The author introduces the pathways model, a three-level approach for integrating self-directed lifestyle change, the acquisition of self-regulation skills, and the use of community resources into a comprehensive mind-body treatment approach. The pathways model is illustrated with a case study of a 34-year-old executive with public speaking anxiety. Mindfulness strategies are integrated into each phase of treatment for this individual, along with emotional journaling, participation in Toastmasters, and heart rate variability biofeedback.

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