User talk:TaylorHabb/sandbox

This is the article I plan to edit. test--TaylorHabb (talk) 18:21, 16 October 2018 (UTC)

Good choiceRJBazell (talk) 17:23, 14 October 2018 (UTC) But you must be careful to adhere to the guidelines for medical articles RJBazell (talk) 17:24, 14 October 2018 (UTC)

Hi Ellie...I think your article looks good. You have a lot of good content under the "overview" section. Perhaps you could add more subsections to break down your topic in addition to "components." - Tucker Hansen 10/30/18

should be moving to article format soon--RJBazell (talk) 16:21, 25 October 2018 (UTC) https://en.wikipedia.org/wiki/Prolonged_exposure_therapy

Overall very informative- just some sentences are cut in half. I don't believe that you need to have your sources at the end of every sentence, but rather refer to the number eg [1]. Otherwise, maybe consider adding to the paragraph on in vivo treatment and what the ultimate goal is and what the time frame is before the results of the therapy are evident. Peanutbutter345 (talk) 13:52, 30 October 2018 (UTC)Alexandra

Prolonged exposure therapy From Wikipedia, the free encyclopedia Jump to navigation Jump to search

Prolonged exposure therapy (PE) is a form of behavior therapy and cognitive behavioral therapy designed to treat post-traumatic stress disorder. It is characterized by re-experiencing the traumatic event through remembering and engaging with reminders (triggers) of the trauma, as opposed to avoiding them.--TaylorHabb (talk) 01:58, 17 October 2018 (UTC) Sometimes, this technique is referred to as flooding. Contents

1 Description 2 Components 3 See also 4 References 5 Research information 6 External links

Description

Prolonged exposure therapy (PE) is a theoretically-based and highly efficacious[citation needed] treatment for chronic post-traumatic stress disorder (PTSD) and related depression, anxiety, and anger. Based on basic behavioral principles, it is empirically validated, with more than 20 years of research supporting its use.[citation needed] Prolonged exposure is a flexible therapy that can be modified to fit the needs of individual clients. It is specifically designed to help clients psychologically process traumatic events and reduce trauma-induced psychological disturbances. Prolonged exposure produces clinically significant improvement in about 80% of patients with chronic PTSD.[citation needed] The PE therapy was found to be superior to supportive therapy in sexually abused women with PTSD in a randomized controlled trial. [1] Prolonged exposure therapy was also found to decrease PTSD and depressive symptoms in female methadone-using child sexual abuse survivors.[2]

Prolonged exposure therapy was developed by Edna B Foa, PhD, Director of the Center for the Treatment and Study of Anxiety. Practitioners throughout the United States and many other countries currently use prolonged exposure to successfully treat survivors of varied traumas including rape, assault, child abuse, combat, motor vehicle accidents,--TaylorHabb (talk) 01:58, 17 October 2018 (UTC) and disasters. Prolonged exposure has been beneficial for those suffering from co-occurring PTSD and substance abuse when combined with substance abuse treatment.[3]

Over years of testing and development, prolonged exposure has evolved into an adaptable program of intervention to address the needs of varied trauma survivors.[3] In addition to reducing symptoms of PTSD, prolonged exposure instills confidence and a sense of mastery, improves various aspects of daily functioning, increases the--TaylorHabb (talk) 20:16, 19 October 2018 (UTC) client's ability to cope with courage--TaylorHabb (talk) 20:16, 19 October 2018 (UTC) when facing stress, and improves their ability to discriminate safe and unsafe situations.[4]

In 2001, Prolonged Exposure for PTSD received an Exemplary Substance Abuse Prevention Program Award from the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA). Prolonged exposure was selected by SAMHSA and the Center for Substance Abuse Prevention as a Model Program for national dissemination.[5] Components

PTSD is characterized by the re-experiencing of the traumatic event through intrusive and upsetting memories, nightmares, flashbacks, and strong emotional and physiological reactions triggered by reminders of the trauma. Most individuals with PTSD try to ward off the intrusive symptoms and avoid the trauma-reminders, even when those reminders are not inherently dangerous. To address the traumatic memories and triggers that are reminders of the trauma, the core components of exposure programs for the disorder are:

Imaginal exposure, revisiting the traumatic memory, repeated recounting it aloud, and processing the revisiting experience, and In vivo exposure, the repeated confrontation with situations and objects that cause distress but are not inherently dangerous.

