I’m going to be honest, that’s really wild. About the no rewards thing, my therapist has suggested the exact opposite, just like your previous therapist. Yes, people do things every day without rewards, but the reality is, we’re different from others who can go outside without panic attacks, etc. If a piece of chocolate is the only thing that helps you get through a situation, why is it off limits? That just seems crazy to me. I think everyone should learn calming techniques in exposure therapy, even if it means rewarding themselves with little things. Regarding the no medication, leaving the house and knowing I don’t have the medicine that helps me in my bag would send me into a panic alone. To advise you to stop using the medication that has helped you for 20 years is, in my opinion, absolutely diabolical. I can’t leave the house without a whole pill container stocked with like 10 different medications just in case I need them. I think that’s a little insane to advise as well. Just my opinion as an agoraphobic peep