Robert described his anxiety upon initiating treatment with the following: “As I approached the boardroom I would experience a spiraling effect. I was having bad recurring experiences with anxiety which were getting worse with each challenge. It was horrible because when I was on a speaking cycle of every 2-3 months the anxiety was worse because of the build- up. I never ran from the challenge. I continued attacking but my mechanisms were not working”. Robert’s success in treatment was very much based on his core work revolving around his “walk of shame” concurrent with his implementation of the paradox-based adrenaline control methodology.