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(p. 169) Obstacles to Implementation 

(p. 169) Obstacles to Implementation
Chapter:
(p. 169) Obstacles to Implementation
Author(s):

Stephen P. H. Whiteside

, Thomas H. Ollendick

, and Bridget K. Biggs

DOI:
10.1093/med-psych/9780190862992.003.0009
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date: 03 April 2020

Exposure therapy has the most empirical support of any intervention and thus offers patients the best chance to experience symptom relief and improvement in functioning. This chapter discusses additional issues that sometimes occur when implementing exposure. The chapters in the preceding sections presented the underlying theory of exposure and illustrated the delivery of exposure for a variety of clinical presentations. However, anxiety and obsessive–compulsive disorder do not occur in a vacuum and thus the delivery of exposure is often complicated by obstacles and challenges. This chapter discusses common obstacles to exposure therapy, including those emanating from patients (e.g., defiance and depressed mood), parents (e.g., accommodation and overenthusiasm), therapists (e.g., misdiagnosis and timidity), and the environment (e.g., leaving the office and ethics).

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