Facing Your Fears in Schools Facilitator Manual: Managing Anxiety in Students With Autism or Related Social and Learning Differences

A typical school day can be full of anxiety triggers for students with autism or other social/learning needs. Help autistic students face and manage their fears—and overcome a major obstacle to school success—with this highly effective cognitive-behavioral therapy (CBT) program designed for use with students ages 8–14. FYF is evidence based, has been shown to reduce anxiety in students with autism, and is an ideal way to increase student access to critical mental health interventions in school.

How It Works

The Facing Your Fears (FYF) program consists of twelve 40-minute sessions that help students with autism or related social/learning needs manage interfering anxiety symptoms. The program is flexible: it can be delivered within the school day or before or after school; in 40-minute weekly lessons or in more frequently occurring 20-minute lessons; and in small groups of 2–5 students or individually with a school provider such as a school psychologist or counsellor, special education teacher, or other school provider. With an interactive workbook to guide them, students will manage anxiety using principles of cognitive behaviour therapy:

• Psychoeducation: teaching students to identify their fears and use CBT-based coping strategies to manage physical symptoms and develop positive thinking
• Graded exposure: giving students opportunities to practice facing their fears one step at a time

After each session, parents and other members of the school team receive handouts to help them support students in using their new skills and strategies during the school day and at home. The program also includes a workbook, a series of video clips, and other materials to engage parents and support their participation—a key factor in helping students make progress.

Why It Works

Facing Your Fears works because it:

• Uses the proven principles of cognitive-behavioral therapy
• Targets specific fears that interfere with academic and social success
• Actively involves parents and other school team members to create a strong continuum of support
• Engages students with memorable, age-appropriate strategies for managing anxiety
• Gives students repeated opportunities to practice facing their fears

Program Components

• Manual: Includes a detailed plan for each of the twelve student lessons plus the family contact components.
• Student Workbook (available in print or as fillable PDF download): Contains prompts and activities students use in Sessions 1–12.
• FYF Parent Workbook (available as fillable PDF download): Includes materials parents and caregivers need for the family contact sessions, plus a detailed overview of the student sessions.
• Anxiety PowerPoint slide deck, Helping Students Manage Fears, Anxieties, and Worries: Introduces CBT and the Facing Your Fears program to families and school teams.
• 6 video clips: Introduce the program and demonstrate student activities.

Table of Contents

About the Video Clips and Downloads

About the Authors

Acknowledgments

Introduction

At A Glance – Outline for Facing Your Fears in Schools Sessions

I. Program Introduction and Psychoeducation

• Session 1 Welcome to Group: Getting to Know Each Other
• Session 2 What Makes Me Worried/Upset, and How I React
• Session 3 Time Spent Worrying and/or Being Upset: Managing Upset/Worry
• Session 4 False Alarms: Learning to Calm My Body
• Session 5 Managing My Mind: Active Minds/Helpful Thoughts
• Session 6 Plan to Get to Green: Putting it All Together – Calming My Body/Managing My Mind

II. Graded Exposure

• Session 7 Introduction to Facing Fears
• Session 8 Creating Steps to Success/ Practice Facing Fears
• Session 9 Practice Facing Fears
• Session 10 Practice Facing Fears
• Session 11 Practice Facing Fears

Optional Pre-Graduation Session Making a Facing Your Fears Movie

Session 12 Graduation

III. Family Sessions

• Parent Contact 1 Introduction to Facing Your Fears Group
• Cognitive-Behavioral Therapy (CBT) for Anxiety in Students
• Facing Your Fears – School-Based Version: Program Overview
• Parent Contact 2 Introduction to Facing Fears
• Practice Facing Fears: Cycle of Anxiety
• Appendix A Group Screening Process for Facing Your Fears in Schools
• Appendix B Sample Fear Hierarchies
• Appendix C Conducting Successful Exposure Practice
• Appendix D Frequently Asked Questions
• Appendix E Fidelity Checklists

References

Index