Treatment FAQ

is systematic desensitization recommended for treatment of depression? why or why not?

by Ramon Lubowitz Published 2 years ago Updated 2 years ago

Systematic desensitization has proven to be highly effective in treating disorders where anxiety presents due to a learned situation and in treating specific phobias. Still, it’s not effective for treating serious mental health disorders like depression or schizophrenia.

Theoretical Issues. Systematic desensitization is highly effective where the problem is a learned anxiety of specific objects/situations, e.g. phobias (McGrath et al., 1990). However, systematic desensitization is not effective in treating serious mental disorders like depression and schizophrenia.

Full Answer

Is systematic desensitization effective in treating mental disorders?

However, systematic desensitization is not effective in treating serious mental disorders like depression and schizophrenia. Studies have shown that neither relaxation nor hierarchies are necessary, and that the important factor is just exposure to the feared object or situation.

What happens in a typical desensitization therapy session?

Depending on the provider and your needs, the first session of systematic desensitization therapy could represent the entire course of treatment as you and your therapist quickly work to learn relaxation, build a hierarchy, and move through exposures at a rapid pace.

Are hierarchies necessary for systematic desensitization?

Studies have shown that neither relaxation nor hierarchies are necessary, and that the important factor is just exposure to the feared object or situation. Systematic desensitization is based on the idea that abnormal behavior is learned.

What is systematic desensitization According to Joseph Wolpe?

Joseph Wolpe, a pioneer of behavioral therapy, developed a technique called systematic desensitization for the treatment of anxiety-related disorders and phobias. This technique is based on the principles of classical conditioning and the premise that what has been learned (conditioned) can be unlearned.

Why is systematic desensitization important?

Ample research shows that systematic desensitization is effective in reducing anxiety and panic attacks associated with fearful situations. Systematic desensitization usually starts with imagining yourself in a progression of fearful situations and using relaxation strategies that compete with anxiety.

How can systematic desensitization be used as a treatment for a phobia?

Systematic desensitization is an evidence-based therapy approach that combines relaxation techniques with gradual exposure to help you slowly overcome a phobia....Techniques you might learn include:Diaphragmatic breathing. ... Visualization. ... Progressive muscle relaxation. ... Meditation and mindfulness techniques.

What disorder is systematic desensitization good for?

‌Systematic desensitization therapy is a type of behavioral therapy used to treat anxiety disorders, post-traumatic stress disorder (PTSD), phobias, and a fear of things like snakes or spiders.

Who benefits from systematic desensitization?

Systematic desensitization is a form of exposure therapy, which aids patients by breaking cycles of avoidance, fear, and anxiety. 2 Through therapy, patients can tackle their fears in a safe environment with a mental health professional who can help them develop relaxation and coping strategies.

Is systematic desensitisation effective?

Systematic desensitization is highly effective where the problem is a learned anxiety of specific objects/situations, e.g. phobias (McGrath et al., 1990). However, systematic desensitization is not effective in treating serious mental disorders like depression and schizophrenia.

Does systematic desensitization work?

Multiple studies demonstrated that systematic desensitization is an effective treatment for phobias and other anxiety disorders. Wolpe (1958, 1969, 1995) explained these therapeutic results on the basis that deep muscle relaxation reciprocally inhibited anxiety.

Is systematic desensitization ethical?

Systematic desensitisation is much more ethical than flooding, because the participants are only exposed gradually to the thing that they fear and they only move on to greater exposure when they feel ready. With flooding, the patient is exposed to the object they fear all at once, in a very intense way.

What is systematic desensitization quizlet?

Systematic Desensitization. A technique for treating phobias that involves successively pairing RELAXATION with IMAGINED PHOBIC images along a continuum that starts with with LEAST FEARED IMAGE and progresses to the MOST FEARED IMAGE. Giving a speech.

What are the advantages and disadvantages of systematic desensitization?

Systematic desensitisationSystematic desensitisationAdvantages 75% respond.Disadvantages Higher percentage are cured with psychoanalysis. Long process, there may be quicker alternatives... such as drugs. Only used to treat phobias, other treatments can cure a variety of disorders. Patients may substitute symptoms.2 more rows•Apr 26, 2015

What is systematic desensitization?

Treats the symptoms not the cause (s) of the phobia. systematic desensitization only treats the observable and measurable symptoms of a phobia. This is a significant weakness because cognitions and emotions are often the motivators of behavior and so the treatment is only dealing with symptoms not the underlying causes.

