- Learn the truth about yourself—the particular physical symptoms you characteristically develop, over and over again, in the face of stress. For example, fatigue, back pain, panic attacks, palpitations, etc. These accustomed complaints are not likely to reflect some new physical disorder.
- Confront your fears. Thinking the unthinkable diminishes fear. (This is an allusion to the “Nightmare Fantasy” in which patients are asked to imagine, in detail, the worst-case scenario of their fears. It is possible to desensitize to a fear of illness and death by fantasizing.)
- Avoid checking and the search for empty reassurance. (Patients are not allowed to ask the same question twice.)
- Think of the odds against being desperately ill rather than the stakes. (“Wouldn’t it be awful if I died suddenly from a ruptured aneurysm?” “Yes, but what are the chances of that happening?”)
- Do not seek absolute certainty or safety.
- Live in a healthy way. (Including principles of eating properly and exercising.)