{
  "schema_version": "1.0",
  "updated": "2026-08-19",
  "evidence": [
    {
      "id": "ev-nice-social-anxiety",
      "evidence_class": "guideline_supported",
      "source_type": "clinical_guideline",
      "title": "NICE social anxiety disorder guideline",
      "url": "https://www.nice.org.uk/guidance/cg159/chapter/recommendations",
      "claim_scope": "Supports structured CBT mechanisms including behavioral experiments and work with safety-seeking behaviors in social anxiety treatment.",
      "supports": ["prediction-testing", "safety-behavior-learning", "graded-approach"],
      "does_not_establish": "Does not validate each CBT Cards exercise as a treatment, nor show that reducing genuine safety measures is appropriate.",
      "reviewed_on": "2026-08-19"
    },
    {
      "id": "ev-nhs-thought-record",
      "evidence_class": "authoritative_self_help",
      "source_type": "public_health_guidance",
      "title": "NHS thought record",
      "url": "https://www.nhs.uk/every-mind-matters/mental-wellbeing-tips/self-help-cbt-techniques/thought-record/",
      "claim_scope": "Supports separating situations, thoughts and evidence, then considering a more balanced or neutral view.",
      "supports": ["prediction-testing", "continuum-evaluation", "specific-self-evaluation", "balanced-standards"],
      "does_not_establish": "Does not prove a feared interpretation false and is not a diagnostic instrument.",
      "reviewed_on": "2026-08-19"
    },
    {
      "id": "ev-nhs-problem-solving",
      "evidence_class": "authoritative_self_help",
      "source_type": "public_health_guidance",
      "title": "NHS problem solving",
      "url": "https://www.nhs.uk/every-mind-matters/mental-wellbeing-tips/self-help-cbt-techniques/problem-solving/",
      "claim_scope": "Supports distinguishing practical problems that can be acted on from concerns that do not currently have a practical solution.",
      "supports": ["actionable-vs-hypothetical-worry"],
      "does_not_establish": "Does not justify dismissing concrete risk, urgent problems, or concerns that need professional input.",
      "reviewed_on": "2026-08-19"
    },
    {
      "id": "ev-nhs-worries",
      "evidence_class": "authoritative_self_help",
      "source_type": "public_health_guidance",
      "title": "NHS tackling your worries",
      "url": "https://www.nhs.uk/every-mind-matters/mental-wellbeing-tips/self-help-cbt-techniques/tackling-your-worries/",
      "claim_scope": "Supports a worry-tree distinction and setting aside worry for a planned review period.",
      "supports": ["actionable-vs-hypothetical-worry", "worry-postponement", "rumination-disengagement"],
      "does_not_establish": "Does not show that all worry is unproductive or that postponement is suitable during genuine urgent risk.",
      "reviewed_on": "2026-08-19"
    },
    {
      "id": "ev-nhs-facing-fears",
      "evidence_class": "authoritative_self_help",
      "source_type": "public_health_guidance",
      "title": "NHS facing your fears",
      "url": "https://www.nhs.uk/every-mind-matters/mental-wellbeing-tips/self-help-cbt-techniques/facing-your-fears/",
      "claim_scope": "Supports gradual, manageable approach to feared situations rather than trying to remove all fear at once.",
      "supports": ["graded-approach"],
      "does_not_establish": "Does not support approaching genuinely dangerous situations or overriding protective boundaries.",
      "reviewed_on": "2026-08-19"
    },
    {
      "id": "ev-cci-perfectionism",
      "evidence_class": "clinical_resource",
      "source_type": "clinical_service_resource",
      "title": "Centre for Clinical Interventions — Perfectionism resources",
      "url": "https://www.cci.health.wa.gov.au/Resources/Looking-After-Yourself/Perfectionism",
      "claim_scope": "Provides CBT-oriented psychoeducation and exercises for unhelpful perfectionism, rigid standards and self-evaluation.",
      "supports": ["flexible-standards", "continuum-evaluation", "balanced-standards"],
      "does_not_establish": "Does not imply that high standards are inherently unhealthy or that professional requirements should be relaxed.",
      "reviewed_on": "2026-08-19"
    },
    {
      "id": "ev-editorial-low-risk",
      "evidence_class": "practical_editorial",
      "source_type": "editorial_synthesis",
      "title": "CBT Cards low-risk editorial synthesis",
      "url": "https://cbt-cards.github.io/practice/#methodology",
      "claim_scope": "Allows a small reflection format when it transparently recombines reviewed CBT mechanisms without claiming that the exact card format has independent efficacy evidence.",
      "supports": ["rumination-disengagement", "uncertainty-reassurance-reduction", "specific-self-evaluation"],
      "does_not_establish": "Does not establish clinical efficacy, suitability for an individual, or equivalence to therapist-delivered CBT.",
      "reviewed_on": "2026-08-18"
    }
  ]
}