Some phobias are difficult to treat because exposure is not easily arranged, for example thunder and lightning phobia. On occasion, people will go to extraordinary lengths to avoid thunderstorms. For example, one individual spent several thousand sounds building himself a sounds building himself a sound-proof room in his house. Other people may resort to drugs or alcohol to help them deal with the distress of an impending thunderstorm, and may obsessively telephone for veather forecasts. When real-life exposure is Impractical, undesirable or difficult, the therapist has to be more creative in generating effective exposure in imagination, using audiotaped and-or videotaped simulations {i.e. thunder soundtracks, films of storms} and multimedia packages. In addition, the therapist also needs to ask the patient to rehearse more appropriate behavior during thunderstorms [i.e. to ban the continual checking of a weather forecast or, often with the assistance of a friend or relative who acts a o-therapist, to leave the house during a storm].
Thus, in treatment of phobias the following key points should be noted:
The degree of disability/distress determines specialist intervention.
Simple graduated exposure is the treatment of choice.
Treatment needs to be creative in facilitating exposure with feared objects/situations that are difficult to replicate.
Grading of exposure may depend on extent of generalization of phobic fears.
Some phobias are difficult to treat because exposure is not easily arranged, for example thunder and lightning phobia. On occasion, people will go to extraordinary lengths to avoid thunderstorms. For example, one individual spent several thousand sounds building himself a sounds building himself a sound-proof room in his house. Other people may resort to drugs or alcohol to help them deal with the distress of an impending thunderstorm, and may obsessively telephone for veather forecasts. When real-life exposure is Impractical, undesirable or difficult, the therapist has to be more creative in generating effective exposure in imagination, using audiotaped and-or videotaped simulations {i.e. thunder soundtracks, films of storms} and multimedia packages. In addition, the therapist also needs to ask the patient to rehearse more appropriate behavior during thunderstorms [i.e. to ban the continual checking of a weather forecast or, often with the assistance of a friend or relative who acts a o-therapist, to leave the house during a storm]. Thus, in treatment of phobias the following key points should be noted: The degree of disability/distress determines specialist intervention. Simple graduated exposure is the treatment of choice. Treatment needs to be creative in facilitating exposure with feared objects/situations that are difficult to replicate. Grading of exposure may depend on extent of generalization of phobic fears.
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