Facing Your Fears And Phobias

Everyone feels afraid sometimes. Uncomfortable as it is, fear is an unavoidable part of life. In fact, a little fear can help you stay safe and avoid danger. However, fear can become so intense, or trouble you so often, that it leads to serious problems. When particular objects or situations cause intense fear, psychologists refer to this as a ‘phobia’. 

Facing Your Fears And Phobias is a guide written for clients who struggle with their fears, and can be used to introduce them to exposure therapy. It will help them learn:

• What fear is.
• How fear gets ‘stuck’ and becomes a problem.
• How to use exposure to overcome their fears.

Facing Your Fears And Phobias is designed for use as guided self-help and can be used to support work completed in session. Alternatively, it can provide a scaffold for self-help for sufficiently motivated clients. 

The guide begins with psychoeducation, guiding clients through a discussion of fear, its purpose, and when it becomes a problem. It then elaborates fear from a CBT perspective (exploring fearful thoughts, images, physical responses, and behaviors) before introducing the principles of exposure, habituation, and inhibitory learning. 

The second part of the guide leads clients through practical steps they can take to overcome their fears and phobias. Exercises include developing a fear ladder and then conducting an exposure session which includes multiple repetitions of exposure to a a feared stimulus. Finally, instructions concerning relapse prevention are elaborated.

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• Furmark, T., Carlbring, P., Hedman, E., Sonnenstein, A., Clevberger, P., Bohman, B., ... & Andersson, G. (2009). Guided and unguided self-help for social anxiety disorder: randomised controlled trial. The British Journal of Psychiatry, 195, 440-447. DOI: 10.1192/bjp.bp.108.060996.
• Hofmann, S. G., & Smits, J. A. (2008). Cognitive-behavioral therapy for adult anxiety disorders: A meta-analysis of randomized placebo-controlled trials. Journal of Clinical Psychiatry, 69, 621-632.
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• Springer, K. S., & Tolin, D. F. (2020). The big book of exposures: Innovative, creative, and effective CBT-based exposures for