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Graded exposure
  • Identify specific goals and break them into smaller, manageable steps
  • Learn to master situations that cause mild anxiety
  • Progressively master situations that are associated with greater anxiety
  • Confront fears regularly and frequently
  • Emphasise habituation to anxiety in each exposure session
Example of a graded exposure hierarchy

Goal: To travel alone by train to the city and back

  1. Travelling one stop, quiet time of day (anxiety level 4/10)
  2. Travelling two stops, quiet time of day
  3. Travelling two stops, rush hour (anxiety level 6/10)
  4. Travelling five stops, quiet time of day
  5. Travelling five stops, rush hour (anxiety level 8/10)
  6. Travelling all the way, quiet time of day
  7. Travelling all the way, rush hour (anxiety level 10/10)
Note: Anxiety levels are those predicted by the patient before starting treatment

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