Table 5.

Client feedback on helpful course skills based on semistructured interview data (n=26).

Category	Example quote	Clients, n (%)
Thought challenging	“The thought challenging section was probably, oh, I would dare say lifechanging for me, especially the timing of it and what was going on in our life. We were moving during this whole situation, and yeah, it was just so helpful to me.”	12 (46)
Controlled breathing	“The controlled breathing helped me be less reactive in my relationship with my husband and think through an answer. I tend to be not very assertive. I tend to be, one way or the other more aggressive or the other direction kind of more timid. So, you know, going through the breathing exercises helped me think through an appropriate answer.”	8 (31)
Recognizing symptoms and symptom cycles	“So far, I find the identification of the behaviors in the cycle to be the most interesting. So, while I knew that I had some behaviors where I was responding to anxiety or depression, there were others on the lists that I didn’t realise in fact were behaviors that were resulting from sort of an anxious response, so that was very helpful to me.”	6 (23)
Graded exposure	“I think the skill around when things feel overwhelming, and you know you can’t do these things. This could break it down into those sorts of micro-steps about tiny little chunks. Taking tiny little steps, and then it doesn’t feel so incredibly overwhelming. I think that was helpful for me.”	5 (19)
Activity scheduling	“I did probably like module three the most, with this specific activity examples. I probably am somebody who spends most of my time under-aroused, except for every once in a while, I can feel that the hyperarousal too, so the skill set around scheduling activity, but then also the examples of what activity it could include, I thought that was unique and beneficial.”	5 (19)