Treatment FAQ

the principles of which treatment method serve as the basis for systematic desensitization?

by Prof. Jasen Baumbach IV Published 2 years ago Updated 2 years ago

What are the methods of systematic desensitization?

Common techniques involved in systematic desensitization include in vivo, imagination, virtual reality, and interoceptive exposure. In exposure therapy, in vivo exposure is a technique that incorporates the actual feared stimulus. So, if a person is afraid of spiders, there will be real spiders used during exposure.

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 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.

What is the difference between EMDR and systematic desensitization?

The major difference with EMDR is the importance of directed eye movements, sounds, touches, and other types of bilateral stimulation. These help to reprocess the trauma, so the client is no longer as affected by the unwanted experiences. 9 These aspects are absent from systematic desensitization.

What are the basic principles involved in systematic desensitization?

Systemic desensitization involves three main steps. First, you'll learn muscle relaxation techniques. Then, you'll create a list of your fears, ranking them in terms of intensity. Finally, you'll begin exposing yourself to what you fear.

What type of therapy is systematic desensitization?

‌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.

What are the three steps involved in systematic desensitization?

Three steps of desensitizationEstablish anxiety stimulus hierarchy. The individual should first identify the items that are causing the anxiety problems. ... Learn the mechanism response. ... Connect stimulus to the incompatible response or coping method by counter conditioning.

What is an example of the use of systematic desensitization?

For example, let's say you fear to go into large stores. You may have the least anxiety walking into the store and your anxiety likely intensifies as you get further from the exit doors. Standing in the checkout line represents your highest fear response.

Is systematic desensitization part of CBT?

Systematic desensitization is one form of exposure therapy used in cognitive behavioral therapy (CBT). Systematic desensitization aims to reduce anxiety, stress, and avoidance by gradually exposing a person to the source of their discomfort in a thoughtfully planned 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.

How many types of systematic desensitization are there?

There are three phases to the treatment: 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.

What is the next step in the systematic desensitization process?

The next step in the systematic desensitization process involves constructing what is called a hierarchy of fears, which is a list of the things that the person identifies as fearful related to flying in order from the least to the most anxiety-provoking. The list could look something like this:

What is systemic desensitization?

Systematic desensitization is a behavioral technique whereby a person is gradually exposed to an anxiety-producing object, event, or place while being engaged in some type of relaxation at the same time in order to reduce the symptoms of anxiety. For example, a very common phobia is the fear of flying. Some people become very anxious ...

Who developed the systematic desensitization method?

It was developed in the 1950s by South African psychiatrist Joseph Wolpe. The “Systematic Desensitization” method is by Joseph Wolpe in the 1950s.

What is systemic desensitization?

What is Systematic Desensitization. Systematic desensitization is a form of behavioral therapy based on the classic conditioning theory. It was developed in the 1950s by South African psychiatrist Joseph Wolpe. The “Systematic Desensitization” method is by Joseph Wolpe in the 1950s.

What did Wolpe do to help with phobias?

Wolpe developed and perfected an action protocol for the treatment of phobias called Systematic Depersonalization.

What is the next step in a relaxation exercise?

The next and last step is to put the patient’s relaxation exercises learned first and provide complete relaxation. Meanwhile, the clinician will show or re-display different images from the previous step. Starting with a lower level of anxiety. Depending on the patient’s reaction, the patient will switch to the next high-grade image or the process will be repeated until their anxiety levels are reduced.

What is the second stage of anxiety?

At this second stage, the therapist and the patient prepare a list of any form, containing a set of situations or contexts that create a sense of anxiety in the person, then hierarchical or ordered starting from less anxiety or stress levels until the patient has the greatest sense of fear.

Who proposed the muscle relaxation model?

Welcomed the muscle relaxation model proposed by Wolpe Jacobson, changing it to be something shorter and more efficient. At this initial stage, the professional should teach patients relaxation techniques to be performed later in the following stages of treatment.

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.

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.

Systematic Desensitization

What is systematic desensitization? The systematic desensitization definition is a behavioral technique that involves gradually exposing someone to an anxiety-producing object, thought, or experience whilst simultaneously performing relaxation techniques to reduce the symptoms of anxiety.

Systematic Desensitization Example

The fear of flying, known as aviophobia or aerophobia is the first example of a real-life case of an active-duty United States Marine helicopter crew chief who was successfully treated using systematic desensitization.

Systematic Desensitization Steps

The three systematic desensitization steps include identifying a fear, relaxation techniques, and completing a hierarchy of fears.

Systematic Desensitization

The lesson discussed applying systematic desensitization to a fear of flying. Several other scenarios induce fear in many individuals, some examples include: going to see a doctor, or being in a crowded place.

What is systemic desensitization?

Systematic desensitization is based on the theory of classical conditioning and counter conditioning, which applies associative or paired learning principles between a stimulus and a response. Systematic desensitization is based on the assumption that the learned behaviour or fear can be unlearned and paired with a new response.

How did Wolpe create the system of desensitization?

Systematic desensitization was constructed by Joseph Wolpe, a South African psychiatrist. He experimented with cats and found that their fear can be gradually reduced and overcome by systematic exposure. Wolpe structured this therapy based on Ivan Pavlov's work on artificial neuroses and Watson and ones work on eliminating children's fear. He performed a various experiment in cats and found that by gradually de-conditioning the stimuli causing fear or neurotic responses, their neurotic disturbances can be treated. The cats were de-conditioned by exposing them to different environments which provoked fear. Wolpe substituted relaxation techniques in place of different real environments for humans as not all anxiety producing items can be accessible in a clinical setting. So, he asked clients to imagine the anxiety inducing stimulus or to look at pictures that provoke anxiety.

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:

Why is reciprocal inhibition important?

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 tension and tension is incompatible with relaxation.

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.

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 during moments of distress is the first step of systematic desensitization. Next, you create a fea…
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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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Benefits

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