Maximizing The Effectiveness Of Exposure Therapy

The Maximizing The Effectiveness Of Exposure Therapy handout utilizes insights from inhibitory learning theory to help clinicians and clients conduct more effective exposure therapy.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Overview

Despite its position as the leading treatment technique for anxiety disorders, not all clients respond to exposure therapy and some individuals relapse following successful treatment. The Maximizing The Effectiveness Of Exposure Therapy information handout uses cutting edge insights from inhibitory learning theory to help clinicians and their clients conduct exposure therapy that is most likely to lead to recovery.

Why Use This Resource?

Exposure therapy is most effectice when it incorporates strategies that optimize learning.

  • Educates clients about the key principles of exposure.
  • Helps clients face their fears using effective methodologies.
  • Maximizes the benefits of exposure exercises.

Key Benefits

Effective

Applies inhibitory learning strategies to increase the benefits of exposure.

Practical

Helps therapists and clients plan and conduct effective exposure tasks.

Versatile

Applicable whenever exposure therapy is used.

Who is this for?

Panic Disorder

Addressing panic through interoceptive and situational exposures.

Obsessive Compulsive Disorder (OCD)

Decreasing compulsions via exposure and response prevention.

Social Anxiety Disorder (SAD)

Reducing social fears and avoidance by confronting anxiety-provoking situations.

Integrating it into your practice

01

Expectancy

Design exposures that test client beliefs and demonstrate prediction failures.

02

Extinction

Deepen extinction by introducing multiple fear cues both separately and combined.

03

Reinforcement

Practice exposure at irregular intervals to prevent fear resurgence.

04

Signals

Encourage release from safety behaviors to facilitate genuine learning.

05

Variability

Introduce variability in exposure duration, settings, and intensity.

06

Retrieval

Use cues to solidify learning and prevent relapse.

07

Contexts

Conduct exposure across diverse situations for generalization.

08

Labeling

Encourage clients to label emotions to enhance exposure efficacy.

Theoretical Background & Therapist Guidance

Exposure therapy is the most effective treatment for anxiety disorders. It can take various forms, including graduated or intense methods (such as flooding), brief or prolonged sessions, and imaginal or in vivo exposure.

Craske and colleagues (2014) propose that inhibitory learning is the most useful model for understanding exposure therapy. They argue that individuals with anxiety often experience deficits in the mechanisms that support extinction learning. By optimizing inhibitory learning during exposure, clinicians can enhance the effectiveness of treatment. They have identified nine strategies that can help maximize the effectiveness of exposure therapy: expectancy violation, deepened extinction, occasional reinforced extinction, removal of safety signals, variability, retrieval cues, multiple contexts, reconsolidation, and affect labeling.

Maximizing The Effectiveness Of Exposure Therapy is an informational handout designed to assist clinicians and their anxious clients in planning and conducting effective exposure therapy.

What's inside

  • An introduction to the resource.
  • Guidance and suggestions for using the resource.
  • Key references and recommendations for further reading.
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FAQs

Inhibitory learning focuses on forming new associations that inhibit fear responses, as opposed to simply reducing fear through habituation.
By applying the nine strategies outlined in this resource, therapists can reinforce new learning and encourage expectancy violations.
They help clients remember and apply what they've learned in therapy to real-world situations.

How This Resource Improves Clinical Outcomes

The structured application of inhibitory learning strategies enhances exposure therapy by:

  • Fostering resilient new learning that inhibits old fears.
  • Reducing avoidance behaviors through repeated, systematic exposure.
  • Encouraging adaptation through diverse and strategic exposure practices.

References And Further Reading

  • Craske, M. G., Treanor, M., Conway, C. C., Zbozinek, T., & Vervliet, B. (2014). Maximizing exposure therapy: an inhibitory learning approach. Behaviour Research and Therapy, 58, 10-23.
  • Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: exposure to corrective information. Psychological Bulletin, 99(1), 20.
  • Salkovskis, P. M., Hackmann, A., Wells, A., Gelder, M. G., & Clark, D. M. (2007). Belief disconfirmation versus habituation approaches to situational exposure in panic disorder with agoraphobia: A pilot study. Behaviour Research and Therapy, 45(5), 877-885.