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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. Caregiver Modules
  6. Module 12: Reviewing Your Progress and Planning for the Future
  7. Escalations in 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!

Escalations in Anxiety

Progress is not always linear, and sometimes anxiety can increase again. In fact, temporary escalations in anxiety are to be expected. When this happens, it does not mean that you have lost all progress! Although skyrockets in anxiety are often viewed as negative, it is important to think about skyrockets as times to practice and renew habits learned throughout this program so that you can lower your child’s anxiety or bring them back down to Earth. As mentioned throughout this program, the goal is to manage anxiety, because it is impossible to completely get rid of anxiety. Anxiety is a normal part of being a human.

Let’s take some time to look at four common ways in which anxiety can temporarily skyrocket in kids.

Temporary Escalation in Anxiety #1:

Some kids work to manage their anxiety through mission plans, make huge gains in the first few weeks, and the anxiety never escalates again for that situation. However, as they get older and are faced with new situations, their anxiety may escalate, and they will be faced with that all too familiar temptation to avoid the tasks that make them anxious. This is an opportunity for engaging in a new mission plan or generalizing skills already learned to this situation. For example, they may realize that it helps them feel ready if they practice before a presentation and remember that taking 5 deep breaths helps them feel more calm right before.

Bringing Sally’s Anxiety Back Down to Earth:

During the program, Sally worked on managing her anxiety with social gatherings. After completing the program, her anxiety no longer escalates when she must be around other kids at school. However, a year later she is asked to do a presentation on Saturn in front of a large group of classmates, and she becomes very anxious and is tempted to lie to get out of having to give the presentation. Instead of lying to avoid giving the presentation, she takes this as an opportunity to develop a new mission plan for public speaking to manage her fear.

Temporary Escalation in Anxiety #2:

Sometimes anxiety can escalate if we stop practicing skills that help manage fears and worries. For example, maybe Neil started the program during the summer when school was out, and there was more time to work on Mission Plans. However, when school starts up again, things get busy, and weeks go by without practicing the skills. In this case, Neil may notice that his anxiety has escalated again. Neil and his caregiver can take this as an opportunity to go back to the basics of the program and practice the techniques that were working the first time. For example, if the mission plan was working to lower anxiety, then they could try out this mission plan again. But if their schedule is still busy, it would be important to plan out days and times that work best to work on mission plans.

Bringing Neil’s Anxiety Back Down to Earth:

Neil started a mission plan for his fear of the dark during the summer and before space training started. Neil got through the first few phases in the mission plan, and was even starting to sleep alone in his room a few nights a week. However, when space training started, his caregiver got really busy between picking him up from space training, helping with space training homework, and managing family chores around the house. Since things got so busy, Neil and his caregiver stopped the mission plan. Over the next few weeks, Neil’s fear of the dark escalated and he was back to sleeping in his caregiver’s bedroom every night. After several weeks of this, Neil and his caregiver decided to go back to the basics. They pulled out the old mission plan they had created and started from the beginning. Neil and his caregiver also decided to work on the mission plan at 8:30pm every night, which was right around his bedtime. Setting a specific time every night created consistency and made it easier to stick to the mission plan.

Temporary Escalation in Anxiety #3:

Sometimes, anxiety may escalate because of a major life stressor, like a car accident or natural disaster. Life stressors can happen unexpectedly and usually there is little that we can do to prepare for them. When stressful events happen, it is important to not jump into making mission plans right way. Give your child time to adjust to their new situation and make sure they feel supported.

Bringing Sally’s Anxiety Back Down to Earth:

When Sally was in the car with her mom on her way to school, another car ran a red light and hit their family car. When Sally returned home, her mom decided that Sally needed some time to process what happened. Sally and her caregiver both felt very nervous when thinking about driving over the next few days, but they did not jump into mission plan practice right away, because they remembered that it is normal to feel anxious after something really scary happens. After a week or two, however, Sally’s caregiver was ready to drive longer distances, but Sally still refused to get into the car. So, her mom reminded her of the deep breathing skills Sally was already using every day. Sally was able to use this skill to help her process what had occurred before creating a mission plan to get over her fear of getting back into a car.

Take Home:

Bringing your child’s anxiety back down to Earth means having your child practice tolerating anxiety in any situations that cause their anxiety to escalate. The initial reaction to a rise in anxiety may be to avoid the thing or situation that causes anxiety. However, avoidance only temporarily lowers your child’s anxiety. It is more helpful to have your child practice approaching those situations that cause escalations in anxiety. Over time, and with practice, your child will be able to bring their anxiety down to Earth and manage their fears and worries better. The habits that you and your child have developed throughout LUNA will continue to help you. Whenever anxiety starts to get in the way again, remember to keep using them.

Persistent Escalations in Anxiety

Sometimes escalations in anxiety can be more persistent. If you notice that your child is having a persistent escalation in anxiety, it may be time to ask for some extra help from a licensed mental health professional. Just like we don’t want an astronaut permanently skyrocketing into space, we don’t want children to be in a persistent state of anxiety. Even though astronauts have training in skills to prevent them from permanently skyrocketing, sometimes they need a little help from mission control, and that is okay! Reaching out to mission control or a licensed mental health professional does not mean that you have failed. We all need a little help sometimes, and it can be very useful to get another opinion, especially when your child is having trouble bringing down their anxiety.

If this is the case for you, we have included additional information on the next few pages with some resources to find mental health professionals and how you may navigate that process. If this is not the case for you or you do not want to read about seeking further treatment right now, you can select the button below that says “Skip ahead to Checking in with YOU.”

Continue to Finding Future Treatment.

< Back to Module 12 Main Page

Skip ahead to Checking in with YOU
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!

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