Exposure Therapy For Anxiety

Now revised and expanded to include cutting-edge acceptance-based techniques and a new focus on inhibitory learning, this is the leading guide to therapeutic exposure, a crucial element of evidence-based psychological treatments for anxiety. The book helps the clinician gain skills and confidence for implementing exposure successfully and tailoring interventions to each client's needs, regardless of diagnosis. The theoretical and empirical bases of exposure are reviewed and specialized assessment and treatment planning techniques are described. User-friendly features include illustrative case examples, sample treatment plans, ideas for exercises targeting specific types of fears, and reproducible handouts and forms that can be downloaded and printed in a convenient 8½" x 11" size. New to This Edition *Chapter on acceptance and commitment therapy (ACT) techniques. *Reflects a shift in the field toward inhibitory learning--helping clients learn to tolerate anxiety and uncertainty to maximize long-term outcomes. *Chapter on uses of technology, such as computer-based therapy and virtual reality tools. *Conceptual, empirical, and clinical advances woven throughout.

Table of Contents: Exposure therapy for anxiety : overview and history How well does exposure therapy work? The nature and treatment of clinical anxiety Treatment planning I : functional assessment Treatment planning II : hierarchy development and treatment engagement Implementing exposure therapy : an overview Animal-related stimuli Natural environments Social concerns Unwanted intrusive thoughts Bodily cues and health concerns Contamination The aftermath of trauma Blood, injection, and injury-related stimuli Incompleteness, asymmetry, and not-just-right feelings Exposure therapy with complex cases Exposure therapy with children Involving significant others in treatment Combining exposure therapy with medication Maintaining improvement after treatment Exposure therapy : a risk-benefit analysis.

This book has been replaced by Exposure Therapy for Anxiety, Second Edition, ISBN 978-1-4625-3952-9.

An estimated 70% of adults in the United States have experienced a traumatic event at least once in their lives. Though most recover on their own, up to 20% develop chronic Posttraumatic Stress Disorder. For these people, overcoming PTSD requires the help of a professional. This guide gives clinicians the information they need to treat clients who exhibit the symptoms of PTSD. It is based on the principles of Prolonged Exposure Therapy, the most scientifically-tested and proven treatment that has been used to effectively treat victims of all types of trauma. Whether your client is a veteran of combat, a victim of a physical or sexual assault, or a casualty of a motor vehicle accident, the techniques and strategies outlined in this book will help. In this treatment clients are exposed to imagery of their traumatic memories, as well as real-life situations related to the traumatic event in a step-by-step, controllable way. Through these exposures, your client will learn to confront the trauma and begin to think differently about it, leading to a marked decrease in levels of anxiety and other PTSD symptoms. Clients are provided education about PTSD and other common reactions to traumatic events. Breathing retraining is taught as a method for helping the client manage anxiety in daily life. Designed to be used in conjunction with the corresponding client workbook, this therapist guide includes all the tools necessary to effectively implement the prolonged exposure program including assessment measures, session outlines, case studies, sample dialogues, and homework assignments. This comprehensive resource is an exceptional treatment manual that is sure to help you help your clients reclaim their lives from PTSD. TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! · All programs have been rigorously tested in clinical trials and are backed by years of research · A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date · Our books are reliable and effective and make it easy for you to provide your clients with the best care available · Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated · A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources · Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)

Written by a team of clinicians specializing in the treatment of children and adolescents, this professional guide offers a comprehensive, practical resource for implementing exposure therapy when treating children and adolescents with anxiety. Each chapter is devoted to tailoring exposure work to a specific anxiety-related condition, such as separation anxiety, phobias, panic, social anxiety, and more, using a variety of creative exposure ideas and activities. In Exposure Therapy for Treating Anxiety in Children and Adolescents, you’ll find detailed hierarchies and clinical suggestions for treating each specific childhood anxiety condition, including separation anxiety, school refusal, selective mutism, specific phobia, generalized anxiety, panic disorder, social anxiety, obsessive compulsive disorder (OCD), and emotion tolerance. The book also offers an overview of exposure therapy and its implementation in children and adolescents, including a review of current research and empirical findings on this approach. With this book, you’ll also find solid strategies for conducting detailed clinical assessments, so you can gain a greater understanding the specific anxiety triggers and factors that play a role in the development of and maintenance of the child’s problem, and learn how this information can be used to guide you in your development of specific exposure exercises. Finally, you’ll find tips on how to assess for family variables that may contribute to the maintenance of the child’s condition, as well as ways to work with parents in becoming effective coaches for their children during exposure-based activities. Children are vastly different than adults in their treatment needs and in the process through which effective therapy is implemented. If you’re looking for clear, practical guidelines for designing, adapting, and implementing specific exposure exercises for your young clients, this book provides everything you need in one place.

Exposure therapy is highly effective for treating anxiety disorders in children and adolescents, yet implementation with youth and their parents entails unique challenges. Packed with clinical examples, this concise book provides practical, developmentally savvy guidelines for conducting therapeutic exposure with 5- to 18-year-olds. At each stage of the process, it addresses clinicians' most common questions and concerns. Coverage includes how to build a strong initial assessment; develop a fear ladder; individualize exposure exercises for different problem areas, including phobia, social anxiety, worry, separation anxiety, and panic; and monitor progress. Also discussed is when and how to integrate exposure with relaxation and cognitive strategies.

As a clinician, do you suffer from “exposure phobia?” This breakthrough book offers 400 creative, innovative, and easy-to-implement exposure exercises to help you and your clients move past fears, energize treatment sessions, and improve client outcomes. In cognitive behavioral therapy (CBT), exposures are the gold standard for treating anxiety-related disorders, including obsessive-compulsive disorder (OCD), panic, and phobias. But if you’re like many therapists, you’ve likely encountered clients who are fearful or reluctant to exposure therapy. As a result, you may also shy away from doing exposures out of fear of worsening your client’s anxiety or rupturing the client/therapist rapport. So, how can you find a new approach for using this effective—yet intimidating—treatment? The Big Book of Exposures offers unconventional new exposures to help you provide the most effective treatment possible. In addition, you’ll also find a comprehensive overview of exposure therapy; a rationale for its use in treating anxiety-related disorders; troubleshooting tips for dealing with common roadblocks, such as avoidance; and techniques for helping clients stay motivated during treatment. With this essential resource, you’ll learn to create engaging and enjoyable exposure exercises to improve treatment outcomes and help your clients live better lives.

Exposure Therapy refers to any clinical intervention in which a client directly confronts a source of fear. Since high levels of anxiety can not be maintained indefinitely, repeated exposure leads to decreased anxiety. This type of treatment is effective with phobias, post traumatic stress disorder, obsessive compulsive disorders, panic, generalized anxiety, and several other disorders. It's also been found to be effective in helping to treat substance abuse. Although exposure-based treatments have been extensively researched and reported in the literature, there is no single comprehensive treatment of exposure therapies. Writings tend to be limited to larger pieces on treating specific disorders or types of patients. A comprehensive book on the use of these treatments across patient disorders will be of great use to practitioners. The book is divided into three sections: Foundation, Applications, and Issues. Foundation chapters considers theoretical and assessment issues. Applications chapters will discuss research literature on each disorder having been proven to be successfully treated with exposure therapy. Issue chapters will discuss liability issues, false memory syndrome, and the use of computers and virtual reality in exposure therapy. *Covers the broad range of exposure therapies in one comprehensive source *Provides an integrated look at exposure therapy across a variety of disorders *Each such chapter will include a case study *Blends literature review and practice guidelines