Table 1.

Lesson content and homework activities in the Health Anxiety Program.

	Lesson title	Lesson content	Homework activities
1	Understanding health anxiety	•Psychoeducation about health anxiety •Goal setting using the SMART principle •The Health Anxiety cycle •Identifying physiological, cognitive and behavioural symptoms of health anxiety •Psychoeducation about the fight or flight response •Understanding how cognitive behaviour therapy (CBT) can help	•Set goals for treatment •Complete my own health anxiety cycle
2	Reducing your focus on health worries, and starting to reclaim your life	•The noisy body, false alarms and explanations for physical sensations •The role of attention and attention focus experiment • Strategies to take the focus off your worries and your bodily sensations: ○ Shifting attention ○ Activity planning ○ Worry-free zones ○ Mindfulness •Reducing checking and internet searching	•Activity planning •Bringing mindfulness into each day •Mindfulness of body sensations exercise •Checking prevention plan
3	Becoming aware of your anxious thinking	•Education about the cognitive model and unhelpful thinking errors •Alternative explanations for physical symptoms	•Thought monitoring •Thinking about alternative explanations for physical symptoms •Continue skills from previous lessons (activity planning, mindfulness of body sensations, worry-free zones, and cutting down checking and internet searching)
4	Putting your thoughts and fears to the test	•Thought challenging •Behavioural experiments (health anxiety experiments)	•Thought challenging •Behavioural experiments
5	Tackling avoidance and safety behaviours	•Education about avoidance and safety behaviours •Graded exposure •Tolerating uncertainty and doubt	•Create your own exposure stepladder •Graded exposure
6	Learning how to stay well in the long-term	•Evaluating progress •Overview/summary of skills •Lapses versus relapses •Relapse prevention plan	Relapse prevention plan
		Extra resources: Boosting motivation, controlled breathing, good sleep guide, helping your doctor help you, in case of emergency, information for family and friends, medications, panic attacks, progressive muscle relaxation, tackling low mood and keeping active, 100 things to do (pleasant activity planning ideas), labelling emotions, shifting your attention, structured problem solving, managing upsetting mental images, assertive communication, reassurance seeking frequently asked questions (FAQs)	Worksheets (Extra resources): Thought monitoring worksheet, behavioural experiment form, thought challenging worksheet, pros and cons worksheet, activity planning and monitoring worksheet.