The goal of this treatment is to promote processing of the trauma memory and to reduce distress and avoidance evoked by the trauma reminders. Additionally, individuals with emotional numbing and depression are encouraged to engage in enjoyable activities, even if these activities do not cause fear or anxiety but have dropped out the person's life due to loss of interest.[6]

The imaginal exposure typically occurs during the therapy session and consists of retelling the trauma to the therapist. For the in vivo exposure, the clinician works with the client to establish a fear and avoidance hierarchy. The therapist may also record the session and ask the patient to continue to complete in vivo exercises on their own time with the help of the recording. --TaylorHabb (talk) 20:23, 19 October 2018 (UTC) --TaylorHabb (talk) 20:26, 19 October 2018 (UTC)Both components work by facilitating emotional processing so that the problematic traumatic memories and avoidances habituate (desensitize).[7] See also

Post-traumatic stress disorder Exposure therapy Behavior therapy Cognitive behavioral therapy Edna B. Foa Barbara Rothbaum

References

http://jama.jamanetwork.com/article.aspx?articleid=1793800 Schiff M, Nacasch N, Levit S, Katz N, Foa EB. Prolonged exposure for treating PTSD among female methadone patients who were survivors of sexual abuse in Israel. Social Work & Health Care. 2015; 54(8): 687-707. DOI: 10.1080/00981389.2015.1058311 Joseph, J.S. & Gray, M.J. (2008). Exposure Therapy for Posttraumatic Stress Disorder. Journal of Behavior Analysis of Offender and Victim: Treatment and Prevention, 1(4), 69–80 BAO Eftekhari, A.; Stines, L.R. & Zoellner, L.A. (2006). Do You Need To Talk About It? Prolonged Exposure for the Treatment of Chronic PTSD. The Behavior Analyst Today, 7(1), 70–83 BAO Center for the Treatment and Study of Anxiety: Treatment of PTSD at the CTSA Williams, M.; Cahill, S.; Foa, E. Psychotherapy for Post-Traumatic Stress Disorder. In Textbook of Anxiety Disorders, Second Edition, ed. D. Stein, E. Hollander, B. Rothbaum, American Psychiatric Publishing, 2010.

Kazi, A.; Freund, B. & Ironson, G. (2008). Prolonged Exposure Treatment for Posttraumatic Stress Disorder following the 9/11 attack with a person who escaped from the Twin Towers. Clinical Case Studies, 7, 100–16.

Research information

Prolonged Exposure Therapy for PTSD: Emotional Processing of Traumatic Experiences, Therapist Guide by Edna B. Foa, Elizabeth A. Hembree, Barbara Olasov Rothbaum, March 2007, Oxford University Press, "Treatments that work". Reclaiming Your Life From a Traumatic Experience, Workbook, Barbara Olasov Rothbaum, Edna B. Foa, Elizabeth A. Hembree, March 2007, Oxford University Press, "Treatments that work". Prolonged Exposure Therapy for Posttraumatic Stress Disorders SAMHSA Model Programs. Center for the Treatment and Study of Anxiety, University of Pennsylvania Edna B. Foa, PhD, Director. Beyond the manual: The insider's guide to Prolonged Exposure therapy for PTSD E.A. Hembree, S.A.M. Rauch and E.B. Foa. Cognitive and Behavioral Practice (2003) 10:22–30. Cognitive Behavioral Therapy for Posttraumatic Stress Disorder in Women: A Randomized Controlled Trial, Paula P. Schnurr, Matthew J. Friedman, Charles C. Engel, Edna B. Foa, et al. Journal of the American Medical Association, February 28, 2007; 297: 820–30. "Prolonged exposure is an effective treatment for PTSD in female veterans and active-duty military personnel. It is feasible to implement prolonged exposure across a range of clinical settings." Treatment of PTSD: An Assessment of The Evidence, Institute of Medicine, October 17, 2007. "The committee reviewed 53 studies of pharmaceuticals and 37 studies of psychotherapies used in PTSD treatment and concluded that because of shortcomings in many of the studies, there is not enough reliable evidence to draw conclusions about the effectiveness of most treatments. There are sufficient data to conclude that exposure therapies—such as exposing individuals to a real or surrogate threat in a safe environment to help them overcome their fears—are effective in treating people with PTSD. But the committee emphasized that its findings should not be misread to suggest that any PTSD treatment ought to be discontinued or that only exposure therapies should be used to treat PTSD."

External links

Exposure therapy for PTSD at Epigee Women's Health Intensive Training Program in Dr. Foa's Prolonged Exposure Therapy Information about PTSD and Prolonged Exposure Therapy

vte

Cognitive behavioral therapy (list)

Acceptance and commitment therapy Applied behavior analysis Behavioral activation Behavior therapy Clinical behavior analysis Cognitive analytic therapy Cognitive therapy Compassion focused therapy Contingency management Dialectical behavior therapy Direct therapeutic exposure Exposure and response prevention Functional analytic psychotherapy Habit reversal training Inference-based therapy Metacognitive therapy Method of levels Mindfulness-based cognitive therapy Multimodal therapy Prolonged exposure therapy Rational emotive behavior therapy Reality therapy Relapse prevention Schema therapy Self-control therapy Social skills training Systematic desensitization

Categories:

Cognitive behavioral therapyBehavior therapyBehaviorismPsychotherapy

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This page was last edited on 6 May 2018, at 19:01 (UTC).

