Prolonged exposure (PE) therapy is a form of psychotherapy specifically designed to treat post-traumatic stress disorder (PTSD). It falls under the umbrella of cognitive behavioral therapy (CBT) and is considered one of the most effective treatments for PTSD.

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How it Works:

People with PTSD often feel a strong drive to avoid people, places, sensations, thoughts, or experiences that reminds them of the trauma. While this might offer temporary relief, it actually increases the distress a person experiences over time and slows down the healing process. PE therapy tackles this avoidance by gradually helping you confront trauma-related memories, feelings, and situations.

 

This process helps you to:

• Weaken the emotional intensity of the memories.

• Learn that reminders of the trauma are not inherently dangerous.

• Regain a sense of control over your life.

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What to Expect During Treatment:

PE therapy is usually delivered in weekly sessions lasting 60-90 minutes for 8 to 16 weeks, though it can vary depending on your needs. Here's a breakdown of what you can expect during treatment:

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• Psychoeducation: You'll learn about trauma, common PTSD reactions, and how PE therapy works to reduce symptoms.

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• Increase adaptive coping skills: You'll be taught relaxation techniques to manage they symptoms of PTSD in a healthy way, including flashbacks and nightmares.

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• Imaginal exposure: Over time you'll recount your traumatic memories with your therapist's guidance. This helps you process the emotions attached to the memories and weaken their emotional power and resulting behaviors. At the end of each imaginal exposure, you and your therapist will process the experience and identify any new insights you gained during that process. You will also be given instructions for weekly assignments that support your growth.

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• In vivo exposure: After completing the above and when you are ready, you'll gradually confront situations, places, or activities you've been avoiding because of trauma. Your therapist will guide you through this process in a safe and controlled way and you will never be put in actual danger.

 

It's important to remember that like all trauma treatments, PE therapy can be emotionally challenging at times and it's a safe space to work through difficult experiences with a supportive therapist. Additionally, open communication is key throughout the process and PE therapy is not about forgetting the trauma, but rather learning to manage its impact on your life.

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