How did Lang et al. (1963) use systematic desensitization with a group of college

Lang et al. (1963) used systematic desensitization with a group of college students who were all suffering from a snake phobia. They underwent 11 sessions to work through a hierarchy. Hypnosis was used to assist in the maintenance of relaxation. The P’s fear rating fell and improvements were still evident 6 months later.

What is the new response to a patient's learning?

The new response they learn is relaxation instead of fear (being mindful) because fear and relaxation cannot coexist (reciprocal inhibition).

How many sessions for phobia therapy?

The number of sessions required depends on the severity of the phobia. Usually 4-6 sessions, up to 12 for a severe phobia. The therapy is complete once the agreed therapeutic goals are met (not necessarily when the person’s fears have been completely removed). Exposure can be done in two ways:

Who developed the fear response therapy?

It was developed by Wolpe during the 1950s. This therapy aims to remove the fear response of a phobia, and substitute a relaxation response to the conditional stimulus gradually using counterconditioning. The patient is counterconditioned, taught a new association that is to counter the original behaviour learnt.

Can desensitization be applied to images?

The fact that the systematic desensitization technique can be applied in images means that many of the practical disadvantages involved in in vivo exposition with this type of phobia can be eliminated.

What is systematic desensitization?

Desensitization is a type of behavior therapy that has its roots in classical conditioning. Systematic desensitization is a therapy that works by removing the fear ...

Why is eye movement desensitization and reprocessing used?

Eye movement desensitization and reprocessing is a type of psychotherapy that is used to help people deal with the symptoms and stress that stems from disturbing life experiences. It’s often easier to understand physical trauma because we can physically see the effects of a wound.

What is the biological approach to treating phobias?

The biological approach to treating phobias supposes that people are born with certain behaviors and that they should be treated medically. Desensitization involves treating the symptoms of the problem rather than the cause of the phobia.

How does EMDR work?

The concept behind EMDR is to remove the block that’s interfering with the brain’s natural healing process.

What happens when you move to a new stage of anxiety?

If moving to a new stage increases anxiety , the client can return to an earlier stage and a relaxed state. Continual exposure to the situation helps desensitize the client until they don’t experience any anxiety at all, and this means the therapy was successful.

What do therapists teach their clients?

Therapists may teach their clients how to meditate, control their breathing, or how to de-tension their muscles. When you experience fears or phobias, they make you tense, and tension is incompatible with relaxation, so there’s no room for both.

Is systemic desensitization effective?

Systematic desensitization has proven to be highly effective in treating disorders where anxiety presents due to a learned situation and in treating specific phobias. Still, it’s not effective for treating serious mental health disorders like depression or schizophrenia.

How does systematic desensitization help with anxiety?

These steps introduce relaxation techniques and teach the patient how to use them when exposed to an anxiety- inducing situation. These systematic desensitization steps help clients slowly build skills and tolerance to manage fear and anxiety.

What is the purpose of desensitization therapy?

Desensitization therapy aims to help people use relaxation techniques instead of substances to cope with underlying anxiety or phobias.

What is the treatment for fear and panic?

The conditioned response of fear or panic is not helpful in these cases and can unnecessarily disrupt well-being and normal functioning. Systematic desensitization — also called gradual exposure therapy — is a technique that can help people unlearn unhelpful fear or panic responses.

What is systemic desensitization?

Systematic desensitization is a type of therapy that can help people unlearn or change their emotional responses to triggering situations. This therapy can help address underlying anxiety and fear related to substance use disorders.

What is desensitization in recovery?

The goals of desensitization in recovery are to break down the relationship between certain triggers and an automatic response of anxiety or fear. Breaking down this relationship can help a person regain control of their reaction, and cope using strategies other than self-medication.

What is the first stage of relaxation therapy?

The first stage of therapy includes learning relaxation techniques for anxiety. Relaxation techniques usually involve “progressive relaxation,” which includes mindfully relaxing parts of the body bit by bit until all muscles are relaxed and the patient is able to feel the difference between tense and relaxed muscles.

Who developed the system of desensitization?

Systematic desensitization was developed by South African psychologist Joseph Wolpe to treat anxiety and fear-related conditions. Wolpe initially conducted experiments on cats, noticing that the animals were able to overcome their fears through gradual exposure.

What is systematic desensitization?

Systematic desensitization is a venerable behavior therapy for fear and anxiety. Usually it entails remaining deeply relaxed while visualizing a series of increasingly fearsome scenes in which the patient confronts targeted events or situations.

Who developed the theory of systematic desensitization?

