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Exposure to exposure: How to overcome common concerns about exposure therapy for anxiety and deliver it in a confident, safe, and maximally effective manner

Presented by Brett Deacon, Ph.D

Presenter Bio

Dr. Brett Deacon has been studying, teaching, supervising, and practicing exposure therapy for anxiety for over 25 years. He is co-author of Exposure Therapy for Anxiety: Principles and Practice (2nd ed.), published in 2019 by Guilford Press. Brett has maintained a private practice in Australia for 10 years (5 years full-time) and specializes in exposure-based CBT for anxiety issues, most notably OCD, panic, and social anxiety. His research focuses on the nature, correlates, and consequences of negative beliefs about exposure therapy. His Therapist Beliefs about Exposure Scale (TBES) has been translated into 5 languages and is used by research teams around the world to assist in training and evaluating clinicians. Brett’s work has identified (a) barriers to the effective use of exposure therapy such as concerns about its safety, tolerability, and ethicality and the perception that anxious clients are fragile, and (b) the effects of these barriers on how practitioners deliver exposure. Research by Brett and others has shown the benefit of strategies for challenging negative beliefs about exposure to promote its confident, effective, and ethical delivery.

Exposure therapy for anxiety is as effective as it is challenging for clinicians to deliver. Negative beliefs about safety, tolerability, and ethicality are common and may cause therapists to deliver exposure in an unnecessarily cautious manner. For example, research shows therapists concerned about exposure select easier exposure hierarchies and exposure tasks, engage in more anxiety-reducing as opposed to anxiety-increasing behaviors during exposures, and use a host of safety behaviors due to concerns that they are necessary to protect the client, reduce risk, and manage their own anxiety. These concerns about harm and associated safety behaviors may be formulated much the same way we understand maladaptive threat beliefs and avoidance behaviors in anxious clients. And the solution is the same: exposure, or more accurately, “exposure to exposure.” In this workshop, I discuss common therapist reservations about exposure, how they can be directly translated into exposure delivery and interfere with client improvement, and specific strategies for acquiring more confidence in the safety, tolerability, and ethicality of exposure therapy in one’s own clinical practice using the “exposure to exposure” principle as a guide. Case examples, video clips, and experiential exercises will be used to contrast the cautious vs. confident delivery of exposure.

CE Credits: 3

Course Objectives

At the conclusion of this course, participants will be able to:

1. Describe common negative beliefs about exposure therapy for anxiety, including one’s own.

2. Identify how these beliefs affect the delivery of therapy in ways that may compromise client care.

3. Describe strategies for challenging concerns about exposure therapy while delivering exposure in a more confident, intensive, and effective manner.

Instructional Level

Advanced

Licensed mental health professionals employed through Kaiser Permanente and psychological assistants performing under supervision of a licensed psychologist.

This CE program is free to Kaiser Permanente employees.
Instructional Methodology
Lecture
Audio/Visual
On-line Presentation

Continuing Education Information

This session is free to all Kaiser Employees. There is no known commercial support for this program.

For questions and requests for information, please contact our program evaluator: supria.k.gill@kp.org

Kaiser Permanente Mental Health Training Programs (KPMHTP) is approved by the American Psychological Association to sponsor continuing education for psychologists. KPMHTP maintains responsibility for this program and its content.

Refund and Attendance Policy

All programs offered on KP Learn for CE credit through the KP Northern California Mental Health Training website are free of charge to Kaiser Permanente Staff and trainees. Once a course is selected in the KP NCAL MH Training Website, the registration process begins, and it will appear in the individuals KP Learn profile for completion within 90 days.

IMPORTANT NOTICE: Those who attend the program in full and complete the appropriate evaluation form will receive CE credits. Please note that credit will only be granted to those who attend the entire program. An attestation of attendance will be given once the individual has completed viewing the program, which will then initiate the final steps of completing the evaluation forms to receive a certificate of completion.

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