7 CEs
CEU Course

Behavioral Therapy for Anxiety-Related Disorders (BTAD) (June 2024)

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Cognitive Behavior Institute is excited to welcome Jason T Goodson, PhD for a live interactive webinar on: Behavioral Therapy for Anxiety-Related Disorders (BTAD)


6/14/2024 8:30AM - 4:30PM EST


Dr. Jason T. Goodson



Credit Hours

7 CEs (6 hours of clinical content and 1 hour of content related to suicide prevention.)

Course Overview

BTAD is a simple, effective, and transdiagnostic treatment that focuses on reducing, eliminating, and countering safety behaviors to treatment anxiety-related conditions. It is well known that safety behaviors maintain, and often increase, anxiety ( Cougle & Summer, 2018; Korte et al., 2018). It is also established that anxiety disorders confers and independently higher risk of suicidal ideation and attempts, even when controlling for comorbidity (Thimodeau et al., 2013). In BTAD, education about safety behaviors and anxiety is provided. Through use of the Safety Behavior Assessment Form (SBAF) (Goodson et al., 2016), monitoring strategies, and collaborative exploration, a list of central safety behaviors is identified (along with fears/beliefs fueling the safety behaviors). Following, these safety behaviors are systematically reduced and/or eliminated. The second phase includes safety behavior countering which allows for direct confrontation of the safety behavior and underlying fear/belief. The program includes a host of strategies for eliminating and countering safety behaviors. Clients and therapists work collaboratively in selecting the safety behaviors to address and methods for doing so, however, the client always has the final say. There are two standard safety behavior elimination procedures which are part of the vast majority of treatment cases. These include: accepting anxiety and attention training. Accepting anxiety reverses the negative cycle of anxiety-related suppression/avoidance, which worsens anxiety over time (Hoffman et al., 2009) . Attention training facilitates greater attentional flexibility allowing clients to better disengage from negative attentional states or safety behaviors (worry, vigilance, monitoring, and rumination)(Vogel et al., 2016). As clients systematically reduce and counter their safety behaviors their anxiety decreases and their self-efficacy increases. BTAP also includes special consideration modules that may be used if necessary. These modules provide extra information and guidance on specific categories of safety behaviors that can prove challenging to address. Special consideration modules include: attentional safety behaviors, checking and reassurance, withdrawal and avoidance, and rumination. Some examples of special modules are: attentional safety behaviors (vigilance, monitoring, worry) which have been shown to be central maintaining factors and are often difficult to address. Specific techniques and recommendations are provided to help clients better reduce these deleterious safety behaviors. Rumination, while an attentional safety behavior, has been given its own special consideration module because of its toxic effects across the spectrum of mental health and quality of life. Moreover, rumination can be an important prognostic factor associated with suicidal ideation or attempts especially if the content of the rumination deals with belonging or perceived burdensomeness (Chu et al., 2017). Withdrawal and avoidance is another special module. Withdrawal (and avoidance) are important markers of quality of life and also relate feelings of belonging and loneliness, in addition to chronic anxiety. Checking and reassurance are particularly detrimental in the development of self-efficacy and maintaining anxious preoccupation. The final session involves “wrap up and moving forward” in which the client writes his own therapy guide for moving forward. Research has shown large effect sizes for safety behavior elimination therapy. Similarly, outcome data from social anxiety, generalized anxiety, panic, and anxiety disorder NOS cases will be presented. Additionally, education, clinical examples, pertinent research findings, clinical demonstrations, role-plays, and experiential exercises are all used to help participants gain a better understanding of BTAD. Client workbooks and therapists guides are provided to participants as well. Finally, case consultation for BTAD cases will be offered to interested participants.

Learning Objectives

1. Participants will identify safety behaviors in anxiety-related conditions

2. Participants will define safety behaviors, identify different categories, and describe their function (how they maintain anxiety)

3. Participants will identify core fears/beliefs that underlie safety behaviors and explain the mutual maintaining relationship between core fears/beliefs and safety behaviors

4. Participants will describe the procedures for administering and scoring the safety behavior assessment form (SBAF) identify primary SBAF subscale, and use the primary SBAF subscale to measure progress throughout treatment

5. Participants will identify central safety behaviors and create a master list of safety behaviors to be addressed in treatment.

6. Participants will effectively explain the rationale for safety behavior elimination and countering as a treatment for anxiety

7. Participants will describe strategies for reducing/eliminating safety behaviors and effective strategies for helping clients address all safety behaviors on master list

8. Participants will identify approximately 3 core fears associated with clients safety behaviors and develop countering exercises for each of the fears (and related safety behaviors). or negative beliefs and effectively.

9. Participants will describe Attention Training and Welcoming Anxiety, be able to provide rationales, and guide clients through them.

10. Participants will describe when and how to assess clients for suicidality within the context of behavior therapy for anxiety disorders

11. Participants will identify three factors that increase risk of suicidality in patients with anxiety disorders

Course Bibliography

Behavior Therapy for Anxiety-Related Disorders Manuals 


Client Manual: Goodson, J.T. (2020). Behavior Therapy for Anxiety-Related Disorders (unpublished treatment manual). 


