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(p. 169) Facing Agoraphobia Situations 

(p. 169) Facing Agoraphobia Situations
Chapter:
(p. 169) Facing Agoraphobia Situations
Author(s):

Michelle G. Craske

, and David H. Barlow

DOI:
10.1093/med-psych/9780197584057.003.0012
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date: 21 May 2022

This chapter reviews the process of conducting in vivo exposure practices to guide clients in facing agoraphobia situations. Essential throughout all aspects of in vivo exposure is for the therapist to be directive and confident and to encourage clients to continue despite high levels of anxiety. The goal of exposure therapy is not immediate reduction in fear and anxiety; rather, the goal is for the client to learn something new as a result of exposure. If the client’s greatest worry is that fear and anxiety will remain elevated for the entire duration of the practice, then the corrective learning is about the client’s toleration of sustained anxiety. In general, the principle emphasized throughout the treatment is that exposure and cognitive restructuring serve to develop a new set of nonfearful associations between stimulus, response, and meaning. The chapter then considers the inhibitory model of exposure therapy.

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