E. Thomas Dowd, in Encyclopedia of Psychotherapy, 2002. II. Theoretical Bases. Systematic desensitization, as originally developed by Joseph Wolpe, was theoretically based on reducing anxiety by causing a response antagonistic to this anxiety to occur in the presence of the anxiety-producing stimulus.

How did Wolpe's method of desensitization work?

Wolpe's method of systematic desensitization by reciprocal inhibition involved three phases. The first phase typically involved deep muscle relaxation exercises. Wolpe assumed that one could not be both relaxed and anxious at the same time. The second phase was hierarchy construction where the client rank ordered stimulus features. The third phase was pairing the stimuli on the hierarchy with relaxation, beginning with the least feared stimulus, until that stimulus no longer produced fear. Then the patient was asked to relax in the presence of the next most feared stimulus. These sessions were frequently conducted via imagination in that clients were asked to imagine the feared stimulus after completing deep muscle relaxation exercises. Desensitization could also occur in vivo. In this case assessment began with a behavioral approach test. For example, if the person was afraid of snakes they would be asked to come as close to a confined snake as possible. They would undergo relaxation training and repeat the behavioral approach test while relaxed. Social reinforcement was provided for increased approach.

What was the primary treatment for anxiety disorders in the 1960s?

In the 1960s, systematic desensitization , the primary behavioral treatment for anxiety disorders, had been shown to work well with phobias. However, theoretically and practically, desensitization was not appropriate for general, diffuse anxiety disorders. Unless anxiety arousing stimuli could be specified and organized hierarchically, desensitization could not proceed. But what was to be done with the patient who was suffering with generalized anxiety or freefloating anxiety, those persons who would now most likely be diagnosed with GAD? There was not a behavioral intervention for such individuals.

How many studies have been done on desensitization?

While there have been six studies of systematic desensitization for the treatment of traumatic stress reactions, however, only the 1989 study by Daniel Brom, Rolf Kleber, and Peter Defares (described earlier) was well controlled.

Is systematic desensitization effective?

Although several studies have found that systematic desensitization was effective in reducing trauma-related symptom, the studies suffer methodological problems. The most recent of these studies occurring in 1989 as most researchers have moved away from systematic desensitization, preferring exposure therapy.

Is self control desensitization based on counterconditioning?

However, both self-control desensitization and systematic desensitization are based on an important assumption of the counterconditioning model that the relaxation response must be stronger than the anxiety response for counterconditioning to occur.

What is systematic desensitization therapy?

Systematic desensitization therapy is an evidence-based therapy. When a treatment is evidence-based, it means it's gone through documented scientific testing and extensive research, and has been shown to be successful. Studies point to the effectiveness of systematic desensitization therapy for anxiety disorders, phobias, ...

What is autogenic relaxation?

Autogenic relaxation. You repeat words, phrases, or suggestions in your mind that create a feeling of relaxation and calm. The repetition in the mind leads to the muscles of your body getting more and more relaxed. ‌Progressive muscle relaxation. You learn to slowly tense and relax each muscle group.

How to deal with a phobia when you are relaxed?

When you're feeling relaxed, it’s hard to feel tense. Tension is what you feel when you’re experiencing a phobia. Relaxation techniques can help you learn a different way of responding to your phobias. Step 2: Creating a fear hierarchy.

Who developed systematic desensitization?

on December 27, 2020. Joerg Steffens/OJO Images/Getty Images. Joseph Wolpe, a pioneer of behavioral therapy, developed a technique called systematic desensitization for the treatment of anxiety-related disorders and phobias.

How to relax mentally?

For example, imagine yourself sitting near a beautiful, peaceful lake. Focus on the scene for a period. Feel the soft sand on the bottom of your feet . As a gentle breeze sweeps across the water, imagine the warm air on your face as you watch a magnificent sunset on the horizon.

What is systematic desensitization?

Systematic desensitization is about exposing the individual to whatever it is that they are afraid of. At the same time, however, there is a relaxation exercise used or the individual is engaged in some type of activity that causes them to relax.

What is the best treatment for phobias?

Exposure therapy . Exposure therapy is a type of behavior therapy and is one of the best treatment options for phobias. It typically starts with a therapist guiding you through various relaxation techniques. These techniques are helpful for dealing with stress/anxiety-inducing episodes.

How to get rid of overactive mind?

Meditation: You can take time out to sit quietly and focus on a specific thing, whether your breathing, surrounding sounds, a mantra, etc., can be very relaxing. An overactive mind is often a result of pent-up stress; meditation is a powerful way of inducing a relaxed state.

Is psychotherapy effective for phobias?

