structure of our Treatment Program
      • What is Anxiety?
      • Supplemental Information for Autism: Understanding Anxiety in Autistic Children
      • When Does Anxiety Become a Problem?
      • Anxiety or Something Else
      • My Child's Anxiety
      • Setting Goals
      • Summary
    • Module 2: Learning How to Identify Anxiety and Motivate your Child
      • What is Anxiety is Made of?
      • Measuring How Anxious You Are
      • LUNA Rewards System
      • Brave Bucks with a Rewards Menu
      • Direct Rewards
      • Direct Rewards, Brave Bucks, or both?
      • Summary
    • Module 3: The Avoidance Cycle and Fix-Its
      • What Are Quick Fixes?
      • Accommodation of Anxiety Behaviors
      • Congratulations!
    • Module 4: Facing our Fears - Preparing for Mission Plans
      • Avoidance versus Exposure
      • Creating Mission Plans
      • Select a Target Fear
      • Supplemental Information for Autism: Choosing mission plans
      • Specific Mission Plan Goal
      • Mission Plan Steps
      • Assign Anxiety Ratings
      • Make a Rewards Plan
      • Summary
    • Module 5: Executing Mission Plans
      • Plan Your Practice
      • Monitor Progress
      • Repeat Steps of your Mission Plan while also Mixing it Up
      • Debrief After Mission Plan Practice
      • Forms to use When Completing Mission Plans
      • Troubleshooting Mission Plans
      • Summary
    • Module 6: Learning Coping Skills to Manage Anxiety
      • What are Coping Skills? 
      • Relaxation and Mindfulness Skills
      • Other Mindfulness Exercises
      • Choosing your Coping Tools
      • Supplemental Information for Autism: Self-Stimulating Behaviors or "Stimming" as Coping
      • How to Approach Coping Practice
      • A Note on Coping Skills and Exposure Therapy (Facing Fears)
      • Summary
    • Module 7: Testing Expectations during Mission Plans
      • Changing expectations through mission plans
      • Experiencing Feared Consequences
      • Reflecting after doing mission plan activities
      • Summary
    • Module 8: Social Coaching
      • Social Skills
      • Supplemental Information for Autism: Social Coaching
      • Handling Bullying
      • Social Coaching Instructions
      • Social Coaching Example
      • Planning a Social Coaching Mission Plan Step
      • Summary
    • Module 9: Mission Plans for Autism-Related Anxiety
      • Targeting Anxiety Related to Sensory Sensitivity
      • Example of a mission plan with sensory components
      • Making Mission Plans Gradual for Anxiety Related to Features of Autism
      • Example of a mission plan with insistence on sameness and wanting to stick to routines
      • Your Turn to Practice
      • Caregivers Module 9 Summary
    • Module 10: Parenting Strategies for Managing Challenging Behavior
      • How Behaviors are Learned: The ABC Model
      • Supplemental Information for Autism: How Behaviors are Learned
      • Managing Challenging Behaviors by Focusing on Antecedents
      • How to use prevention strategies
      • Caregivers Module 10 Summary
    • Module 11: Managing Multiple Mission Plans
      • When to work on multiple mission plans? - Neil's example
      • When to work on multiple mission plans? - Sally's example
      • Managing multiple mission plans
      • Challenging feared expectations during mission plans
      • Caregivers Module 11 Summary
    • Module 12: Reviewing Your Progress and Planning for the Future
      • Planning for the Future
      • Planning for Anxiety Flares
      • Escalations in Anxiety
      • Finding Future Treatment
      • Supplemental Information for Autism and Special Education: Other Helpful Resources
      • Checking in with YOU
      • Caregivers Module 12 Summary
  • Child Modules
    • Module 1: About LUNA
      • Meet Sally and Neil!
      • What will I do in LUNA?
      • Knowing My Anxiety
      • LUNA Goals
      • Congratulations!
    • Module 2: How do I know when I’m anxious? How do I get my rewards?
      • Knowing how anxious you are using the anxiety scale
      • LUNA Rewards
      • Becoming an Astronaut
      • Congratulations!
    • Module 3: The Avoidance Cycle and Fix-Its
      • Fix-Its
      • ASTRO: The OCD Cycle
      • Congratulations!
    • Module 4: Learning About Mission Plans
      • What is Exposure?
      • Making a Mission Plan
      • Congratulations!
    • Module 5: Doing Mission Plans
      • Planning Practice
      • Practicing Mission Plan Steps
      • Congratulations!
    • Module 6: Coping with Anxiety
      • Deep Breathing
      • Mindfulness
      • Coping Skills Cards
      • Choosing your Coping Tools
      • Congratulations!
    • Module 7: Testing Expectations during Mission Plans
      • Challenging “stinking thinking” during mission plans
      • Congratulations!
    • Modules 8-10: Making Mission Plans Work Better
    • Module 11: Working on More Than One Mission Plan
      • Mission Plan Steps
      • Congratulations!
    • Module 12: Reviewing Your Progress and Planning for the Future
      • When You Start to Feel More Anxious or Afraid
      • Congratulations!
  • Teen Modules
    • Module 1: About LUNA
      • Knowing My Anxiety
      • Setting Goals
      • Congratulations!
    • Module 2: Identifying Anxiety and Staying Motivated
      • Introducing the Anxiety Intensity Scale
      • Getting Motivated
      • Congratulations!
    • Module 3: The Avoidance Cycle and Quick Fixes
      • Congratulations!
    • Module 4: Your Plan of Action
      • Making a Plan of Action
      • Congratulations!
    • Module 5: Completing Your Plan of Action
      • Practicing Your Exposure Activities
      • Congratulations!
    • Module 6: Coping with Anxiety
      • Example Coping Skills
      • Choosing Your Coping Tools
      • Congratulations!
    • Module 7: Challenging Our Expectations
      • Challenging Anxious Thoughts
      • Congratulations!
    • Module 8: Social Barriers and Social Skills
      • Social Skills
      • Handling Bullying and Rejection
      • Practicing Social Skills
      • Congratulations!
    • Module 9: When Anxiety Overlaps with Autism
