Table 1.

Content of the Spiritual Intervention

Session	Session themes
1	Psychoeducation about GAD. Provide rationale for a spiritual approach for GAD. Identify treatment goals.
2	Introduce contemplative practices to developing a calm and concentrated mind.
3	Respond skillfully to difficult emotions. Explore and learn from painful emotions. Release and transform painful emotions and use them appropriately.
4	Understand the power of forgiveness in releasing emotional pain from the past. The connection between gratitude and positive emotions.
5	Being mindful. Understand the benefits of awareness and the costs of living mindlessly
6	Awaken spiritual vision by recognizing the sacred in people, things, and within ourselves. Understanding the transforming power of seeing the sacred in all things.
7	Attachment can be a source of suffering. Happiness lies in reducing and relinquishing attachments.
8	Cultivating higher motivation is a central goal of spiritual practice. Our deepest desires are healthy and altruistic.
9	Ethical living. Unethical living springs from and leads to negative emotional states. Ethical living and treating others as you wish to be treated improves emotional well-being.
10	Express spirit in action. Cultivate generosity and service to others.
11	Cultivate spiritual intelligence. Seek wisdom in nature, silence, xc and solitude, and reflect on the nature of life and death. Importance of self-acceptance and relinquishing self-attack and condemnation
12	Wrap up and Evaluation

Note. The spiritual intervention was adapted from the spiritual teachings described in Essential Spirituality (Walsh, 1999).