Clinician s Guide to Exposure Therapies for Anxiety Spectrum Disorders
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179 pages
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Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.Exposure therapy has amassed a significant body of research and is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders. Nevertheless, therapists often neglect to maximize this technique because they struggle with creating specific exposure exercises for clients’ individual fears and phobias and because they are hesitant to suggest exposure exercises to anxious clients who may be resistant to facing their fears.The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders offers the solution—a detailed menu of specific exposure strategies for the most common fears and phobias clients experience. This book helps therapists introduce the concept of exposure therapy and integrate it with other evidence-based practices, such as cognitive behavior therapy, dialectical behavior therapy, and acceptance and commitment therapy. It provides reproducible forms therapists can use to help clients make hierarchies of exposure. Along with exposure strategies, the book features guidance on using exposure therapy in general, including special sections on prolonged exposure therapy for post-traumatic stress disorder. A must-have resource for any clinician seeking to effectively treat anxiety disorders in their clients.

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Publié par
Date de parution 01 novembre 2012
Nombre de lectures 0
EAN13 9781608821549
Langue English

Informations légales : prix de location à la page 0,1968€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.

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Publisher’s Note
This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering psychological, financial, legal, or other professional services. If expert assistance or counseling is needed, the services of a competent professional should be sought.
Distributed in Canada by Raincoast Books
Copyright © 2012 by Timothy A. Sisemore
New Harbinger Publications, Inc.
5674 Shattuck Avenue
Oakland, CA 94609
www.newharbinger.com
All Rights Reserved
Acquired by Tesilya Hanauer; Cover design by Amy Shoup; Edited by Clancy Drake; Text design by Tracy Marie Carlson
“Cognitive Model of Anxiety” and “Simplified Diagram of the Cognitive Model of Anxiety” from COGNITIVE THERAPY OF ANXIETY DISORDERS by D. A. Clark and A. T. Beck, copyright © 2010 by The Guilford Press. Used by permission of The Guilford Press.
The hexaflex diagram in chapter 7 is adapted by permission from Kelly G. Wilson and Troy DeFrene, Mindfulness for Two , New Harbinger Publications, 2008.
Library of Congress Cataloging-in-Publication Data
The clinician’s guide to exposure therapies for anxiety spectrum disorders : integrating techniques and applications from CBT, DBT, and ACT / Timothy A. Sisemore.
p. cm.
Summary: “The Clinician’s Guide to Exposure Therapies for Anxiety Spectrum Disorders is a much-needed, organized manual that offers therapists a detailed menu of exposure exercises for the treatment of the most common fears and phobias. It includes strategies for increasing clients’ willingness to participate in exposure therapy and incorporates the most effective therapy exercises from cognitive behavioral therapy, acceptance and commitment therapy, dialectical behavior therapy, and other modalities. Therapists can simply look up clients’ symptoms to find the most effective exposure therapy treatment exercises for a client’s particular anxiety issue”-- Provided by publisher.
Includes bibliographical references and index.
ISBN 978-1-60882-152-5 (pbk.) -- ISBN 978-1-60882-153-2 (pdf e-book) -- ISBN 978-1-60882-154-9 (epub) 1. Anxiety disorders--Treatment. 2. Exposure therapy. I. Title.
RC531.S57 2012
616.85’22--dc23
2012026564
Courage is being scared to death—but saddling up anyway.
—John Wayne
Contents
Acknowledgments
Introduction: Exposure Therapy: A Tool for the Times
Part I The Many Facets of Exposure and Response Prevention
1 Exposure Therapy: The Overlooked Treasure
2 Exposure and Response Prevention: The What, How, and Why
3 Exposure Therapy’s Partner: Response Prevention
4 Implementing Basic Exposure Therapy
5 Exposure Therapy and Response Prevention in the Context of Cognitive Behavioral Therapy
6 Exposure in the Context of Dialectical Behavior Therapy
7 Exposure in the Context of Acceptance and Commitment Therapy
8 Three Other Adaptations of Exposure Therapy
Part II A Menu of Specific Suggestions for Exposure and Response Prevention
9 Using the Exposure Menu in Context
10 Exposure Therapy for Simple Phobias
11 Exposure Therapy for Social Anxiety Disorder
12 Exposure Therapy for Panic Disorder and Agoraphobia, with a Focus on Interoceptive Exposure
13 Exposure Therapy for Obsessive-Compulsive Disorder, Generalized Anxiety Disorder, and Hypochondriasis
14 Suggestions for Emotion Exposure
References
With Appreciation
When I began this project two years ago, I was under no illusions that I would be able to do this alone. I have been blessed to have a great supporting cast and wish to express my gratitude. Ron Bunger, librarian at Richmont Graduate University, has been gracious and diligent to round up a wealth of resources to support this book. Erin Rayburn, Jane Brandon, and Camilla Brown are students who have also contributed valuable time to helping with the literature review. The entire crew at New Harbinger has again proven helpful and encouraging, broadening and clarifying the vision for the project. Hats off also to Clancy Drake, whose careful editing made this much more readable than it might have been.
Most of all, I am grateful to and for my wife, Ruth, and daughter, Erin, who patiently cheered this project on—even though it took so much of my time.
