A Leading Treatment for PTSD
Prolonged Exposure (PE) therapy is a type of cognitive-behavioral therapy (CBT) that is widely used to treat post-traumatic stress disorder (PTSD). PE was developed by Dr. Edna Foa and her colleagues in the 1980s and has since become one of the leading evidence-based treatments for PTSD.
Here’s an overview of how prolonged exposure therapy works:
Exposure
The core component of prolonged exposure therapy is exposure to trauma-related memories, thoughts, and situations that the individual has been avoiding. This exposure is done in a safe and controlled manner, either by revisiting the traumatic memory in imagination (imaginal exposure) or by gradually facing real-life situations that trigger anxiety or avoidance (in vivo exposure).
Processing of Trauma
Through repeated exposure, individuals learn to confront and process their traumatic memories and associated emotions, rather than avoiding or suppressing them. This process helps to reduce the intensity and frequency of PTSD symptoms over time.
Cognitive Restructuring
Prolonged exposure therapy also involves cognitive restructuring techniques to challenge and modify maladaptive beliefs and interpretations related to the trauma. By addressing distorted thoughts and beliefs, individuals can develop more adaptive coping strategies and a more realistic understanding of the traumatic event.
Breathing Retraining
Another component of prolonged exposure therapy is teaching individuals relaxation and breathing techniques to manage anxiety and arousal symptoms. Learning to regulate breathing can help individuals stay calm and focused during exposure exercises.
Between Session Practice
Individuals are often assigned homework exercises to practice between therapy sessions, such as listening to audio recordings of their trauma narrative or gradually approaching feared situations. These assignments help to reinforce the skills learned in therapy and promote continued progress outside of sessions.
Gradual Approach
Prolonged exposure therapy follows a gradual approach to exposure, starting with less distressing or triggering memories or situations and gradually progressing to more challenging ones as the individual becomes more comfortable and confident.
Improved Quality of Life: Prolonged Exposure Heals
Overall, prolonged exposure therapy aims to help individuals confront and process their traumatic experiences in a safe and supportive environment, leading to a reduction in PTSD symptoms and an improved quality of life. It typically involves a structured course of treatment consisting of 8-15 sessions, although the duration may vary depending on individual needs and treatment progress.
Take the First Step
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