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Flooding, sometimes referred to as in vivo exposure therapy, is a form of behavior therapy and desensitization – or exposure therapy – based on the principles of respondent conditioning. As a psychotherapeutic technique, it is used to treat phobia and anxiety disorders including post-traumatic stress disorder .
Exposure and response prevention (also known as exposure and ritual prevention; ERP or EX/RP) is a variant of exposure therapy that is recommended by the American Academy of Child and Adolescent Psychiatry (AACAP), the American Psychiatric Association (APA), and the Mayo Clinic as first-line treatment of OCD citing that it has the richest ...
For the in vivo exposure, the clinician works with the client to establish a fear and avoidance hierarchy and typically assigns exposures to these list items as homework progressively. The therapist may also record the session and ask the patient to continue to complete in vivo exercises on their own time with the help of the recording. [2]
Systematic desensitization, (relaxation training paired with graded exposure therapy), is a behavior therapy developed by the psychiatrist Joseph Wolpe. It is used when a phobia or anxiety disorder is maintained by classical conditioning .
In Vivo Gradual Exposure. This is the only optional component within TF-CBT. The caregiver and child develop a fear hierarchy and develop strategies to face each fear. The caregiver is crucial in this session, as they must give consistent encouragement and persistence for the child to use their relaxation and TF-CBT skills. [2]
Therapists in the behavior therapy groups used a manualized, highly structured treatment protocol that included relaxation training and systematic desensitization in imagination, specific in vivo desensitization homework assignments, and assertiveness training (including modeling, role playing, behavior rehearsal, and in vivo homework assignments).
Desensitization is commonly used with simple phobias like insect phobia. [23] [24] In addition, desensitization therapy is a useful tool in training domesticated dogs. [25] Systematic desensitization used in conjunction with counter-conditioning was shown to reduce problem behaviours in dogs, such as vocalization and property destruction. [25]
Systematic desensitization—A therapy that exposes the person to increasing levels of vivid stimuli gradually and frequently, while instructed to relax. [17] Flooding—A therapy that exposes the person with a specific phobia to the most fearful stimulus first (i.e. the most intense part of the phobia). Patients are at great risk for dropping ...