In clinical practice, these approaches appear equally effective; however, most patients and clinicians choose a graded approach because of the personal comfort level.In vivo vs imaginal In vivo exposure refers to real-world confrontation of feared stimuli.We review the results of a handful of the most influential studies that demonstrate the efficacy of exposure therapy and disseminate information about the theoretical mechanisms, practical applications, and empirical support for this treatment.In addition, we provide practical guidelines for clinicians who wish to use exposure-based therapies and empirical evidence to guide their decision making.Traditionally, higher-level exposures are not attempted until the patient’s fear subsides for the lower-level exposure.
We also discuss theoretical mechanisms, practical applications, and empirical support for this treatment and provide practical guidelines for clinicians who wish to use exposure therapy and empirical evidence to guide their decision making.
The Internet, an important modern means of obtaining information and establishing communication with others, has become an increasingly essential element of human life.
Although Internet use makes life easier, it can become problematic in the event of non-functional use.
Sometimes, in vivo exposure is not feasible (eg, it would be both difficult and hazardous for someone with combat-related PTSD to experience the sights, sounds, and smells of combat in real life).
In such cases, imaginal exposure can be a useful alternative.