Whatever good can be said of this book, I owe to this stellar group of supporters. The weaknesses that remain reveal my humanness that still shows despite such superb guidance and support.
—Timothy A. Sisemore, PhD Chattanooga, TN June 2012
Introduction
Exposure Therapy: A Tool for the Times
The environment for practicing psychotherapy is changing. Gone are the early days of my career, when I set a fee and insurance paid 80 percent of whatever (reasonable) amount I set. Even better, no care manager was looking over my shoulder to see how many sessions I took or what I was doing in them, leaving me free to practice as I thought best. I feel old just writing that, knowing that younger clinicians can hardly imagine such a world. While the freedom was delightful, I admit that it made it quite easy to do whatever you wished in therapy and be in no hurry about it. Exploitation was rampant, which was an expense to the payers and a disservice to clients. While I miss the unhurried pace, I greatly appreciate that there is more accountability for therapists to use the best methods in treating clients.
Yet the new dispensation has its downsides, including that, while managed care pushes therapists to use techniques supported by science, the best methods are not always the easiest or the most familiar. Exposure therapy (ET), and its companion, response prevention (RP), are excellent examples of unfamiliar but effective methods. Though they are undoubtedly evidence-based and typically relatively short-term, they are often overlooked by clinicians. That is of concern, as they effectively treat the spectrum of anxiety disorders, the most common group of mental health problems (Kessler, Chiu, Demler, & Walters, 2005).
The National Institute of Mental Health’s (2009) brochure on anxiety disorders and their treatment lists only two recommended therapies: pharmacotherapy and cognitive behavioral therapy (CBT). However, much of the article focuses on the oft-forgotten “behavioral” part of CBT, which in this case is exposure therapy. Exposure therapy is mentioned specifically as a vital element of CBT in Antony’s (2011) excellent summary of current treatments for anxiety. Despite such support, ET remains undervalued and relatively unknown. Yet, the bottom line is that it works. Forsyth, Barrios, and Acheson (2007, p. 70) state, “Numerous studies have shown that exposure therapy is efficacious in the treatment of all anxiety disorders.” While these authors concede that ET does not help everyone, they confirm that 70 to 90 percent of those receiving ET benefit from it. It is time for ET to be used as frequently as the literature suggests it should.
This book is intended to help you better understand both exposure therapy and response prevention and to use them effectively. It provides a grounding in exposure therapies and response prevention and a guide to how to use them across the spectrum of anxiety disorders. Moreover, I will stress how exposure therapy and response prevention fit into the context of cognitive behavioral therapy and newer, “third-wave” versions of CBT. Dialectical behavior therapy (DBT) and acceptance and commitment therapy (ACT) are proving their mettle in research, and, as we’ll see, exposure therapy serves a vital role in these.
Part I begins with an examination of the roots and development of exposure therapy and response prevention, and, in Chapter 2, a consideration of the evidence for these tools’ effectiveness. In Chapter 3, we will see how escape and avoidance behaviors perpetuate anxiety and how these behaviors are to be addressed with ET and (particularly) RP. This sets the stage for a detailed exposition in Chapter 4 of how EP works and how it is to be implemented in counseling, including a discussion of the various types of exposures that may be used. The next chapters (5, 6, and 7) provide a discussion of how ET and RP fit in broader treatment plans based in cognitive behavioral therapy, dialectical behavior therapy, and acceptance and commitment therapy. Edna Foa (Foa, Hembree, & Rothbaum, 2007) has developed an important variant of ET called prolonged exposure therapy. An overview of this variation and its take on the role of emotional processing, along with accounts of narrative exposure therapy and emotion exposure, comprise Chapter 8. Chapter 9 is a guide to how to use the disorder-specific menus of exposure ideas in Part II.
Part II follows the proposed categories of the DSM-5 (drawn from the DSM development site: American Psychiatric Association, 2012) to list many of the most common fears to which ET can be applied, offering suggestions of imaginal (in one’s imagination), virtual reality, interoceptive (physiological sensations associated with anxiety), and in vivo (in the actual situation) exposures to each as applicable. This is intended to stimulate your thinking and aid in customizing the principles of ET to individual client needs.
I hope that this book will give you effective, evidence-based tools to utilize in treating clients with anxiety, in conjunction with warm clinical regard for the client and understanding of the challenges anxiety poses. With gentle support, these tools can help many to live more meaningful and placid lives not controlled or burdened by undue anxiety.
Part I
The Many Facets of Exposure and Response Prevention
Chapter 1
Exposure Therapy: The Overlooked Treasure
Melanie has had enough. She has worked hard to overcome her fears. She has sought advice from her friends and tried to think happy thoughts. She argues with herself, frustrated because she knows she is afraid of things that she shouldn’t fear. She has tried to relax and she’s

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