If you’ve ever experienced trauma, anxiety disorder, or panic disorder, then you may have realized just how much it can control you.  For many people, exposure therapy may be a way to regain that sense of control, and ultimately overcome your fears.

This article covers the basics of exposure therapy, how it can help, and what you can expect if you're suffering from severe anxiety or phobias.

What is exposure therapy?

Exposure therapy is a psychological technique that involves gradual, controlled exposure to the thing you're afraid of through repeated and prolonged contact. With the guidance of a professional, you'll ultimately feel more confident in your ability to cope with the fear and get past it. 

How does exposure therapy work?

Typically, when someone experiences an anxiety-provoking fear, they’ll go out of their way to avoid any reminders of it. Although avoidance provides temporary, short-term relief, this pattern only strengthens the fear itself. 

 Exposure therapy aims to reduce those irrational fears that someone experiences once they've assigned them to an object or situation by gradually exposing them to various aspects of it. 

Together, the therapist and client work to define the best treatment method based on their experiences and present circumstances. While it's meant to help regain a sense of control, exposure therapy actively confronts a person's fears and anxieties, so it must be done incredibly carefully by a trained therapist. 

What techniques are utilized?

Exposure therapy can take several different forms to promote the reduction of distressing emotional responses. Generally, these methods can include:

• In vivo exposure: During in vivo exposure, a person will confront a phobia or fearful situation in real-time. For example, if someone has a phobia of enclosed spaces, they may gradually work their way up to riding in a crowded elevator.
• Imaginal exposure: If a real-world exposure isn't feasible, a therapist will guide someone in confronting it mentally by picturing it in their mind. Imaginal exposure is commonly used for complicated or dangerous scenarios-such as combat-related PTSD.  Visualizing the origin of fear or anxiety with a therapist can reassure someone that they're safe and ultimately reduce feelings of distress.
• Virtual reality exposure: Virtual reality, like imaginal exposure, is a tool that can be used to help people confront fears and worst-case scenarios. For example, someone with a crippling fear of flying can take a flight virtually in their therapist's office, using equipment to replicate the same sounds, sights, and smells they would experience if they were actually on a plane. 

• Interoceptive exposure: The technique of interoceptive exposure involves creating bodily sensations closely resemble those associated with panic and anxiety. Despite being harmless, these sensations would cause a lot of distress to someone with anxiety or panic disorder. 

Who can benefit from exposure therapy?

Exposure therapy can help treat a variety of anxiety and fear-based disorders, including:

• Phobias
• Panic Disorder
• Social Anxiety Disorder
• Obsessive-Compulsive Disorder
• Posttraumatic Stress Disorder
• Generalized Anxiety Disorder

How can it help?

Based on a significant amount of research, exposure therapy has proven to be a safe technique that promotes the following:

• Habituation: A natural process that happens over time; habituation is when a person finds themselves responding less to feared situations or stimuli. 

• Extinction: Exposure can help reduce or weaken the association between the feared object or situation.

• Self-efficacy: Exposure therapy can help show someone that they can confront their fears and manage discomfort. 

• Emotional processing: Throughout treatment, a person can adopt more helpful, realistic beliefs about their fears, ultimately becoming more accepting and comfortable with them.

Taking the next step

Although there are different ways to deal with trauma and many different exposure therapy types, the key is to find a mental health professional who can execute the most suitable treatment for your situation. When done efficiently, the outcomes can be life-changing.

We all have things we're afraid of. But one common fear, in particular, has now taken on new meaning throughout the coronavirus pandemic.

Experts are growing concerned that people with a fear of needles, also known as Trypanophobia, may avoid getting the COVID-19 vaccine. Someone who identifies with this fear may endure extreme dread and anxiety when hearing or thinking about getting the vaccine. They may also avoid or refrain from getting necessary medical care as a result. 

Alongside extreme anxiety, other symptoms of Trypanophobia can include:

• dizziness 
• fainting 
• insomnia
• high blood pressure
•  elevated heart rate
•  feeling emotionally or physically aggressive

Whether your needle phobia is keeping you from getting the COVID-19 vaccine or causing distress about it, here are 6 ways to overcome it:

1. Seek professional help. Some mental health professionals are experienced in helping people with phobias and can help you better understand your fear and guide you in learning new coping strategies. 
   
   
2. Tell the nurse about your anxiety before getting the shot. If you feel that your fear is so severe that you're at risk for fainting, inform the nurse. There may be specific products available or techniques they use to reduce the risk- like having you lay down instead of sitting upright. Some vaccination centers may allow you to bring someone for support if you feel that would be helpful. Be sure to ask ahead of time! 
   
   
3. Distract yourself. You could choose to watch a video on YouTube, listen to your favorite song, or point out all of the blue objects in the room. Remember, the entire process only takes a few seconds, so choose something you could focus on beforehand.  
   
   
4. Associate the vaccine with positivity. Pay attention to some of the pictures people post after getting their vaccine. This tricks your brain into associating positive feelings with the vaccine. Remember, the more grateful posts, stickers, selfies, you see, the better!
   
   
5. Practice mindful exercises. Not only do anxiety and stress have an exhausting impact on your body, but it won’t make the appointment any easier to get through. Consider utilizing various relaxation techniques like deep breathing or short meditations to calm your nerves before and during your appointment.
   
