Mentally Flexible

Dr. Brian Thompson & Dr. Brian Pilecki | ACT-Informed Exposure


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My guests today are Brian Thompson, PhD and Brian Pilecki, PhD, two of the authors of ACT-Informed Exposure for Anxiety


Brian L. Thompson, PhD, is a licensed psychologist; and director of the anxiety clinic at Portland Psychotherapy in Portland, OR. He specializes in working with anxiety and obsessive-compulsive and related disorders, and has published research in these areas.


Brian C. Pilecki, PhD, is a clinical psychologist at Portland Psychotherapy who specializes in the treatment of anxiety disorders, trauma, and matters related to the use of psychedelics. Brian also has extensive experience in the areas of mindfulness and meditation, and incorporates them into his therapy with clients. He is an active researcher and has published on topics such as anxiety disorders, mindfulness, and psychedelic-assisted therapy.


Some of the topics we explore include:
- How both Brians were first introduced to ACT
- What inspired writing ACT Informed Exposure for Anxiety
- The importance of willingness in exposure work
- The types of challenges people face where exposure may be helpful
- How exposure can be fluidly integrated into a much broader scope of clinical challenges
- Helpful and unhelpful ways to consider values in exposure work
- Exposure Hierarchies vs Menus 
- Overlaps and differences between traditional habituation and ACT approaches to exposure

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Portland Psychotherapy: https://portlandpsychotherapy.com/

ACT-Informed Exposure for Anxiety: https://a.co/d/5qAh5O7

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Check out my song “Glimpse at Truth” that you hear in the intro/outro of every episode: https://tomparkes.bandcamp.com/track/glimpse-at-truth

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Mentally FlexibleBy Tom Parkes, LCSW

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