Exposure-based cognitive behavioral therapy (CBT) has been established as the evidence-based psychosocial treatment of choice for anxiety disorders and obsessive-compulsive disorder (OCD) in children and adolescents (Silverman, Pina, & Viswesvaran, 2008).
Is there any training available for prolonged exposure therapy for adolescents (PE-a)?
Exposure therapy is a highly effective, evidence-based treatment technique for children and adolescents with anxiety disorders. Regardless, therapists in the community are reported to …
What are the evidence-based approaches to substance abuse treatment for adolescents?
PE-A is a therapeutic treatment where clients are encouraged to repeatedly approach situations or activities they are avoiding because they remind them of their trauma (in vivo exposure) as well …
What is exposure therapy and is it effective?
Prolonged Exposure (PE) Therapy is a cognitive–behavioral treatment program to reduce the symptoms of posttraumatic stress disorder (PTSD), depression, anger, guilt, and general …
How effective is excessive exposure therapy for anxiety in children?
Evidence-Based Approaches to Treating Adolescent Substance Use Disorders. Research evidence supports the effectiveness of various substance abuse treatment approaches for adolescents. …
Is exposure therapy an evidence-based practice?
Is narrative exposure therapy evidence-based?
Is Prolonged exposure therapy used with children?
What is narrative exposure therapy used for?
What is the difference between narrative exposure therapy and narrative therapy?
Is narrative exposure therapy a type of CBT?
Can cognitive processing therapy be used with children?
Does prolonged exposure therapy work?
What is the gold standard therapy for PTSD?
Is narrative exposure therapy trauma-focused?
Can narrative therapy be used for PTSD?
What is narrative approach theory?
What is PE-A therapy?
PE-A is a therapeutic treatment where clients are encouraged to repeatedly approach situations or activities they are avoiding because they remind them of their trauma (in vivo exposure) as well as to revisit the traumatic memory several times through retelling it (imaginal exposure). Psychoeducation about common reactions to trauma as well as breathing retraining exercises are also included in the treatment. The aim of in vivo and imaginal exposure is to help clients emotionally process their traumatic memories through imaginal and in vivo exposure. Through these procedures, they learn that they can safely remember the trauma and experience trauma reminders, that the distress that initially results from confrontations with these reminders decreases over time, and that they are capable of tolerating this distress. Prolonged Exposure Therapy for PTSD for Adults (PE) is also highlighted on the CEBC website in the Trauma Treatment (Adult) topic area.
Why do you deliver rationales for the treatment program?
Delivering rationales for the treatment program, as well as for the in vivo and imaginal exposure, to the client in order to increase understanding of the treatment components and how they will help diminish PTSD symptoms.
What age group is the trauma program?
The program has also been used with children 6 to 12 years of age and adults who have experienced a trauma.
How long is a once or twice a week treatment?
Once or twice a week treatment sessions that are 60-90 minutes in length
Is there a guide for prolonged exposure therapy for adolescents?
There are no implementation guides or manuals for Prolonged Exposure Therapy for Adolescents (PE-A) .
Is there a pre-implementation for PE-A?
There are no pre-implementation materials to measure organizational or provider readiness for Prolonged Exposure Therapy for Adolescents (PE-A) .
Who can implement PE-A?
Licensed mental health professionals or those working under the supervision of a licensed mental health professional. Psychology, social, work, and nursing staff can implement PE-A in their respective roles.
What is prolonged exposure therapy?
Program Goals#N#Prolonged Exposure (PE) Therapy is a cognitive–behavioral treatment program to reduce the symptoms of posttraumatic stress disorder (PTSD), depression, anger, guilt, and general anxiety. PE Therapy reduces PTSD symptoms such as intrusive thoughts, intense emotional distress, nightmares and flashbacks, avoidance, emotional numbing and loss of interest, sleep disturbance, concentration impairment, irritability and anger, hypervigilance, and excessive startle response.#N#Target Population#N#PE Therapy is targeted at individuals suffering from PTSD or sub-diagnosis of PTSD, such as victims of crime or traffic accidents, adults exposed to violence as children, and veterans.#N#Program Components#N#The program consists of a course of individual therapy designed to help clients process traumatic events and thus reduce trauma-induced psychological disturbances. PE Therapy has four components:
What percentage of the sample was white?
The sample was 71 percent white and 25 percent African American. Thirty-one percent of the sample was taking psychotropic medication.
Does PE therapy reduce depression?
PE Therapy also reduced depression compared with the W L group in the intent -to-treat and completer samples , with effects carried on through the follow-up.
Does CPT improve trauma related guilt?
Both treatment conditions showed significant improvement of trauma-related guilt measurements, when compared with the control group (although the CPT condition provided better results for two of the four indicators in the Trauma-Related Guilt Inventory).
Does PE therapy improve social functioning?
PE therapy also significantly improved social functioning in the completer sample, compared with the WL group, with effects lasting through the 12-month follow-up. The addition of Cognitive Restructuring to PE Therapy did not create any significantly different outcomes between the treatment groups.