      • Autism and Anxiety
      • Example Plans of Action
      • Congratulations!
    • Module 10: Managing More Than One Plan of Action
      • Are You Ready for a New Plan of Action?
      • Tips for Managing Multiple Plans of Action
      • Congratulations!
    • Module 11: Maintaining Progress
      • Congratulations!
    • Module 12: Planning for the Future
      • When You Start to Feel Anxious
      • Congratulations!
  • Teen Caregiver Modules
    • Module 1: About LUNA
      • More About Anxiety
      • Is My Child’s Behavior Due to Anxiety?
      • Your Child’s Anxiety
      • Congratulations!
    • Module 2: Identifying Anxiety and Staying Motivated
      • Different Aspects of Anxiety
      • Introducing the Anxiety Intensity Scale
      • Pros and Cons of Making a Change – Getting Motivated!
      • Congratulations!
    • Module 3: The Avoidance Cycle and Quick Fixes
      • What Are Quick Fixes?
      • Accommodation of Anxiety Behaviors
      • Congratulations!
    • Module 4: Your Plan of Action
      • Steps for Making a Plan of Action
      • Congratulations!
    • Module 5: Completing Your Plan of Action
      • Practicing Exposure Activities
      • During Exposure Activity Practice
      • After Practices
      • Troubleshooting
      • Congratulations!
    • Module 6: Coping with Anxiety
      • Example Coping Skills
      • Choosing Coping Tools
      • Congratulations!
    • Module 7: Challenging Our Expectations
      • Challenging Anxious Thoughts
      • Experiencing Feared Consequences & Accepting Uncertainty
      • Congratulations!
    • Module 8: Social Barriers and Social Skills
      • Social Skills
      • Social Coaching
      • Congratulations!
    • Module 9: When Anxiety Overlaps with Autism
      • Anxiety Related to Autism
      • Example Plans of Action
      • Congratulations!
    • Module 10: Managing More Than One Plan of Action
      • Is Your Child Ready for a New Plan of Action?
      • Tips for Managing Multiple Plans of Action
      • Notes About Oppositional Behavior
      • Congratulations!
    • Module 11: Maintaining Progress
      • Congratulations!
    • Module 12: Planning for the Future
      • Thinking About the Future
      • Anxiety Flares and Escalations
      • Finding Future Treatment and Resources
      • Congratulations!
  • ASTRO Teen Modules
    • ASTRO Module 1: About LUNA
      • ASTRO: Knowing My Anxiety
      • ASTRO: Setting Goals
      • Congratulations!
    • ASTRO Module 2: Identifying Anxiety and Staying Motivated
      • ASTRO: Introducing the Anxiety Intensity Scale
      • ASTRO: Getting Motivated
      • Congratulations!
    • ASTRO Module 3: The Avoidance Cycle and Quick Fixes
      • Congratulations!
    • ASTRO Module 4: Your Plan of Action
      • ASTRO Making a Plan of Action
      • Congratulations!
    • ASTRO Module 5: Completing Your Plan of Action
      • ASTRO: Practicing Your Exposure Activities
      • Congratulations!
    • ASTRO Module 6: Coping with Anxiety
      • ASTRO: Example Coping Skills
      • ASTRO: Choosing Your Coping Tools
      • Congratulations!
    • ASTRO Module 7: Challenging Our Expectations
      • ASTRO: Challenging Anxious Thoughts
      • Congratulations!
    • ASTRO Module 8: Social Barriers and Social Skills
      • ASTRO: Social Skills
      • ASTRO: Handling Bullying and Rejection
      • ASTRO: Practicing Social Skills
      • Congratulations!
    • ASTRO Module 9: When Anxiety Overlaps with Autism
      • ASTRO: Autism and Anxiety
      • ASTRO: Example Plans of Action
      • Congratulations!
    • ASTRO Module 10: Managing More Than One Plan of Action
      • ASTRO: Are You Ready for a New Plan of Action?
      • ASTRO: Tips for Managing Multiple Plans of Action
      • Congratulations!
    • ASTRO: Module 11: Maintaining Progress
      • Congratulations!
    • ASTRO: Module 12: Planning for the Future
      • ASTRO: When You Start to Feel Anxious
      • Congratulations!
  • ASTRO Teen Caregiver Modules
    • ASTRO Module 1: About LUNA
      • ASTRO: More About Anxiety
      • ASTRO: Is My Child’s Behavior Due to Anxiety?
      • ASTRO: Your Child’s Anxiety
      • Congratulations!
    • ASTRO Module 2: Identifying Anxiety and Staying Motivated
      • ASTRO: Different Aspects of Anxiety
      • ASTRO: Introducing the Anxiety Intensity Scale
      • ASTRO: Pros and Cons of Making a Change – Getting Motivated!
      • Congratulations!
    • ASTRO Module 3: The Avoidance Cycle and Quick Fixes
      • ASTRO: What Are Quick Fixes?
      • ASTRO: Accommodation of Anxiety Behaviors
      • Congratulations!
    • ASTRO Module 4: Your Plan of Action
      • ASTRO: Steps for Making a Plan of Action
      • Congratulations!
    • ASTRO Module 5: Completing Your Plan of Action
      • ASTRO: Practicing Exposure Activities
      • ASTRO: During Exposure Activity Practice
      • ASTRO: After Practices
      • ASTRO: Troubleshooting
      • Congratulations!
    • ASTRO Module 6: Coping with Anxiety
      • ASTRO: Example Coping Skills
      • ASTRO: Choosing Coping Tools
      • Congratulations!
    • ASTRO Module 7: Challenging Our Expectations
      • ASTRO: Challenging Anxious Thoughts
      • ASTRO: Experiencing Feared Consequences & Accepting Uncertainty
      • Congratulations!
    • ASTRO Module 8: Social Barriers and Social Skills
      • ASTRO: Social Skills
      • ASTRO: Social Coaching
      • Congratulations!
    • ASTRO Module 9: When Anxiety Overlaps with Autism
      • ASTRO: Anxiety Related to Autism
      • ASTRO: Example Plans of Action
      • Congratulations!
    • ASTRO Module 10: Managing More Than One Plan of Action
      • ASTRO: Is Your Child Ready for a New Plan of Action?
      • ASTRO: Tips for Managing Multiple Plans of Action
      • ASTRO: Notes About Oppositional Behavior
      • Congratulations!
    • ASTRO Module 11: Maintaining Progress
      • Congratulations!
    • ASTRO Module 12: Planning for the Future
      • ASTRO: Thinking About the Future
      • ASTRO: Anxiety Flares and Escalations
      • ASTRO: Finding Future Treatment and Resources
      • Congratulations!