However, medically reviewed papers show that counseling is highly effective in treating phobias. Psychotherapy is a highly potent way of treating phobias and is more effective than any other method available today . It is even more effective than trauma-informed resource therapy.

How It Works

  • Systematic desensitization is a type of therapythat focuses on teaching you how to relax in the midst of your fears. Essentially, you’ll learn the skills and tools you need to navigate situations that would have previously felt unmanageable. Developing strategies to help you relax your body duri…
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Tactics

  • Relaxation techniques are helpful for calming physical sensations in the body. These strategies are versatile, in that you can use them on their own or combine them. There are many different types of tactics that can help. Trying a variety of techniques can help you determine what works best for you. It’s also important to note that what works best in one situation may not be as effe…
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Efficacy

  • One study that examined virtual reality exposure strategies for anxiety treatment showed these interventions were effective in addressing a range of specific phobias.3 Some of these phobias included flying, fear of animals, heights, getting an injection, or the sight of blood.4 Another study showed that a certain type of exposure therapy is effective for the treatment of post-traumatic s…
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How to Do It on Your Own

  • You can gradually expose yourself to fearful situations. But before starting that process, it’s important to make sure that you feel comfortable using relaxation techniques and have a few in your reserve that reduce your anxiety. Once you feel confident in using relaxation strategies, you can start exposing yourself to situations that bring up lower levels of fear. Take your time as yo…
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Working with A Therapist

  • Because systematic desensitization involves exposure to fears, you may experience distressing emotions, anxiety, or even panic during the process. Working with a therapist to help you identify coping skills, list and rank your fears, and determine a plan for the best way to begin gradual exposure. Being able to communicate any problems, goals, and hopes for therapy is beneficial i…
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Summary

  • Systematic desensitization is an effective and evidence-based treatment method to gradually expose yourself to phobias or situations that create extreme fear or anxiety. With the support of a therapist, you can learn relaxation strategies, pinpoint your fears, and begin exposing yourself to distressing situations while using techniques to cope with strong emotions. When seeking help, …
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A Word from Verywell

  • Depending on the trigger, intense anxiety, fear, or phobias can make it difficult to function in your daily life. Systematic desensitization can help you gain a sense of confidence in your ability to encounter situations that induce fear. With the support of an experienced therapist, you can learn to manage your thoughts and feelings when facing your fears.
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There Are Three Phases to The Treatment

Image
First, the patient is taught a deep muscle relaxation technique and breathing exercises. E.g. control over breathing, muscle detensioning or meditation. This step is very important because of reciprocal inhibition, where once response is inhibited because it is incompatible with another. In the case of phobias, fears involves ten…
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Practical Issues

  • The fact that the systematic desensitization technique can be applied in images means that many of the practical disadvantages involved inin vivo exposition with this type of phobia can be eliminated. One weakness of in vitro exposition is that it relies on the client’s ability to be able to imagine the fearful situation. Some people cannot create a vivid image and thus systematic des…
See more on simplypsychology.org

Theoretical Issues

  • Systematic desensitization is highly effective where the problem is a learned anxiety of specific objects/situations, e.g. phobias (McGrath et al., 1990). However, systematic desensitization is not effective in treating serious mental disorders like depression and schizophrenia. Studies have shown that neither relaxation nor hierarchies are necessa...
See more on simplypsychology.org

Empirical Evidence

  • Lang et al. (1963) used systematic desensitization with a group of college students who were all suffering from a snake phobia. They underwent 11 sessions to work through a hierarchy. Hypnosis was used to assist in the maintenance of relaxation. The P’s fear rating fell and improvements were still evident 6 months later. Rothbaum et al. (2000) used systematic desens…
See more on simplypsychology.org

Ethical Issues

  • Systematic desensitization is a treatment method that increases the feelingof self-control; that is, the therapist suggests, guidesor helps, but does not represent the nucleus of the treatment. The risk of dependence upon the therapistor of perceiving improvements as being external tothe patient are thus minimised in this technique.
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Apa Style References

  • Lang, P. J., & Lazovik, A. D. (1963). Experimental desensitization of phobia. The Journal of Abnormal and Social Psychology, 66(6), 519. McGrath, T., Tsui, E., Humphries, S., & Yule, W. (1990). Successful Treatment of a Noise Phobia in a Nine‐year‐old Girl with Systematic Desensitisation in vivo. Educational Psychology, 10(1), 79-83. Menzies, R. G., & Clarke, J. C. (199…
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How to Reference This Article

  • McLeod, S. A. (2015). Systematic desensitization as a counter conditioning process. Simply Psychology. www.simplypsychology.org/Systematic-Desensitisation.html
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