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(p. 173) Important Considerations in the Delivery of Exposure 

(p. 173) Important Considerations in the Delivery of Exposure

Carolyn Black Becker

, Nicholas R. Farrell

, and Glenn Waller

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date: 25 February 2020

Given that one of the main objectives of exposure therapy is to alter individuals’ cognitions related to feared stimuli, cognitive therapy can be effectively used as an adjunctive strategy to exposure. However, it is important to note that behavioral change methods show greater effectiveness in reducing eating disorder symptoms as compared to cognitive therapy. There are also circumstances in which utilizing cognitive therapy as an adjunct to exposure is not warranted. Accordingly, clinicians need to use careful consideration when deciding whether to engage eating disorder patients in cognitive therapy. As a general rule of thumb, clinicians are encouraged to employ cognitive therapy techniques when a patient is demonstrating significant hesitancy to begin exposure or is deriving notably suboptimal benefit from exposure.

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