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The least anxiety-provoking situations are ordered at the bottom of the hierarchy while the most anxiety-provoking situations are at the top. Exposure hierarchies typically consist of 10-15 items and will guide the client’s exposure practices. [1] An abbreviated example of an exposure hierarchy is pictured in Image 1.
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 ...
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 .
The goal of the therapy is for the individual to learn how to cope with and overcome their fear in each level of an exposure hierarchy. The process of systematic desensitization occurs in three steps. The first step is to identify the hierarchy of fears. The second step is to learn relaxation or coping techniques.
The Method of Factors is a technique in cognitive behavioral therapy to organise a session of exposure therapy.Rather than generating a list of objects or situations in advance (a static hierarchy) representing escalating levels of arousal and intensity of fear for a particular phobia, the Method of Factors involves identifying a fear-provoking stimulus, then identifying those features of the ...
The imaginal exposure typically occurs during the therapy session and consists of retelling the trauma to the therapist. 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.
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Interoceptive exposure is a cognitive behavioral therapy technique used in the treatment of panic disorder. [1] It refers to carrying out exercises that bring about the physical sensations of a panic attack, such as hyperventilation and high muscle tension, and in the process removing the patient's conditioned response that the physical sensations will cause an attack to happen.