If you’ve ever heard exhortations like “Get back on the horse!” or “Face your fears!” or “Do something that scares you every day!” then you are at least vaguely familiar with the concept behind exposure therapy. But these quotes belie the highly sophisticated, evidence-based nature of actual exposure therapy, known more formally as exposure and response prevention therapy, or ERP. In today’s episode, we take a deep dive into ERP with our guest, Sharon McCallie-Stellar, a psychotherapist and exposure therapy expert.
Sharon reveals that exposure therapy is not just about facing fears head-on; it's also about compassionately coming alongside the client, understanding the root causes of their fears, building therapeutic rapport, and creating a plan that addresses the client's unique needs at a pace that works best for them. We'll explore the different aspects of social anxiety and how it manifests differently for everyone, especially during challenging times. Sharon will also detail the process of conducting a functional assessment—the foundation of ERP—and will even take Co-Host Zack Schafer through his own exposure process!
The exposure process is a crucial aspect of anxiety treatment and Sharon guides us through the gradual steps and personalized plans for confronting fears. We learn the importance of "what if" questions in guiding the exposure process, which can begin with imagined or in vivo experiences depending on the individual's comfort level.
Throughout the episode, we gain insight into the physiological manifestation of anxiety in the body and the role of Cognitive Behavioral Therapy (CBT) in understanding the relationship between thoughts, feelings, and actions. Sharon explains how Exposure Response Prevention (ERP) is derived from CBT and aims to challenge avoidance behaviors.
Join us as we explore the journey of confronting fears and the transformative power of exposure therapy. We'll uncover the techniques behind Exposure and Response Prevention (ERP), the role of cognitive-behavioral therapy, and the importance of normalizing anxiety.
And be sure to stick around until the end of the episode for a useful “Zack’s Hack” to help address anxiety in everyday life!
Fear Less is sponsored by Mountain Valley Treatment Center.