Show Summary Details
Page of

(p. 89) Establishing a Hierarchy of Agoraphobia Situations 

(p. 89) Establishing a Hierarchy of Agoraphobia Situations
Chapter:
(p. 89) Establishing a Hierarchy of Agoraphobia Situations
Author(s):

Michelle G. Craske

, and David H. Barlow

DOI:
10.1093/med-psych/9780197584057.003.0008
Page of

PRINTED FROM OXFORD CLINICAL PSYCHOLOGY ONLINE (www.oxfordclinicalpsych.com). © Oxford University Press, 2022. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Clinical Psychology Online for personal use (for details see Privacy Policy and Legal Notice).

date: 21 May 2022

This chapter assesses the process of establishing an individualized hierarchy of agoraphobia situations for the client, in preparation for in vivo exposure. A hierarchy composed of situations that range in anxiety level from mild to moderate, and all the way up to extremely anxious, will form the basis of a graduated approach to in vivo exposure. Although exposure exercises are not scheduled to take place for the next couple of weeks, it is important to introduce the hierarchy now. It is important to take into account the various conditions that moderate levels of anxiety, such as distance, being accompanied or being alone, the time of day, proximity to an exit, and so forth. Clients’ reliance on safety signals, safety behaviors, and distractions are also restated as other forms of avoidance that will interfere with corrective learning and contribute to anxiety in the long term. Thus, the goal of treatment is to learn to face agoraphobia situations without these forms of avoidance.

Access to the complete content on Oxford Clinical Psychology requires a subscription or purchase. Public users are able to search the site and view the abstracts and keywords for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.