Mental Health

What is Systematic Desensitization Therapy?

By Dynne C. | Update Date: May 31, 2024 06:06 PM EDT

Treatments, such as systematic desensitization therapy, can help with various mental health conditions, as prescribed by professional.

About Systematic Desensitization Therapy

Systematic desensitization therapy is a behavioral treatment designed to help people manage anxiety disorders, phobias, and post-traumatic stress disorder (PTSD) by changing their responses to fear-triggering situations.

How Does It Work?

This therapy involves three primary steps: learning muscle relaxation techniques, creating a hierarchy of fears, and gradual exposure to these fears.

Step 1: Deep Muscle Relaxation Techniques

The first step in systematic desensitization therapy involves teaching the patient various muscle relaxation techniques. These include autogenic relaxation, where the patient repeats calming phrases or suggestions to induce relaxation; progressive muscle relaxation, which involves systematically tensing and then relaxing different muscle groups from the toes upwards; and visualization, where the patient imagines themselves in a serene and peaceful setting to achieve a relaxed state.

The goal of these techniques is to apply the principle of reciprocal inhibition, which states that one cannot be both relaxed and anxious simultaneously. Learning to relax helps people respond differently to their phobias.

Step 2: Creating a Fear Hierarchy

In this step, the patient lists their fears and ranks them from 1 to 10, with 1 being the least frightening and 10 being the most. This list, known as the fear hierarchy, helps structure the exposure process. The therapist and patient then discuss these fears and plan gradual exposure starting from the least frightening fear.

Step 3: Gradual Exposure to Fears

Gradual exposure in systematic desensitization therapy can be implemented through several methods. In vitro exposure involves the patient imagining encountering their fear, while in vivo exposure requires the patient to face the fear in real-life situations. Additionally, virtual reality exposure therapy (VRET) uses VR technology to simulate real-life scenarios in a controlled environment, allowing the patient to confront their fears safely and effectively.

How Long Will Treatment Take?

The duration of treatment varies based on the severity of the condition. Generally, it takes between 4 to 6 sessions to notice improvements, but severe cases might require up to 12 sessions. The specific goals are set by the therapist and the patient before commencing therapy.

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