Breaking Boundaries: A 3-Hour Intensive on ERP for Agoraphobia
Live Event

Breaking Boundaries: A 3-Hour Intensive on ERP for Agoraphobia

Sat, Dec 20th, 2025
11:00am – 2:15pm US Eastern Time
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About the Event

This 3-hour training provides clinicians with essential knowledge and practical skills to implement Exposure and Response Prevention (ERP) for clients with agoraphobia. Participants will explore assessment strategies, treatment planning, and how to design and implement effective in-vivo, imaginal, and VR-based exposures. Emphasis will be placed on identifying avoidance patterns and interrupting safety behaviors to reduce fear and increase client autonomy.

Live Event
This live online event will be held as a Zoom Webinar. Attendees will have the option to interact through features such as the Chat and Q&A, but cameras and microphones will not be enabled.

Live Event Instructor

Madina Alam

Madina Alam

Madina Alam is a licensed mental health therapist in Charlotte, North Carolina. She is trained in a type of cognitive behavioral therapist (CBT), called exposure response prevention (ERP). ERP is a type of therapy that shows people how to make change versus just talking about it. Exposure work is found to be the #1 type of treatment, research backed to help improve anxiety, trauma and depression. Madina specializes in anxiety related disorders, helping people with their relationships, mood and overall functioning. Talking about how we feel and understanding ourselves is only a small part of change. It means nothing without the follow thru of changed behavior, in session! She believes therapy is similar to personal training…you wouldn’t go to your trainer and talk about why you haven’t been working our or how to workout, you would actually workout!

She is also known for their participation in the 28th season of the popular reality show, 'The Bachelor'. She firmly believes in making mental health discussions more appealing and less stigmatized. As a Licensed Mental Health Counselor (LMHC), she uses her platform to promote the importance of therapy and mental health, often emphasizing that ‘saying how you feel is sexy'. Madina's bold and empowering stance has inspired many of her followers to prioritize their mental health and seek professional help when needed. In addition to their advocacy work, Madina is also a talented speaker and model. Her commitment to breaking down stigmas and promoting mental health awareness continues to inspire.

Target Audience

This live interactive webinar is intended for behavioral health professionals, including Psychologists, Social Workers, Counselors, MFT's and Addiction Professionals.

Learning Objectives

After taking this activity, you should be able to:

  1. 1 Define core features of agoraphobia and the rationale for ERP.
  2. 2 Identify avoidance and safety behaviors that maintain agoraphobia.
  3. 3 Develop a basic exposure hierarchy tailored to a client’s feared situations.
  4. 4 Apply response prevention techniques to interrupt the avoidance cycle, both in real-world and VR exposures.
  5. 5 Address barriers to engagement in ERP (e.g., resistance, low motivation).

Jung, H. W., Jang, K. W., Nam, S., Ahn, M. E., Lee, S. K., Kim, Y. J., ... & Roh, D. (2024). Personalized virtual reality exposure for panic disorder and agoraphobia: A preliminary neurophysiological study. Comprehensive Psychiatry, 129, 152447. https://doi.org/10.1016/j.comppsych.2023.152447

Lundin, J., Lundström, A., Gulliksen, J., Blendulf, J., Ejeby, K., Nyman, H., ... & Hedman-Lagerlöf, E. (2022). Using 360-degree videos for virtual reality exposure in CBT for panic disorder with agoraphobia: a feasibility study. Behavioural and Cognitive Psychotherapy, 50(2), 158-170. https://doi.org/10.1017/S1352465821000473

Pérez-Ara, M. A., Quero, S., Botella, C., Banos, R., Andreu-Mateu, S., García-Palacios, A., & Bretón-López, J. (2010). Virtual reality interoceptive exposure for the treatment of panic disorder and agoraphobia. Annual Review of Cybertherapy and Telemedicine 2010, 77-81. DOI: 10.3233/978-1-60750-561-7-77

Richter, J., Pané-Farré, C. A., Gerlach, A. L., Gloster, A. T., Wittchen, H. U., Lang, T., ... & Hamm, A. O. (2021). Transfer of exposure therapy effects to a threat context not considered during treatment in patients with panic disorder and agoraphobia: Implications for potential mechanisms of change. Behaviour research and therapy, 142, 103886. https://doi.org/10.1016/j.brat.2021.103886

Stech, E. P., Chen, A. Z., Sharrock, M. J., Grierson, A. B., Upton, E. L., Mahoney, A. E., ... & Newby, J. M. (2021). Internet-delivered exposure therapy versus internet-delivered cognitive behavioral therapy for panic disorder: A pilot randomized controlled trial. Journal of Anxiety Disorders, 79, 102382. https://doi.org/10.1016/j.janxdis.2021.102382

Stech, E. P., Lim, J., Upton, E. L., & Newby, J. M. (2020). Internet-delivered cognitive behavioral therapy for panic disorder with or without agoraphobia: a systematic review and meta-analysis. Cognitive behaviour therapy, 49(4), 270-293. https://doi.org/10.1080/16506073.2019.1628808

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The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

Planners and Reviewers

The planners of this activity have reported that they have no relevant financial relationships.

Faculty

There are no known relevant financial relationships to disclose.

Commercial support

There is no commercial support for this distance-learning course.

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Event Agenda

Agenda times are listed in US Eastern Time. That is 3 hours later than US Pacific Time. The event starts at 8:00am US Pacific Time.

Hour 1 – Foundations of ERP for Agoraphobia

● DSM-5-TR criteria for agoraphobia

● How panic and avoidance interact

● Why ERP? The role of exposure and inhibitory learning

● Types of exposures (in-vivo, imaginal, interoceptive)

Hour 2 – Assessment & Hierarchy Building

● Functional analysis of avoidance and safety behaviors

● Assessing readiness and increasing buy-in

15-MIN BREAK

● Building an exposure hierarchy (live demonstration or group exercise)

● Differentiating between helpful discomfort and retraumatization

Hour 3 – Implementation & Troubleshooting

● Delivering exposures in-session and assigning homework

● How to implement response prevention (coaching through urges)

● Managing common challenges: resistance, regression, logistical barriers

● Cultural and ethical considerations

● Case example walk-through (optional group discussion)


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