Exposure therapies Flashcards
Forms of exposure therapy
In vivo (cue exp)
imaginal (written/nerrative)
Virtual reality exp
Interoceptive exp (bodily exp)
Memory reconsolidation disruption and imaginary rescription uses a tecnique related to it, however theoretically different.
There’s also a lot of different varients
(contra)indications
Indicated in anxiety, ocd and trauma related disorders.
More nuanced; diff types and forms investigated in diff disorders/complaints. Indication is based on group studies vs individual case.
In vivo indication
OCD (w response prevention
PTSD (wi imaginal exposure)
Panic w agoraphobia (w interoceptive in CBT)
Social anxiety
GAD
Specific
Etc
Rule out somatic causes or physical limitations. Try to quit medication, and consider repeating exposure. If meds continued, keep it fixed (attribute to self not to meds)
Imaginal indication
Vividly imagining:
PTSD
Complex trauma
Take away factor that hinders activation
Inform patient about possible legal consequence due to effect on memory
Children: often include caregivers but ideally not. Ideally w brief brakes
Interoceptive indication
Deliberately bringing on physical sensations that are harmless yet feared:
Panic disorders
Children: adapt to development level, to window of tolerance and involve parents.
In virtuo indications
Facing fear using virtual reality;
Anxiety disorders
Added value if imaginal is insufficient and in vivo is difficult
PTSD (not better than imaginal)
Self-help
Writing therapy indications
Face to face; PTSD and PTS symptoms
Online
Includes non exposure interventions like social sharing and coping
Often second line treatment
Nerrative exposure therapy (NET) indications
PTSD, often for refugees
Complex complaints complex setting
Non-refugees
Children: PTSD
Don’t need professionals, can use lay counsalers
Cue exposure indications
exposure w response prevention to unlearn response
Eating disorders/obese
Contra-indic: Anorexia
