1The I-CBT Practitioner's Manual
8310.1 Category Confusion
2Preface
8410.2 Inverse Inference
3Part I: Understanding I-CBT Fundamentals
8510.3 Selective Attention Patterns
4Chapter 1.0: Understanding Inference Based CBT
8610.4 Imagined Possible Consequences
51.1 Traditional CBT Limitations
8710.5 Distrust of Perception
61.2 Reasoning Errors as Core
8810.6 Targeting Specific Errors
71.3 Comparison with ERP
8910.7 Chapter Conclusions
81.4 Who Benefits Most
90Chapter 11.0: Session Structure and Planning
91.5 Unlearning Previous Assumptions
9111.1 Treatment Timeline
101.6 Treatment Comparison Framework
9211.2 Standard Session Format
111.7 Clinical Implications
9311.3 Balancing Treatment Elements
121.8 Key Takeaways
9411.4 Structuring Homework Practice
13Chapter 2.0: Understanding Inferential Confusion
9511.5 Progress Without Anxiety Ratings
142.1 Obsessional Doubt Defined
9611.6 Sequencing Interventions
152.2 Real Versus Imaginary Possibility
9711.7 Integration and Application
162.3 OCD Reasoning Hijack
98Chapter 12.0: I-CBT Across OCD Subtypes
172.4 The 100% Certainty Requirement
9912.1 Contamination Presentations
182.5 Why What If Persists
10012.2 Harm Obsessions
192.6 Inferential Confusion Examples
10112.3 Relationship OCD
202.7 Clinical Recognition
10212.4 Sexual Orientation Concerns
212.8 Summary
10312.5 Scrupulosity and Morality
22Chapter 3.0: The Obsessional Story
10412.6 Just Right Feelings
233.1 Narrative Structure Elements
10512.7 Existential and Philosophical
243.2 Six Story Themes
10612.8 Adaptation Principles
253.3 Story Construction Process
10712.9 Essential Points
263.4 Identifying Narrative Devices
108Chapter 13.0: Combining I-CBT with Approaches
273.5 Story Patterns by Subtype
10913.1 Integrating ERP
283.6 Clinical Identification Practice
11013.2 Using ACT Strategies
293.7 Spotting Narrative Exercise
11113.3 Medication Management
303.8 Clinical Synthesis
11213.4 Comorbid Depression
31Part II: The I-CBT Assessment Process
11313.5 ADHD Considerations
32Chapter 4.0: Your First I-CBT Session
11413.6 Autism Spectrum Considerations
334.1 Introducing the Approach
11513.7 When Standalone Insufficient
344.2 Initial Assessment Structure
11613.8 Summary and Recommendations
354.3 Identifying Obsessional Doubt
117Chapter 14.0: Troubleshooting Common Challenges
364.4 Distinguishing Realistic Concerns
11814.1 Strong Conviction Management
374.5 Clinical Listening Focus
11914.2 Certainty Seeking Clients
384.6 Common Session Pitfalls
12014.3 Reassurance Seeking
394.7 Integration and Application
12114.4 Generating New Obsessions
40Chapter 5.0: Mapping the Obsessional Narrative
12214.5 Therapist Uncertainty
415.1 The Structured Interview
12314.6 Progress Plateaus
425.2 Questions That Reveal
12414.7 Cultural Adaptation
435.3 Creating the Doubt Diagram
12514.8 Synthesis
445.4 Identifying Reasoning Subtypes
126Chapter 15.0: Building Your I-CBT Skillset
455.5 Documentation for Busy Practices
12715.1 Self-Supervision Strategies
465.6 Ready to Use Templates
12815.2 Practicing Between Sessions
475.7 Essential Points
12915.3 Common Therapist Errors
48Chapter 6.0: I-CBT Case Conceptualization
13015.4 Therapeutic Stance Development
496.1 Building the Formulation
13115.5 Training Resources
506.2 Life History Connections
13215.6 Continuing Education Pathways
516.3 The Obsessional Story Worksheet
13315.7 Professional Growth
526.4 Sharing the Conceptualization
134APPENDIX A: Quick-Reference Guides
536.5 Matching Targets to Findings
135Purpose and Clinical Utility
546.6 Sample Conceptualizations Across Presentations
136A.1: I-CBT at a Glance (One-Page Overview)
556.7 Clinical Implications
137A.2: Key Questions for Each Phase of Treatment
56Part III: Core I-CBT Interventions
138A.3: Decision Trees for Common Clinical Scenarios
57Chapter 7.0: Teaching Reality Sensing
139A.4: Troubleshooting Flowchart
587.1 Real Versus Imagined
140APPENDIX B: Client Handouts and Worksheets
597.2 Reconnecting With Senses
141Purpose and Organization
607.3 The Criterion Exercise
142B.1: Psychoeducation - Understanding I-CBT (Client Version)
617.4 In Session Practice
143B.2: The Obsessional Story Worksheet
627.5 Client Resistances
144B.3: Reality-Sensing Practice Log
637.6 Reality Sensing Homework
145B.4: Inferential Confusion Monitoring Form
647.7 Key Takeaways
146B.5: Reasoning Subtypes Self-Assessment
65Chapter 8.0: Challenging Inferential Confusion
147B.6: Between-Session Practice Guides
668.1 Socratic Method Application
148APPENDIX C: Session Transcripts
678.2 Key Questioning Sequences
149Purpose and Format
688.3 Seeing Imagination Override
150C.1: Complete First Session Example
698.4 Working With What If
151C.2: Mid-Treatment Session - Challenging the Doubt
708.5 Magical Thinking Patterns
152C.3: Working with Difficult Reasoning Pattern - Summary
718.6 Session Dialogue Examples
153C.4: Annotated Dialogues with Therapist Thinking Process - Summary
728.7 Essential Points
154APPENDIX D: Case Examples in Full
73Chapter 9.0: Dismantling the Obsessional Story
155Purpose
749.1 Identifying Narrative Devices
156D.1: Contamination OCD - Complete Case Study
759.2 Story Comparison Technique
157APPENDIX E: Assessment and Outcome Measures
769.3 Reductio Ad Absurdum
158E.1: Recommended Standardized Measures
779.4 Selective Attention and Confirmation Bias
159E.2: Progress Monitoring Strategies
789.5 Reality-Based Narratives
160E.3: Clinical Documentation for I-CBT
799.6 Between-Session Practice Worksheets
161APPENDIX F: Glossary of I-CBT Terms
80Anxiety-Contradictory Evidence (what OCD ignores):
162Purpose
819.7 Synthesis
163References
82Chapter 10.0: Working with Reasoning Subtypes
