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Exposure therapy is a form of psychotherapy treatment for specific phobias. It involves exposing an individual directly with what they fear. The aim is for the individual to become accustomed to being around their fear and realize it's irrational and there is no reason to be afraid. People all over the world suffer from their fears, whether that may be a fear of heights or confined spaces. Phobia induced anxiety is more common than you might think, with 9% of Americans suffering from their fears. The inhibiting factor of fear - Developing a solution How and why do people develop fears? Some situations are understandable and definable. For example, a traumatic incident of a child trapped in an elevator may result in that child suffering from claustrophobia well into adulthood. Or a fear of flying, which is also objectively understandable as to what and how the fear manifests itself. However other fears like a fear of germs or blood may be harder to pinpoint the cause or explanation for the fear. People develop phobias for all sorts of things from spiders to flying to needles. Some phobias are less common than others though and levels of severity vary from individual to individual. Fears can become an extremely inhibiting factor in one's daily life. Imagine you suffer from claustrophobia, but to get to work you must ride an elevator or a train or enter a tunnel, each trip to work could be agonizing, anxious and frightening. Or say you suffer from a fear of needles, each trip to the doctor will be scary for you, or you may even avoid the doctor altogether, which can have dangerous consequences. This is why individuals seek out treatment for their irrational fears. Psychological treatment for phobias may include medication, however this just slows the issue and a more direct approach may be needed. This is where exposure therapy comes in. How exposure therapy works Exposure therapy simply put, is as it sounds, exposure to that which you fear. Individuals confront their fears (through different methods as well soon see) head on. By literally forcing themselves to embrace seemingly frightening situations they hope to overcome the urge to flee, panic or pass out. The traditional way of understanding what was happening during exposure therapy was grounded in the idea of habituation. Habituation means that over time the patient “gets used to” the fear. Most people are familiar with everyday examples of habituation such as being aware of the sound of a fan when it is turned on and then automatically ‘tuning out’ the noise so that you are not aware of it a few minutes later. The traditional goal of exposure therapy was fear habituation – exposure trials were continued for as long as was necessary for a patient to report a significant reduction in fear. Obviously the exposure is gradual, as to not immediately terrify the individual (however some forms of therapy reverse the process and have the individual head right to the deep end!). However a more modern understanding of the effectiveness of exposure therapy is grounded in learning theory, specifically models of inhibitory learning. According to learning theory the extinction of fear is a form of associative learning. During exposure therapy, when a patient repeatedly confronts their fear without something bad happening, their expectations are shifted so that they no longer expect the bad to follow the exposure. Therefore their behavior is altered so that they approach the situation rather than avoid it. They are not actually erasing their fear by the new learning. Instead they learn that the outcome does not result in something terrible happening as they originally feared. Different exposures. Same results. Exposure therapy consists of a few methods,
But, does it work? Nice, so exposure therapy has a lot of different methods and approaches but does it work? Yes, exposure therapy can be a practical and cost-effective option for addressing irrational fears, phobias, anxieties, and more. The benefits of exposure therapy have been documented in many studies that are effective for several different mental health conditions:
Another more modern approach to exposure therapy is VR. VR which stands for virtual reality, usually comes in the form of a headset and until recently was more gameplay focused. However companies like BraVeR have taken VR to the next level. VR allows for a hyper realistic immersion into austere environments with almost zero risk and affordable prices. Its realism is what makes it a valuable tool in exposure therapy. Using a VR headset, individuals can immerse themselves into environments that they deem fearful, with the ability to exit at any moment. Here they can climb to high heights or face a massive spider, with each test they break the psychological barrier that tells them to run. The hyperrealism is enough to induce fear but the environment is completely in their control. This allows for growth in overcoming their fears. VR can also be a helpful approach when exposure to the real object or situation is impractical, and may prove to be a form of treatment which is more effective in terms of therapist resources. Exposure therapy has limitations
Although research shows that exposure therapy can be effective for many, there are some notable limitations of the treatment. Despite the success rate, many professional counselors and therapists don't implement it. Some professionals believe that exposure therapy may make symptoms worse, especially when dealing with PTSD. Additionally, exposure therapy is difficult work that causes people to feel and confront things that they have worked hard to avoid. Because of this, if the therapy is not implemented correctly, the positive effects of exposure therapy may wane over time. That's why patients must participate in the treatment to the fullest extent and follow a well-trained therapist's directions. While exposure therapy is arguably a step in the right direction, there are offshoots that can also aid an individual. These include things like CBT where an individual is talked through their fear and they overcome it through exposure as well as logical thinking and reasoning as well as brain cognition. Another direction is through self help and meditation. Through introspection and meditation individuals can, on their own, work through their fears and overcome them. So while exposure therapy may have its limitations, for many people, it has proven to be effective in delivering long-term results. The research continues to support its effectiveness for treating anxiety, phobias, and other mental health conditions. Back to Braver Blog Subscribe for free and get weekly tips, articles, and tools to improve your mental fitness Which method of treating phobias involves progressive relaxation and exposure to the fear object?Exposure therapy is a psychological treatment that was developed to help people confront their fears. When people are fearful of something, they tend to avoid the feared objects, activities or situations.
Which behavior therapy technique is commonly used to treat anxieties or fears?Cognitive behavioral therapy (CBT) for anxiety. Cognitive behavioral therapy (CBT) is the most widely-used therapy for anxiety disorders. Research has shown it to be effective in the treatment of panic disorder, phobias, social anxiety disorder, and generalized anxiety disorder, among many other conditions.
Which of the following is the best established treatment for phobias?The best treatment for specific phobias is a form of psychotherapy called exposure therapy. Sometimes your doctor may also recommend other therapies or medication.
Which psychotherapy is likely most effective in treating phobias?Talking treatments, such as counselling, are often very effective at treating phobias. In particular, cognitive behavioural therapy (CBT) has been found to be very effective for treating phobias.
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