Draw a formulation diagram where breaking into a negative cycle with relaxation would be helpful.

If you are not familiar with the controlled breathing procedure, go through it yourself, and notice what sensations you become aware of. How could you facilitate a client doing this in a way that might allow his panic symptoms to be replicated, i.e. not too defensively, and not too extremely?

1. As CBT is a psychological therapy, and emphasises cognitive and behavioural aspects, what do you understand to be the reasons for considering physiological variables, and physical interventions?

2. From your current case-load, draw a formulation diagram where breaking into a negative cycle with relaxation would be helpful.