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examined the effects of single-session in vivo exposure (that lasts 1 to 3 hours) for patients with specific phobias.At posttreatment follow-up (after an average of 4 years), 90% of these patients still had significant reduction in fear, avoidance, and overall level of impairment and 65% no longer had a specific phobia.In addition, we provide practical guidelines for clinicians who wish to use exposure-based therapies and empirical evidence to guide their decision making.In clinical practice, exposure-based therapies for anxiety disorders are underutilized, which highlights the need for additional dissemination and training.In vivo vs imaginal In vivo exposure refers to real-world confrontation of feared stimuli.Sometimes, in vivo exposure is not feasible (eg, it would be both difficult and hazardous for someone with combat-related PTSD to experience the sights, sounds, and smells of combat in real life).In such cases, imaginal exposure can be a useful alternative.In imaginal exposure, the patient is asked to vividly imagine and describe the feared stimulus (in this case, a traumatic memory), usually using present-tense language and including details about external (eg, sights, sounds, smells) and internal (eg, thoughts, emotions) cues.
For example, in the Harvard/Brown Anxiety Research Project, only 23% of treated patients reported receiving even occasional imaginal exposure and only 19% had received even occasional in vivo exposure.Although it is well established that exposure-based therapies are effective treatments for these disorders, however, only a small percentage of patients are actually treated with this approach.We review the results of a handful of the most influential studies that demonstrate the efficacy of exposure therapy and disseminate information about the theoretical mechanisms, practical applications, and empirical support for this treatment. Turndorf shows us the way to heal our hearts and find lasting love." "My husband and I have been "spiritual seekers" exploring our spiritual path for many years. You and your husband are the most evolved and state-of-the-art souls that will change human consciousness." "Wonderful book. When I started the course, I had no confidence that I could ever reconnect with him on my own. For a decade, I have been working tirelessly to change the way the world looks at death and dying.
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