Building awareness of cognitions and guiding anxious adolescents toward reframing versus accepting thoughts is a key tenant of the CBT model of anxiety. In this course, participants will learn how to a) educate patients on threat bias and cognitive distortions in anxiety, b) build insight into how the patient’s own thought patterns impact the sympathetic nervous system and increase avoidance behaviors, c) teach the patient how to examine thoughts using a more scientific, realistic lens, and d) guide the patient toward reframing unhelpful thoughts and/or tolerating uncertainty as a method for increasing patient’s range of approach behaviors. Using case vignettes, participants will learn how to engage with clients across the adolescent developmental spectrum as well as how to consider how client attributes (e.g., culture, race, sexual/gender identity) might impact discussion about cognitive restructuring.