Treating Your OCD with Exposure and Response (Ritual) Prevention Therapy: Workbook (Treatments That Work) by Elna Yadin & Edna B. Foa & Tracey K. Lichner

Author:Elna Yadin & Edna B. Foa & Tracey K. Lichner [Yadin, Elna]
Language: eng
Format: azw3, epub
ISBN: 9780195335293
Publisher: Oxford University Press
Published: 2012-02-03T05:00:00+00:00

In Vivo Exposure

Your therapist and you will begin with the in vivo exposure that you both planned for that day’s session. Your therapist will describe, at the beginning of the session, exactly what the exposure practice will be. During the in vivo exposures, you and your therapist may discuss the changes in your anxiety levels and thoughts about your feared consequences, so you can realize that your feared consequences do not necessarily occur.

Instructions for Self-Exposure

After exposure practice with your therapist’s supervision, you will be given instructions for self-exposure. It is crucial that you are able to do exposures on your own. Therefore, for homework, the therapist will ask you to do an exposure that is as similar as possible to the situation you practiced in session with your therapist. Generally, the homework exposures should last for about 2 hours each day. If you can’t continually do exposures for 2-hour periods because of special circumstances, you and your therapist will devise an exposure plan that will allow you to experience a reduction in your anxiety level.

Sometimes your therapist may ask you to do a new exposure as homework if it cannot be done in the office because of the logistics of the situation. For example, you may need to touch objects at home or elsewhere that can’t be brought into the office or easily reached from the office.

You and your therapist will agree on several items from the hierarchy that you will practice before the next session. Record the assignment on the Exposure Homework Recording Form in the workbook. Do the exposure at home just as you did in the session. That means you will do the exposures without rituals for a long enough time for your anxiety or distress to decrease. A useful guideline is to do each exposure for 1 full hour, or until you notice that your distress has decreased by approximately 50%. It will not be helpful for you to confront the situation and then to leave it before you notice feeling a little better. Every 10 minutes during the exposure, write down your anxiety level on the Exposure Homework Recording Form.

Be ready to discuss the homework exposures at the next phone contact with your therapist. If you have any problems or comments about the homework, you can write a brief note on the Exposure Homework Recording Form as a reminder to raise them during the phone contact.

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