Follow Us facebook twitter youtube linkedin instagram rss 

Footer Menu Healthcare

  • Healthcare
    • Specialties
    • MyChart Login
    • For Patients & Visitors
    • For Health Professionals
    • Clinical Trials
    • Find a Physician

Footer Menu Education

  • Education
    • Programs & Admissions
    • Student & Trainee Resources
    • Faculty Resources
    • School of Medicine
    • Graduate School of Biomedical Sciences
    • National School of Tropical Medicine
    • School of Health Professions
    • Tuition & Fees
    • Financial Aid

Footer Menu Research

  • Research
    • Our Research
    • Core Labs
    • Faculty Labs
    • Research Centers
    • Research Offices

Footer Menu Community

  • Community
    • Healthcare Outreach
    • Education Outreach
    • Global Programs
    • Community Events

Footer Menu About

  • About
    • Our Campus
    • Departments
    • Academic Centers
    • Administrative Offices
    • Affiliates
    • Leadership
    • Giving
    • Alumni

Footer Menu Resource Links

  • Resource Links
    • Contact Us
    • Find a Person
    • Careers
    • BCM Team Shop
    • News
    • Title IX Office
    • Compliance
    • Covid Response Site

©1998-2026 Baylor College of Medicine® | 1 Baylor Plaza, Houston, Texas 77030 | 713-798-4951
Have an edit or suggestion for this page?

  • Compliance
  • Privacy
  • Intranet