Does Exposure Therapy for Anxiety Really Work?

By April Lyons MA, LPC

Anxiety is one of the most common mental health hurdles that people deal with today. Affecting millions across the globe each year, anxiety disorders know no exceptions.

As the demand for treatments, both traditional and alternative, grows, one method has consistently stood out in literature and research. Exposure therapy.

Exposure therapy has been effective in treating anxiety, obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD). Unlike traditional talk therapy, this method involves helping you to confront your fear gradually in a safe and controlled environment.

Despite strong evidence, this method remains underutilized due to a combination of hesitation and some reported negative experiences. So does it truly work for anxiety, or are the benefits of exposure therapy overhyped?

How Exposure Therapy Works

The core principle of exposure therapy is simple. When we avoid things that make us anxious, it encourages our fear and anxiety to grow stronger. While avoidance can provide short-term relief, it reinforces the narrative that these situations are inherently “dangerous” as opposed to simply scary or uncomfortable.

In response, your brain naturally enters the fight or flight mode. Anxiety can make you misinterpret safe situations as dangerous or threatening. Exposure therapy will help you retrain your brain by showing you that these situations are actually safe and of little concern.

With gradual exposure, your nervous system begins to correct the narrative and learns how to calm down.

Types of Exposure Therapy

When exploring exposure therapy, you have multiple routes, depending on what is deemed the best fit.

  • Gradual Exposure: You start with less anxiety-provoking situations and progress to more challenging ones.

  • In Vivo Exposure: You face a real-life fear to trigger your anxiety and tackle it head-on.

  • Imaginal Exposure: You imagine anxiety-provoking scenarios when it’s not safe to face them directly.

  • Virtual Reality Exposure: You incorporate technology to assist you in facing a fear.

Does It Actually Work for Anxiety?

In simple terms, yes, exposure therapy does, in fact, work for treating anxiety disorders. Research has consistently shown positive results with exposure therapy when applied to:

  • Anxiety disorders

  • OCD

  • Panic disorders

  • Phobias

  • PTSD

For those who suffer from social anxiety specifically, gradual exposure is a highly effective way to reduce symptoms.

Why It’s So Effective

Traditional talk therapies focus on managing your current symptoms and talking through past issues that could be underlying causes. Exposure therapy, however, addresses anxiety at its root directly. It essentially helps to rewire your brain and alter how it responds to triggering situations.

By completing these therapy sessions, you’re also building confidence as you face your fears. You prove to yourself that you can navigate anxious situations while remaining calm and collected. Feeling capable helps reinforce this positive cycle rather than push you towards avoidance.

Common Concerns

Exposure therapy can appear abrupt, raising some concerns about choosing this course of treatment.

Will it make my anxiety worse?

It’s normal to feel a slight increase in anxiety as you get started. Your therapist will provide you with coping skills and guidance along the way. Key to remember is that this very temporary increase in anxiety can lead to long-term reduction.

What if I have a panic attack?

In the event you do experience a panic attack, not only will you be in a safe and protected environment, but you also have the support of your therapist, who is trained to help you through it.

This sounds scary.

Facing your fears can be a bit scary. Remember, this process moves at your pace, and you will be safe throughout the course of treatment.

Is Exposure Therapy Right for You?

If your anxiety is negatively impacting your quality of life, you have options for anxiety therapy and treatment. Your first step is to reach out to explore whether anxiety therapy is a good fit for you. It does require courage and commitment, but the results can be life-changing. Contact us for a free consultation today.

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