Prolonged Exposure Therapy

Prolonged Exposure Therapy

Deep dive into Prolonged Exposure Therapy, an effective treatment for PTSD. Learn how it works, its benefits, and why it's a crucial therapeutic approach.

Audrey Liz Perez avatar

By Audrey Liz Perez on Jun 16, 2025.

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Commonly asked questions

The most effective Prolonged Exposure Therapy techniques include Imaginal Exposure, where therapists guide patients to revisit their traumatic memories in a controlled environment, and In Vivo Exposure, which involves gradually facing real-life situations or objects related to the trauma. Processing the Trauma, where therapists help patients make sense of their experiences and feelings post-exposure, is also crucial.

Developing a Trauma Narrative and Challenging Unhelpful Beliefs are key techniques for facilitating cognitive restructuring and emotional processing.

Effective Prolonged Exposure Therapy exercises that patients can practice anywhere include Controlled Breathing techniques to manage stress and anxiety. Journaling post-exposure experiences and feelings is another helpful exercise, as it helps process and reflect on the therapy sessions.

Gradual confrontation of avoided but safe situations as part of homework assignments is also beneficial, as it allows patients to apply the skills learned in therapy to real-world scenarios.

The limitations of Prolonged Exposure Therapy include the potential for initial increases in distress as patients confront traumatic memories, which can be challenging for some individuals.

The therapy requires a significant commitment of time and effort, which might not be feasible for everyone. It also relies heavily on the patient's readiness and willingness to face their trauma, which might not be present in all individuals. Additionally, PET may not be suitable for individuals with certain co-occurring disorders or those who have experienced complex, multiple traumas, as it primarily focuses on specific traumatic events.