ERP
When is ERP most effective?
When it is prolonged, repetitive, and gradual
Is In-vivo exposures common?
Yes. They happen in real time
What is avoidance?
Coping mechanism that feels good short term but keeps anxiety alive in the long-term by preventing the brain from learning a situation is safe
What does ERP stand for?
Exposure and Response Prevention
What is the golden mantra when engaging in ERP?
To Ride the Wave. To Sit with it
What is the anxiety rating level scale?
0-7 anxiety rating scale
Name an example of an In-vivo Exposure
Touching a contaminated surface
Give a speech
Look at a picture of triggering things
Writing/Saying a triggering word out loud
Disorganizing ordered items
What are safety behaviors?
Subtle actions that block exposures from working fully
ex. carrying a water bottle, keeping a cell phone handy, having a "safe person"
What is habituation?
The primary goal of exposure therapy - to help your brain learn that the fear is not actually dangerous
What are physical anxiety responses?
sweaty palms, racing heart, sudden urge to run away
3 Goals of ERP
1. Habituation of anxiety
2. Build self-efficacy
3. Corrective experience
What is Imaginal exposures?
Imagining the feared outcome occuring
What does it mean to resist a compulsion?
Response Prevention. Stopping the urge to neutralize a scary thought
What is interoceptive exposures?
an exposure that safely and intentionally triggers internal bodily sensations to help people overcome the fear of the physical feelings
What is the CBT triangle?
Thoughts, feelings, actions
What is the total list of numbered fears will Rogers have you identify?
100
What is a situation exposure?
Natural occurring exposures to your feared situations. They are gradual.
What is cognitive avoidance?
A person mentally sidesteps, suppresses, or redirects attention away from distressing thoughts, memories, or emotional cues
What is inhibitory learning?
Shifting from habituation to building new safe memories that compete with and override the original fear memories
What is flooding?
The term is used to describe jumping into an exposure exercise way too fast before you are ready
At what anxiety rating scale would we have you engage in exposures?
Medium (anxiety rating 3)
Who can you do exposures with?
Group leaders, therapists, nurses, (all staff)
What stays the same or increases (due to negative reinforcement)?
Anxiety
What is the percentage of improved OCD individuals who completed exposure therapy?
86%
What is a fear hierarchy (or exposure hierarchy)?
The gradual ranking list of scary scenarios (starting from mild to your worst fear) built with your therapist before starting exposures