Look at Roman’s initial list of situations for his practice ladder. He included items that he tended to avoid because they triggered his anxious response in the past, and situations where he remembered relying on other anxious actions (gripping handrails, looking away, seeking reassurance from his wife) to get him through the moment. You may wish to create practice ladders for different situations, when a situation is particularly difficult for you. For example, Roman later developed a separate ladder because escalators were particularly challenging for him.

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