   
6. Focus on the benefits of the vaccine. Many of us will find that the anticipation of receiving the vaccine is more stressful than the actual event itself. In the case of COVID-19, getting a vaccine means we're one step closer to returning to normal. Remind yourself of this whenever you feel any anxiety or nervousness arise; it'll shift your perspective and ultimately make it a less stressful experience for you.

Takeaway

It's OK to be nervous! Focus on the benefits, practice relaxation strategies, and get professional help if you need to.  It'll be over before you know it, and you'll (deservingly) feel a sense of accomplishment and pride knowing that you're doing your part. 

Sensorimotor Psychotherapy (or SMP) is a body-centered approach that aims to understand how the mind, body, and relationships work together to treat the somatic symptoms of unresolved trauma. While traditional talk therapies rely on the individual's verbal account of their situation, this type of therapy focuses on the person's physical experience to improve mental health.

What is Sensorimotor Psychotherapy?

SP is a comprehensive treatment approach developed by Pat Ogden, Ph.D. This method integrates sensorimotor processing with cognitive and emotional processing in treating trauma. 

In other words, SP utilizes a person's body, mind, and emotions to manage and relieve physical sensations associated with trauma.

By focusing on the body first, rather than thoughts and feelings, SP addresses the impact the trauma has had on the body, which facilitates emotional and cognitive processing in turn. 

When is Sensorimotor Psychotherapy Beneficial?

When used for trauma and attachment-related issues, SP can help turn a  traumatic memory into a source of self-awareness and strength. This gentle, integrated approach provides a powerful therapeutic tool for:

• Anxiety 
• PTSD
• Difficulty concentrating due to overwhelming thoughts or uncomfortable physical sensations
• Inappropriate emotional reactions that are distressing or disturbing
• Finding it difficult to enjoy life or feel hopeful
• Childhood trauma, including neglect, abuse, or toxic parent
• Trouble keeping a job, a family, friendships, and other relationships
• Feeling detached from yourself and your relationships

How does Sensorimotor Psychotherapy work?

A typical session looks different for everyone, as they depend on your unique needs and capacity for processing trauma. Additionally, it’s based on a therapist’s level of training. Generally speaking, there are three significant steps toward promoting better health:

1. Safety and stabilization: Your therapist will work to identify any physical and mental connections that have been “clocked” or “frozen”. While maintaining a safe, controlled environment, this phase helps highlight the body's response to specific memories, thoughts, and emotions.
   
   
2. Processing traumatic memories:  If you feel ready to speak about the trauma, your therapist may ask you to recall the period of time leading up to the incident. As you do this, your therapist will pay attention to any significant emotional or physical reactions you're experiencing. For example, if you report feeling angry, your therapist may ask you where in your body you feel that anger (your eyes, throat, chest, etc.).
   
   
3. Re-integration: This phase includes strengthening newly restored connections through mental practice, physical exercise, and mindfulness to promote a continuous triumph over the experience.

Takeaway

Therapist and client collaboration is essential to successful treatment outcomes. SP can ultimately help you address and overcome any unresolved feelings, behaviors, and thoughts that are disrupting your life.

As restrictions lift and our freedom slowly returns, some of us may be feeling differently than we thought we would for things to go back to normal. Regardless of whether you're feeling nervous about socializing after months of spending time alone or excited about returning to a more active role in society, here are seven tips to help you throughout this transition: 

1. Set healthy and flexible boundaries.  Identify your comfort zone or your window of tolerance, where you can work, live, and socialize within. As time goes on and you adapt, you can adjust it as needed. That recovery and reentry is not a jump-in-the-pool experience; but more of a slow, gradual progression. 
   
   
2. Consider your new priorities. For some of us, self-isolation was an incentive for self-discovery. It required us to pause and reflect on how we spend our time, energy, and money. Perhaps you've learned to value your alone time or discovered that you'd rather stay in on a Saturday night than go out. Take some time to reprioritize and build habits that align with your values.
   
   
3. Plan and think ahead. If you're worried about seeing certain people or are nervous about interactions at work, take a step back. Social anxiety has been on the rise since the start of the pandemic. Allow yourself to evaluate what things might make you feel socially anxious or insecure. Play out these scenarios and ask yourself what you can do to establish some grounding or safety sense. A small amount of exposure to social situations at a time will ultimately help you adjust.
   
   
4. Adjust your routine. Just as it took all of us some time to adapt and find ways of coping when lockdown began, we should expect that it'll take some time to find our way back. If you're returning to work, try to get into your morning routine at home beforehand-meaning waking up at a particular time, getting dressed, and planning for your morning commute. If you don't have any upcoming changes to your schedule, maintaining a routine and staying consistent with your time is always healthy.
   
   
5. Allow yourself to feel worried or anxious. Uncertainty has been a significant theme throughout the last year. And as things start to shift, it's no different. It's normal to feel anxious or nervous, so embrace those feelings and validate yourself for having them. You may benefit from writing out your thoughts or talking to a friend. Chances are, they'll feel similarly.
   
   
6. Practice self-care. You may feel that you have lost control of many things over the past several months, but it is essential to recognize the things you can control and take full advantage of them-such as self-care. It's necessary to take care of yourself to build resilience to change and manage daily stressors. Remember to take breaks throughout your day, and set aside some time for things you enjoy!
   
   
7. Ask for help when you need it. If your levels of stress and anxiety start to interfere with your job, relationships, and other aspects of your life, please consider working with a mental health professional. They’ll help you cope with your symptoms and support you throughout this transition.