Goodson, J.T. (2020). Behavior Therapy for Anxiety Related Disorders- Therapist Guide for Session-by-Session Implementation (unpublished). Session guides 1-12 Special Modules (extra information and strategies for reducing, eliminating and countering specific safety behaviors) 1) Checking and Reassurance; 2) Withdrawal and Avoidance; 3) Attentional Safety Behaviors; 4) Rumination 


Author Publications related to the treatment Goodson, J.T. & Haeffel, G.H. (2018). Preventative and restorative safety behaviors: Effects on exposure treatment outcomes and risk for future anxious symptoms. Journal of Clinical Psychology,74, 1657-1672 


Goodson, J.T, Haeffel, G.J., Raush, D.A.,& Hershenberg, R. (2016). The safety behavior assessment form: Development and validation. Journal of Clinical Psychology, 72, 10, 1099-1111. DOI: 10.1002/jclp.22325. 


Goodson, J.T. (2017). Outcome evaluation in psychotherapy. SAGE Encyclopedia of Abnormal and Clinical Psychology. SAGE: Thousand Oaks. doi.org/10.4135/9781483365817.n966 


Publications that influenced the development of the treatment Chu, C., Buchman-Schmitt, J., Stanly, H., Hom, M., Tucker, R.P., ,Hagan, C.R., et al (2017). The interpersonal theory of suicide. A systematic review and meta-analysis of a decade of cross-national research. Psychological Bulletin, 143, 1313-13445. 


Cougle, J. & Summers, B. (2018). An Experimental Test of the Role of Appearance-Related Safety Behaviors in Body Dysmorphic Disorder, Social Anxiety, and Body Dissatisfaction. Journal of Abnormal Psychology, 127, 770-780. 


Hoffman, S.G., Heering, S. Sawyer, T., Anu, A. (2009). How to handle anxiety. The effects of reappraisal, acceptance, and suppression strategies on anxious arousal. Behavior Research and Therapy, 47, 389-394 


Korte, K. J., Norr, A. M., & Schmidt, N. B. (2018). Targeting Safety Behaviors in the Treatment of Anxiety Disorders: A Case Study of False Safety Behavior Elimination Treatment. American Journal of Psychotherapy, 71(1), 9-20. doi:10.1176/appi.psychotherapy.20180001 


Riccardi, C. J., Korte, K. J., & Schmidt, N. B. (2017). False safety behavior elimination therapy: A randomized study of brief individual Transdiagnostic treatment for anxiety disorders. Journal of Anxiety Disorders, 46, 35–45. 


Thibodeau, M.A, Welch, P.G., Sareen, J., Asmundson, J.G, (2103). Anxiety disorders are independency associated with suicide ideation and attempts: Propensity score matching in two epidemiological samples. Depression and Anxiety, 30, 947-954 


Vogel, P.A, Hagenb, R., Hjemdal, O., Solem, S., Smeby, M.C;.B., Strand, E.R. Fisher, P. Nordahl, H.M., Well, A. (2016). Metacogntive therapy applications in social anxiety disorder: An exploratory study of the individual and combined effects of attention training technique and situational attentional refocusing. Journal of Experimental Psychopathology, 7, 608-618


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Accommodation Information: Our webinars are available to anyone who is able to access the internet. For those who are vision impaired graphs and videos are described verbally. We also read all of the questions and comments that are asked of our speakers. All questions and comments are made via the chat function. For those that require it, please contact us at info@cbicenterforeducation.com for more information on and/or to request closed-captioning.



Course Schedule

Course Date Course Start Time Course End Time Timezone
6/14/2024 8:30AM 4:30PM EST

Course Agenda

Course Event Day or Date Course Agenda Time Block Course Content Covered
Day 1 8:30AM - 8:45AM
  • Introduction
  • Day 1 8:45AM - 10:15AM
  • What are safety behaviors?
  • Day 1 10:15AM - 10:30AM
  • Break
  • Day 1 10:30AM - 12:00PM
  • Why are safety behaviors important?
  • Day 1 12:00PM - 12:30PM
  • Lunch
  • Day 1 12:30PM - 2:30PM
  • How to carry out BTAD
  • Day 1 2:30PM - 2:45PM
  • Break
  • Day 1 2:45PM - 4:15PM
  • Special Modules
  • Day 1 4:15PM - 4:30PM
  • Question and answers
  • Day 1 4:30PM
  • Adjourn
  • Frequently Asked Questions

    Questions about Zoom and Webinars

    What platform will be used for the webinar? CBI Center for Education has invested in Zoom for Webinars. You do not need a Zoom account to join the webinar and you can join from your computer or mobile device. As an attendee, the presenter will not be able to see your video or hear you unless they give you special permission during the webinar.

    What time will the webinar begin and in what time zone? Please see the event page on https://www.cbicenterforeducation.com/ for information about the webinar, such as the start time. In addition, when registrants receive the email for the event, the date and time of the event is included.

