Anxiety and OCD aren’t just battles of the mind—they’re battles of the body. Beneath the racing thoughts and compulsive behaviors lie sensations of dizziness, tightness, nausea, or shortness of breath that can send clients into panic—or avoidance.
Interoceptive exposure therapy brings those sensations out of hiding, transforming the body from an enemy to an ally in treatment. But for many clinicians, intentionally provoking physical discomfort sounds counterintuitive or even unsafe.
This course demystifies that process. It shows how teaching clients to face internal sensations with curiosity and control can retrain the brain’s fear response and break the cycle of avoidance fueling anxiety and OCD.
Dr. Melanie Smith, PhD, LMHC, CEDS-C—an integrative clinician, Certified Trainer of the Unified Protocol, and national educator—guides participants through the art and science of interoceptive exposure. Drawing from evidence-based protocols, real clinical examples, and her trademark humor and warmth, Dr. Smith explains how to safely induce, measure, and process internal sensations like increased heart rate, dizziness, or nausea.
She breaks down complex psychophysiology into therapist-ready tools and shows, step-by-step, how to (1) assess anxiety sensitivity (e.g., ASI) and build individualized hierarchies, (2) set “desirable difficulty” and use simple ratings to track distress, (3) obtain robust informed consent and make sensible medical/safety considerations, (4) prevent safety behaviors and reassurance-seeking from blunting learning, (5) pair interoceptive and situational exposures for real-world generalization, (6) process sessions through both habituation and inhibitory-learning lenses, and (7) assign purposeful homework and repetition. She also demonstrates adaptations for panic disorder, OCD (including ritual interference), illness/health anxiety, chronic pain, and eating-disorder presentations (e.g., ARFID with GI psychoeducation); offers age-appropriate approaches for kids and teens; and teaches how to collaborate with families to reduce over-accommodation while preserving trust and momentum in treatment.
Participants will gain not only the knowledge to design these exposures, but the confidence to use them flexibly within CBT, ACT, and other evidence-based frameworks—empowering clients to experience, rather than escape, their own sensations.
Key Takeaways:
Understand the role of interoception in anxiety and OCD and how avoidance maintains symptoms.
Apply interoceptive exposure safely and creatively across anxiety-related and somatic presentations.
Integrate interoceptive exposure with psychoeducation and situational exposures for stronger treatment outcomes.
Why this course?
It bridges the gap between theory and embodied practice, showing how anxiety lives—and heals—through the body.
You’ll learn directly from a clinician-trainer who teaches interoceptive exposure in the Unified Protocol model.
Telehealth Certification Institute delivers this training with a focus on practical application, safety, and ethical care.
Learning Objectives:
Describe interoceptive awareness and its relationship to emotional regulation and anxiety sensitivity.
Demonstrate strategies for conducting and processing interoceptive exposures in session.
Identify how interoceptive exposure complements existing CBT and exposure-based treatments.
When clients fear their own heartbeat or breath, cognitive insight isn’t enough—experiential learning is.
Enroll today to use the body’s sensations as a pathway to recovery and resilience in anxiety and OCD treatment.
This is a non-interactive, self-study program and consists of 3 hours of video instruction and a post-test.
Availability: From the time of registration, you have six months to access the coursework.
Who Should Attend: This course is intended for clinicians who provide behavioral health services.
Teaching Methods: This is a non-interactive, self-study course. Teaching methods for this course include recorded lectures, videos, a post-test, and a course evaluation.
How to Attend: Instructions for attending and completing a course can be found here.
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Melanie Smith, PhD, LMHC, CEDS-C
Melanie Smith, PhD, LMHC, CEDS-C (she/her) is a therapist in private practice at CBT of Central & South Florida (https://cbtcentralflorida.com) and a Consulting Clinical Training Specialist for the Renfrew Center. She is a Licensed Mental Health Counselor and Qualified Supervisor in the State of Florida. Additionally, she is a Certified Eating Disorders Specialist and Approved Consultant (CEDS-C) and is a Certified Therapist & Trainer of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP). Special treatment interests include Avoidant Restrictive Food Intake Disorder (ARFID), Disorders of Gut-Brain Interaction such as Rumination Syndrome, OCD, phobias including emetophobia, health-related anxiety, and coping with chronic pain & chronic illness.
Dr. Smith is passionate about the dissemination and implementation of evidence-based treatments, clinical supervision, and clinical training and has presented numerous lectures, workshops, and Keynote presentations at academic and professional conferences nationally and internationally. She has co-authored publications in peer-reviewed journals and is co-author of the peer-reviewed treatment manual and patient workbook, The Renfrew Unified Treatment Model for Eating Disorders and Comorbidity, published by Oxford University Press.
Disclosure Statement: The instructor(s) for this course receive compensation for their services. There are no reported conflicts of interest to disclose.
Credit Hours: This course consists of 3 continuing education hours of credit.
Counselors:
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Telehealth Certification Institute, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No, 6693. Programs that do not qualify for NBCC credit are clearly identified. Telehealth Certification Institute, LLC is solely responsible for all aspects of the programs.
Telehealth Certification Institute, LLC is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Mental Health Counselors. #MHC-0048.
Marriage and Family Therapists: Many MFT licensing boards accept our courses or one of the approvals which we have from professional associations. You can check with your board to determine if your licensing board would accept this course.
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Telehealth Certification Institute LLC, #1609, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 05/02/2024 – 05/02/2027. Social workers completing this course receive 3 clinical continuing education credits.
Telehealth Certification Institute, LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for Licensed Social Workers #SW-0435.
Addiction Professionals:
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This course has been approved by Telehealth Certification Institute LLC, as a NAADAC Approved Education Provider, for educational credits, effective 10/15/2025. NAADAC Provider #193104, Telehealth Certification Institute LLC is responsible for all aspects of the programming.
Psychologists:
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Telehealth Certification Institute LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. Telehealth Certification Institute LLC maintains responsibility for this program and its content.
Telehealth Certification Institute, LLC is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for Licensed Psychologists #PSY-0128.
Art Therapists: Telehealth Certification Institute, LLC is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Creative Arts Therapists #CAT-0093.
Other Professionals: This course qualifies for 180 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.
This course is a non-interactive, online self-study.
Participants may request a printed version of their certificate of completion to be delivered by mail. A shipping/handling fee of $6.95 will be charged per request. Shipping internationally may require an additional charge.
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