--TaylorHabb (talk) 00:30, 12 October 2018 (UTC)

From Wikipedia, the free encyclopedia Jump to navigation Jump to search

Prolonged exposure therapy (PE) is a form of behavior therapy and cognitive behavioral therapy designed to treat post-traumatic stress disorder, characterized by re-experiencing the traumatic event through remembering it and engaging with, rather than avoiding, reminders of the trauma (triggers). Sometimes, this technique is referred to as flooding. Contents

1 Description 2 Components 3 See also 4 References 5 Research information 6 External links

Description

Prolonged exposure therapy (PE) is a theoretically-based and highly efficacious[citation needed] treatment for chronic post-traumatic stress disorder (PTSD) and related depression, anxiety, and anger. Based on basic behavioral principles, it is empirically validated, with more than 20 years of research supporting its use.[citation needed] Prolonged exposure is a flexible therapy that can be modified to fit the needs of individual clients. It is specifically designed to help clients psychologically process traumatic events and reduce trauma-induced psychological disturbances. Prolonged exposure produces clinically significant improvement in about 80% of patients with chronic PTSD.[citation needed] The PE therapy was found to be superior to supportive therapy in sexually abused women with PTSD in a randomized controlled trial. [1] Prolonged exposure therapy was also found to decrease PTSD and depressive symptoms in female methadone-using child sexual abuse survivors.[2]

Prolonged exposure therapy was developed by Edna B Foa, PhD, Director of the Center for the Treatment and Study of Anxiety. Practitioners throughout the United States and many other countries currently use prolonged exposure to successfully treat survivors of varied traumas including rape, assault, child abuse, combat, motor vehicle accidents and disasters. Prolonged exposure has been beneficial for those suffering from co-occurring PTSD and substance abuse when combined with substance abuse treatment.[3]

Over years of testing and development, prolonged exposure has evolved into an adaptable program of intervention to address the needs of varied trauma survivors.[3] In addition to reducing symptoms of PTSD, prolonged exposure instills confidence and a sense of mastery, improves various aspects of daily functioning, increases client's ability to cope with courage rather than fearfulness when facing stress, and improves their ability to discriminate safe and unsafe situations.[4]

In 2001, Prolonged Exposure for PTSD received an Exemplary Substance Abuse Prevention Program Award from the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA). Prolonged exposure was selected by SAMHSA and the Center for Substance Abuse Prevention as a Model Program for national dissemination.[5] Components

PTSD is characterized by the re-experiencing of the traumatic event through intrusive and upsetting memories, nightmares, flashbacks, and strong emotional and physiological reactions triggered by reminders of the trauma. Most individuals with PTSD try to ward off the intrusive symptoms and avoid the trauma-reminders, even when those reminders are not inherently dangerous. To address the traumatic memories and triggers that are reminders of the trauma, the core components of exposure programs for the disorder are:

Imaginal exposure, revisiting the traumatic memory, repeated recounting it aloud, and processing the revisiting experience, and In vivo exposure, the repeated confrontation with situations and objects that cause distress but are not inherently dangerous.

The goal of this treatment is to promote processing of the trauma memory and to reduce distress and avoidance evoked by the trauma reminders. Additionally, individuals with emotional numbing and depression are encouraged to engage in enjoyable activities, even if these activities do not cause fear or anxiety but have dropped out the person's life due to loss of interest.[6]

The imaginal exposure typically occurs during the therapy session and consists of retelling the trauma to the therapist. For the in vivo exposure, the clinician works with the client to establish a fear and avoidance hierarchy and typically assigns exposures to these list items as homework progressively. Both components work by facilitating emotional processing so that the problematic traumatic memories and avoidances habituate (desensitize).[7] See also

Post-traumatic stress disorder Exposure therapy Behavior therapy Cognitive behavioral therapy Edna B. Foa Barbara Rothbaum