Does PE therapy help with anxiety?
The intent-to-treat analysis revealed that PE Therapy provided significantly improved results in posttreatment anxiety and follow-up global social adjustment, more so than the other treatment conditions (with larger effect sizes). Overall, the PE Therapy-only treatment condition provided the best results for participants, with effects lasting throughout the follow-up period.
Is prolonged exposure therapy effective?
The results of the Foa and colleagues (1999) study showed that the Prolonged Exposure (PE) Therapy treatment was effective in significantly reducing the severity of PTSD and depression, when compared with the wait list (WL) group. Similar results were also found for the other two treatment conditions, and the results were maintained throughout the follow-up.
What is exposure therapy?
Exposure therapy is an essential component of evidence-based cognitive-behavioral therapy (CBT) treatments for phobia, panic disorder, post-traumatic stress disorder (PTSD), obsessive compulsive disorder (OCD) and social anxiety disorder. The traditional way of understanding what was happening during exposure therapy was grounded in the idea ...
What is Imaginal Exposure?
Imaginal exposure is a technique used in the treatment of PTSD – often called ‘reliving’ or ‘revisiting’ the patient is asked to give a detailed verbal account of their traumatic event from beginning to end in the first person present tense.
What is EMDR in psychology?
Eye Movement Desensitization and Reprocessing ( EMDR) is an evidence-based treatment for trauma. Its theoretical basis is described by the Adaptive Inf ... https://www.psychologytools.com/resource/what-is-emdr/
What is in vivo exposure?
In-vivo exposure: In-vivo exposure describes exposure to a feared object or situation in real life. Examples of in-vivo exposure might include inviting a person with a phobia of spiders to look at pictures of a spider, or to hold a small spider in their hand. Other examples of in-vivo exposure include site visits by people with post-traumatic stress disorder (PTSD) where they revisit the scene of a trauma.
What is safety behavior?
Safety behaviors are actions carried out with the intention of preventing a feared catastrophe. In the short-term they often give a sense of relief, b ... https://www.psychologytools.com/resource/safety-behaviors/
What is avoidance and safety seeking behavior?
Avoidance and safety-seeking behavior serves to maintain anxiety, and exposure to the fear stimuli/situation is an effective treatment for anxiety. Th ... https://www.psychologytools.com/resource/avoidance-hierarchy/
Is flooding a treatment for OCD?
In modern times flooding is not practised widely. Exposure with response prevention: Exposure and response prevention (ERP) is a treatment for obsessive compulsive disorder (OCD) in a patient is exposed to their feared situation and encouraged not to engage in their typical neutralizing response.
What is exposure therapy?
Exposure therapy is a form of behavioral therapy designed to help you face your fears . When you’re scared of a specific object or activity, you may avoid it. For instance, if you’re afraid of enclosed spaces, you may avoid taking the elevator, especially if it’s crowded. While avoiding it can help keep your fear at bay in the short term, ...
Why is exposure therapy important?
Known as a therapeutic rapport, it is vital to exposure therapy because you need to feel safe and supported as you confront your worst fears.
What is the best treatment for OCD?
However, there is a specialized form of exposure therapy, known as exposure and response prevention therapy (ERP or Ex/RP), that can help treat obsessive-compulsive disorder (OCD) . According to DeAngelis, ERP helps individuals with OCD face uncomfortable situations and reduce compulsions, which they might engage in to relieve anxiety.
How does exposure therapy help with fear?
Emotional processing: This form of therapy can help you explore and understand the source of your fear. It can also help you replace your instinctive response with more realistic thoughts and beliefs about the feared situation and make you more comfortable with fear and anxiety. Self-efficacy: Over time, exposure therapy can help you realize ...
How does emotional processing help with fear?
Emotional processing: This form of therapy can help you explore and understand the source of your fear. It can also help you replace your instinctive response with more realistic thoughts and beliefs about the feared situation and make you more comfortable with fear and anxiety.
What is an imaginary exposure?
Imaginal exposure involves imagining the feared situation coming true in great detail. So, for instance, if you have a phobia of vomiting, you probably would not be encouraged to eat something to intentionally vomit as an exposure.
What is in vivo exposure?
In vivo exposure involves directly approaching a feared stimulus or situation in real time. For instance, if an adolescent is afraid to be away from their parents, this would mean practicing to gradually separate from the parents in various situations (with guidance from a clinician and consent from the parents).
What works to improve adolescent health?
First, there are greater numbers of programs that focus on changing the contexts in which adolescents live, such as families, schools and communities as well as changing the individual behavior of adolescents, a more traditional focus.1 In addition, the past decade has witnessed an increase in the creation of “implementing tools” – tools that help program managers and communities with critical program implementation tasks. Despite the greater selection of programs and tools, this valuable implementation information is difficult to locate in one place.
What is the CDC?
The Centers for Disease Control and Prevention (CDC) offers numerous resources for evidence-based programs out of its different centers. Below is a list of the different tools available, organized by center within CDC.