    When will I receive the link to attend the webinar? After you’ve signed up for the event through our website, you will receive an automated email from Blue Sky. At the bottom of this email is a blue button labeled “Join” that you can click on the day of the event. Or log in directly to your Blue Sky account and join from there.

    Why can’t I get into the webinar? Once you have joined the webinar, you might see a message that states that the webinar has not yet started. The webinar will start once the presenter has joined and clicks “start the meeting.” We hope this happens on time, but it may be several minutes late. Please be patient while you are waiting for the webinar to start.

    lined internet or being physically located close to your router. Technical support will not be provided by CBI for any connection issues on the day of the training. CBI will not issue refunds due to technical issues experienced by participants. Our presenters are connected to hard-lined business-grade internet when presenting.

    What happens if my internet briefly freezes? If you become disconnected during the event, log back on immediately. A brief interruption of connectivity will not impact your eligibility for a CE certificate.

    Will there be a recording? No, there will not be a recording or replay.

    Will you know that I am logged in and active in the webinar? Yes, Zoom’s platform monitors the attendance and activity of the attendees. Additionally, there will be a chat feature and various forms of participation monitored throughout the training.

    Will I have to show my face on camera? Zoom’s webinar platform does not capture participants on video unless specifically requested during the meeting by the host. Instead, participants will view the presenter and the presenter's slides on their screen.

    Is there Audio? Yes, the webinar will have sound. Please test that your device’s sound is working prior to the event. A good way to do this is to go to YouTube and play a

    Questions about the Event

    Will I receive the presenter's slides? It is up to each presenter if they wish to share their slides. If slides are being shared, they will be uploaded as a document within the course in Blue Sky and can be downloaded and printed as necessary. We are unable to respond to emails asking for the slides ahead of the presentation.

    Questions about the Survey

    When will I receive my course evaluation survey? Following the completion of the event, the survey will be unlocked and located within the course.

    You must complete the survey within 14 calendar days following the event if you would like to receive a CE certificate.

    We are unable to respond to emails from participants asking for confirmation that their course completion survey was received. If you clicked the SUBMIT button your survey was received.

    Do I need to fill out the course evaluation survey if I don’t want a CE certificate? If you do not wish to receive a CE certificate, you do not need to complete this survey. The CE certificate is the only type of certificate that will be issued.

    Questions about Continuing Education & Certificates

    What is the criteria for receiving CE? If you attend the whole webinar and complete the course evaluation survey, we will issue you the CE that you are eligible for.

    How many suicide and ethics CE's will be issued? Please see the event page on https://www.cbicenterforeducation.com/for information about the training, including how much continuing education is offered and what type.

    Will these CE's count toward my individual state licensure or another credential that I currently hold? It is the responsibility of the licensee to determine if trainings are acceptable as continuing education to their state’s licensure board or other credentialing body. Some of our trainings are individually approved for continuing education, such as through the Association of Social Work Boards individual course ACE Program. In addition, CBI is an approved provider of continuing education through the American Psychological Association CESA program and is an approved provider of continuing education to counselors, social workers, and psychologists in the state of New York. Many boards accept trainings that are individual approved or are offered by approved providers for continuing education. Please see the event page for the training you are interested in on our website https://www.cbicenterforeducation.com/for approvals that apply for each specific training.

    Will you issue partial CE credits? No, we do not issue partial CE credits and therefore if you do not attend the training in its entirety, you will not be receiving a CE certificate. This is an APA and ASWB ACE requirement and is non-negotiable. Please refrain from emailing us explaining why you were unable to login to the event on time (this includes mixing up time zones and technical difficulties).

    When will I receive my CE certificate? Upon completion of the event and survey, your certificate will immediately be available.

    How will I receive my CE certificate? Your CE certificate will be available through your Blue Sky account and will also be directly sent to your email associated with your Blue Sky account. It will automatically be accessible to you once all previous criteria have been met.

    I filled out the wrong email address or misspelled my name on my account registration. How do I get a new certificate? In the registration, it asks for the participant to fill out
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    registration or after the survey is complete will require a $5 processing fee. Additional changes to the produced CE certificate based off of information provided by the attendee will also require a $5 processing fee. CBI Center of Education is extremely lean administratively and utilizes technology to streamline our events in order to keep our trainings free to low cost. When we receive manual requests post registration, additional staff is needed to assist with these manual requests, thus the reason for the
    change fees. Please reach out to info@cbicenterforeducation.com

    Questions about Accommodation

    How can I access accommodations for my disability? Our webinars are available to anyone who is able to access the internet. For those who are vision impaired graphs
    and videos are described verbally. We also read all of the questions and comments that are asked of our speakers. All questions and comments are made via the chat function.

    For those that require it, please contact us at info@cbicenterforeducation.com for more information on and/or to request closed-captioning.

    Additional Questions

    I have a question that isn’t in the Q&A. If you have any additional questions or concerns, please email us at info@cbicenterforeducation.com.

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