How Minneapolis Trauma Therapists Use Prolonged Exposure Therapy
By: Catherine Tamayo, MS LPCC
Experiencing trauma can leave deep emotional wounds, which can lead to post-traumatic stress disorder (PTSD). Finding effective treatment is crucial for those on the path to trauma recovery. Prolonged Exposure Therapy (PE) is a well-established and evidence-based approach for reducing PTSD symptoms.
Understanding Prolonged Exposure Therapy
Prolonged Exposure Therapy is a type of cognitive-behavioral therapy specifically designed to help individuals process and reduce trauma-related distress. Developed by Dr. Edna Foa, PE is based on the principle that confronting trauma-related thoughts, feelings, and situations in a safe and controlled manner can help diminish their power over time.
How Prolonged Exposure Therapy Works
PE involves several key components designed to help individuals face and process their traumatic experiences:
1. Psychoeducation
The first step in PE is to increase awareness to common symptoms of PTSD and how avoidance behaviors contribute to maintaining their symptoms. Understanding the connection between their trauma and current distress is crucial for effective treatment.
2. Imaginal Exposure
Imaginal exposure involves revisiting and recounting the traumatic event in detail during therapy sessions. This repeated exposure helps not only to reduce the emotional impact of the trauma memory but also to process emotions and address maladaptive schemas impacting self-identity and daily functioning. Over time, the individual can become less distressed by the memories and gains insights that can lead to a decrease in PTSD symptoms and improved daily functioning.
3. In Vivo Exposure
In vivo exposure involves gradually confronting real-life situations that are reminders of the trauma and have been avoided due to fear or anxiety. It's crucial to emphasize that in vivo exposure are created in a structured, safe and ethical manner. The goal is to help individuals rebuild inner security by disconfirming their heightened fear response and automatic thinking processes.
Common In Vivo Exposure Examples:
Visiting Certain Locations: Going to places that are reminders of the trauma but are not inherently dangerous, such as a park or a specific area.
Engaging in Social Activities: Attending social events or gatherings that have been avoided due to anxiety.
Daily Activities: Performing everyday tasks, such as driving or shopping, that may trigger anxiety due to their association with the trauma.
4. Processing
After each exposure session, the therapist helps the individual process their experiences and emotions. This involves discussing the insights gained from the exposure and addressing any remaining distress. Processing aids in further strengthening the individual’s sense of inner security and compassion.
Benefits of Prolonged Exposure Therapy
Prolonged Exposure Therapy offers numerous benefits for individuals seeking trauma recovery:
1. Reduction in PTSD Symptoms
PE has been shown to significantly reduce symptoms of PTSD, including intrusive thoughts, nightmares, and avoidance behaviors. Many individuals experience a marked improvement in their overall quality of life.
2. Improved Emotional Regulation
By repeatedly addressing the traumatic memories and related situations, individuals learn to manage their emotional responses more effectively. During the processing phase, clients address their schemas around self and worldview, which further helps in improving emotional regulation. By challenging and modifying these schemas, clients can develop perspectives that contribute to reduced distress and improved confidence.
3. Enhanced Quality of Life
As PTSD symptoms decrease, individuals often find they can engage more fully in their daily activities and relationships. This leads to an improved quality of life and a greater sense of fulfillment.
The Effectiveness of Prolonged Exposure Therapy
Numerous studies have demonstrated the effectiveness of Prolonged Exposure Therapy in treating PTSD. Research indicates that PE is one of the most effective treatments for PTSD, with many individuals experiencing significant and lasting reductions in symptoms. The benefits of PE are often maintained long after the completion of therapy, making it a powerful tool for trauma recovery.
Who Can Benefit from Prolonged Exposure Therapy?
Prolonged Exposure Therapy can be beneficial for anyone experiencing PTSD or trauma-related symptoms. It is particularly effective for individuals who have experienced:
Combat-related trauma
Sexual or physical assault
Childhood abuse or neglect
Natural disasters
Serious accidents
Seeking Professional Help
If you or someone you know is struggling with PTSD or trauma-related symptoms, seeking professional help is essential. A qualified therapist trained in an evidence based treatment can provide the guidance and support needed for effective trauma recovery. Contact us today to get started Click Here .
Additional Resources
1. Books
"Reclaiming Your Life from a Traumatic Experience: A Prolonged Exposure Treatment Program Workbook" by Barbara Olasov Rothbaum, Edna B. Foa, and Elizabeth A. Hembree: This workbook offers step-by-step guidance on PE treatment, making it a valuable resource for both therapists and clients.
"The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma" by Bessel van der Kolk, M.D.: This book provides a comprehensive look at how trauma affects the body and mind, and discusses various treatments, including PE.
2. Websites
Anxiety and Depression Association of America (ADAA): The ADAA website (adaa.org) offers resources on PTSD and trauma, including articles, support groups, and information on finding a therapist.
National Center for PTSD: The National Center for PTSD (ptsd.va.gov) provides extensive resources for understanding PTSD, including information on PE and other treatments.
For more information on trauma therapy, PTSD treatment, and the benefits of exposure therapy, contact us Click Here. Please remember, recovery is possible, and support is available.
References
Foa, E. B., Hembree, E. A., & Rothbaum, B. O. (2007). Prolonged Exposure Therapy for PTSD: Emotional Processing of Traumatic Experiences Therapist Guide. Oxford University Press.
National Center for PTSD. Prolonged Exposure (PE). U.S. Department of Veterans Affairs.
