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(p. 75) Exposure and Cognitive Restructuring: First Exposure 

(p. 75) Exposure and Cognitive Restructuring: First Exposure
Chapter:
(p. 75) Exposure and Cognitive Restructuring: First Exposure
Author(s):

Debra A. Hope

, Richard G. Heimberg

, and Cynthia L. Turk

DOI:
10.1093/med-psych/9780190247591.003.0007
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date: 12 July 2020

The first in-session exposure is a highlight of this therapy. (It is specified that exposure must occur no later than session 8 of treatment.) This is the first opportunity to fully integrate all of the therapeutic elements. Everything up to this point has been preparation for facing feared situations. Prior to the session, the therapist is instructed to review the client’s Fear and Avoidance Hierarchy and to determine what situation will likely be role-played. For the first exposure, simple, straightforward scenarios that require little “pretending” are the best. Although it is easy to skip setting an achievable behavioral goal to save time, this step is essential. Debriefing the exposure is often the most powerful portion of the intervention.

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