References

http://jama.jamanetwork.com/article.aspx?articleid=1793800 Schiff M, Nacasch N, Levit S, Katz N, Foa EB. Prolonged exposure for treating PTSD among female methadone patients who were survivors of sexual abuse in Israel. Social Work & Health Care. 2015; 54(8): 687-707. DOI: 10.1080/00981389.2015.1058311 Joseph, J.S. & Gray, M.J. (2008). Exposure Therapy for Posttraumatic Stress Disorder. Journal of Behavior Analysis of Offender and Victim: Treatment and Prevention, 1(4), 69–80 BAO Eftekhari, A.; Stines, L.R. & Zoellner, L.A. (2006). Do You Need To Talk About It? Prolonged Exposure for the Treatment of Chronic PTSD. The Behavior Analyst Today, 7(1), 70–83 BAO Center for the Treatment and Study of Anxiety: Treatment of PTSD at the CTSA Williams, M.; Cahill, S.; Foa, E. Psychotherapy for Post-Traumatic Stress Disorder. In Textbook of Anxiety Disorders, Second Edition, ed. D. Stein, E. Hollander, B. Rothbaum, American Psychiatric Publishing, 2010.

Kazi, A.; Freund, B. & Ironson, G. (2008). Prolonged Exposure Treatment for Posttraumatic Stress Disorder following the 9/11 attack with a person who escaped from the Twin Towers. Clinical Case Studies, 7, 100–16.

Research information

Prolonged Exposure Therapy for PTSD: Emotional Processing of Traumatic Experiences, Therapist Guide by Edna B. Foa, Elizabeth A. Hembree, Barbara Olasov Rothbaum, March 2007, Oxford University Press, "Treatments that work". Reclaiming Your Life From a Traumatic Experience, Workbook, Barbara Olasov Rothbaum, Edna B. Foa, Elizabeth A. Hembree, March 2007, Oxford University Press, "Treatments that work". Prolonged Exposure Therapy for Posttraumatic Stress Disorders SAMHSA Model Programs. Center for the Treatment and Study of Anxiety, University of Pennsylvania Edna B. Foa, PhD, Director. Beyond the manual: The insider's guide to Prolonged Exposure therapy for PTSD E.A. Hembree, S.A.M. Rauch and E.B. Foa. Cognitive and Behavioral Practice (2003) 10:22–30. Cognitive Behavioral Therapy for Posttraumatic Stress Disorder in Women: A Randomized Controlled Trial, Paula P. Schnurr, Matthew J. Friedman, Charles C. Engel, Edna B. Foa, et al. Journal of the American Medical Association, February 28, 2007; 297: 820–30. "Prolonged exposure is an effective treatment for PTSD in female veterans and active-duty military personnel. It is feasible to implement prolonged exposure across a range of clinical settings." Treatment of PTSD: An Assessment of The Evidence, Institute of Medicine, October 17, 2007. "The committee reviewed 53 studies of pharmaceuticals and 37 studies of psychotherapies used in PTSD treatment and concluded that because of shortcomings in many of the studies, there is not enough reliable evidence to draw conclusions about the effectiveness of most treatments. There are sufficient data to conclude that exposure therapies—such as exposing individuals to a real or surrogate threat in a safe environment to help them overcome their fears—are effective in treating people with PTSD. But the committee emphasized that its findings should not be misread to suggest that any PTSD treatment ought to be discontinued or that only exposure therapies should be used to treat PTSD."

External links

Exposure therapy for PTSD at Epigee Women's Health Intensive Training Program in Dr. Foa's Prolonged Exposure Therapy Information about PTSD and Prolonged Exposure Therapy

vte

Cognitive behavioral therapy (list)

Acceptance and commitment therapy Applied behavior analysis Behavioral activation Behavior therapy Clinical behavior analysis Cognitive analytic therapy Cognitive therapy Compassion focused therapy Contingency management Dialectical behavior therapy Direct therapeutic exposure Exposure and response prevention Functional analytic psychotherapy Habit reversal training Inference-based therapy Metacognitive therapy Method of levels Mindfulness-based cognitive therapy Multimodal therapy Prolonged exposure therapy Rational emotive behavior therapy Reality therapy Relapse prevention Schema therapy Self-control therapy Social skills training Systematic desensitization

Categories:

Cognitive behavioral therapyBehavior therapyBehaviorismPsychotherapy

Navigation menu

Not logged in   Talk Contributions Create account Log in

Article Talk

Read Edit View history

Search

Main page Contents Featured content Current events Random article Donate to Wikipedia Wikipedia store

Interaction

Help About Wikipedia Community portal Recent changes Contact page

Tools

What links here Related changes Upload file Special pages Permanent link Page information Wikidata item Cite this page

Print/export

Create a book Download as PDF Printable version

Languages

العربية עברית Nederlands

Edit links

This page was last edited on 6 May 2018, at 19:01 (UTC). TaylorHabb (talk) 22:21, 13 October 2018 (UTC) TaylorHabb (talk) 22:25, 13 October 2018 (UTC) TaylorHabb (talk) 22:29, 13 October 2018 (UTC)