“…A variety of imagery techniques exist that could be useful for this purpose, for example deliberately addressing maladaptive perceptual image-based cognitions through imaginal exposure (Ehlers, Mauchnik, & Handley, 2012), imagery re-scripting (Hunt & Fenton, 2007;Hunt et al, 2006), weakening intrusive images via competing tasks (May, Andrade, Panabokke & Kavanagh, 2010), and attentional diversion Hamilton, Fawson, May, Andrade, & Kavanagh, 2013) or acceptance approaches based on mindfulness therapy (Jenkins & Tapper, 2013;Kabat-Zinn, 2003) that can help reduce the tendency for intrusive thoughts and images to capture attentional resources and amplify distress. Initial findings indicate that exposure to positive photographic dental images before appointments reduces anticipatory anxiety in children (Fox & Newton, 2006;Freeman, 2007;Gangwal, Badjatia, & Dave, 2014). Encouraging rehearsal of such images, in the days leading up to appointments, may increase their impact further and guided imagery can be a useful tool for distraction as well (Appukuttan, 2016;Armfield & Heaton, 2013;Guentsch et al, 2017;Lewis et al, 2013).…”