Process-Based CBT for Anxiety

An Alternative to Syndrome-Focused Treatments

CE Hours available ( How do I get my CE? )
Stefan Hofmann, PhD Renowned author, professor, and psychology researcher

About This Course

Stefan G. Hofmann is Professor of Psychology at Boston University and one of the foremost experts in CBT, especially anxiety disorders. For most of his career, he has been developing and testing treatment protocols for anxiety disorders, especially social anxiety disorder and generalized anxiety disorder. Stefan has written many clinician guides and has given many workshops to clinicians around the world, some in his role as a Beck trainer. Dissatisfied with the progress in field and the limitations of our current approach to treatment, he started re-examining some very basic assumptions about the contemporary approach toward improving mental health. This has led to a close collaboration with Steve Hayes. The approach he, Steve, and his colleagues developed applies to all aspects of the human experience. However, and in order to keep the discussion focused and concrete, this workshop will primarily focus on issues related to anxiety problems.

Process-Based Cognitive Behavioral Therapy (PB-CBT) is an alternative to the contemporary approach. It is a radical departure from the latent disease model of the DSM and the absurd proliferation of the protocols-for-syndrome approach. Instead, PB-CBT focuses on how to best target and change core biopsychosocial processes in a specific situation for given goals with a given client. This approach recognizes that psychotherapy typically involves non-linear (rather than linear), bidirectional (rather than unidirectional), and dynamic changes of many (rather than only a few) interconnected variables. Effective therapy changes the entire system toward a stable and adaptive state. For therapy to be most effective, we, therefore, need to embrace a systematic, assessment-guided, and theory-based approach to understand the relationships of the various problems of a given client. Functional analysis, the foundation of behavior therapy, provides the basis to understand these relationships. PB-CBT acknowledges the complexity, inter-relatedness, and multidimensional levels of problems in a given client. This workshop will illustrate how PB-CBT is used to target key treatment processes by combining functional analysis with a dynamic and person-specific network approach. To illustrate the unique features of the treatment, two common anxiety-related problems are discussed in detail: social anxiety and generalized anxiety. To illustrate the unique features, the contemporary approach will be juxtaposed with PB-CBT to target specific processes in a specific client.


Session 1 | August 3, 2021, 12 PM—2 PM EDT
From Protocols-for-Syndrome to Process-based Therapy
Session 2 | August 10, 2021, 12 PM—2 PM EDT
The Nature and Treatments of Anxiety
Session 3 | August 17, 2021, 12 PM—2 PM EDT
A Treatment Protocol for “Generalized Anxiety Disorder”
Session 4 | August 24, 2021, 12 PM—2 PM EDT
The PBT Alternative for Treating Generalized Anxiety and Worry
Session 5 | August 31, 2021, 12 PM—2 PM EDT
A Treatment Protocol for “Social Anxiety Disorder”
Session 6 | September 7, 2021, 12 PM—2 PM EDT
The PBT Alternative for Treating Social Anxiety

Learning Objectives

Participants will be able to:
  1. Describe the limitations of a latent disease model.
  2. Develop a functional analysis based on network theory.
  3. Apply evolutionary science to a mental health issues.
  4. Identify the dimensions of mental health as adaptation.
  5. Describe the principles of evolutionary science: Variation, selection, and retention in context.
  6. Select the most appropriate treatment strategies to a given problem.
  7. Contrast the syndrome-based protocol treatment of GAD with a PB-CBT approach.
  8. Contrast the syndrome-based protocol treatment of SAD with a PB-CBT approach

Continuing Education

Please review complete CE and conflict-of-interest disclosure information prior to registering. This course is jointly sponsored by Praxis CET and Institute for Better Health (IBH) and is approved for 12 CE Hours by the following:

  • NBCC – National Counselors
  • NAADAC – Drug & Alcohol Counselors
  • WESPSB – Educators
  • ACCME – Physicians
  • ANCC – Nurses
  • APA - Psychologist: Institute for Better Health, Inc is approved by the American Psychological Association (APA) to offer continuing education for psychologists. Institute for Better Health, Inc maintains responsibility for the program and its content.
  • NY State: Social Worker, Counselor, & Psychologists




For mental health professionals and trainees (intermediate-advance level)

Recommended Reading

Hayes, S. C. & Hofmann, S. G. (Eds.) (2018). Process-based CBT: The science and core clinical competencies of cognitive behavioral therapy. Oakland, CA: New Harbinger Publications. ISBN-13: 978-1626255968.


Hayes, S. C. & Hofmann, S. G. (2017). The third wave of CBT and the rise of process-based care. World Psychiatry, 16, 245-246. doi: 10.102/wps.20442

Hofmann, S. G., & Hayes, S. C. (2019). The future of intervention science: Process-based therapy. Clinical Psychological Science, 7, 37–50. doi: 10.1177/2167702618772296

Hofmann, S. G., Curtiss, J. E., & Hayes, S. C. (in press). Beyond linear mediation: Toward a dynamic network approach to study treatment processes. Clinical Psychology Review. doi: 10.1016/j.cpr.2020.101824

Hofmann, S. G. & Otto, M. W. (2018). Cognitive-behavior therapy of social anxiety disorder: Evidence-based and disorder specific treatment techniques (Second Edition). New York, NY: Routledge. ISBN: 978-138-67143-0.

Hofmann, S. G. (2020). The anxiety skills workbook: Simple CBT and mindfulness strategies for overcoming anxiety, fear, and worry. Oakland, CA: New Harbinger Press. ISBN: 1684034523

Refund and Cancellation Policy

We understand, sometimes things come up!

Praxis will offer a full refund to registrants of both live and live-online trainings who cancel their registration up to 14 days before the course or workshop start date, minus an administrative processing fee of $30 for a 2-day workshop or online course, and a $50 fee for a 4-day workshop. If cancelled within 14 days, no refund will be issued, however, a credit for the same amount will be applied toward another learning product, which expires within 1 year. Please email us at to cancel a registration.