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For example, in the Harvard/Brown Anxiety Research Project, only 23% of treated patients reported receiving even occasional imaginal exposure and only 19% had received even occasional in vivo exposure.Another factor may be that many health care professionals do not understand the principles of exposure or may even hold (usually unfounded) negative beliefs about this form of treatment.Let’s say I misguidedly try to treat your phobia of spiders by locking you into a room full of spiders against your will. In fact, it will only traumatize you and make you more afraid of spiders.Similarly, if a friend forces you to go to a party or forces you to socialize against your will, it won’t help your social phobia.

For individuals with anxiety, panic, and phobias, exposure therapy is a common form of treatment that aims to produce corrective learning.Therefore, it’s very important that you take the time to systematically break down your anxiety in a way that works best for you.For example, if you start by exposing yourself to situations that elicit high levels of anxiety (like a public speech), then you’re probably just going to get frustrated and give up.Exposures must be voluntary in order to be helpful.In particular, it's not just the activity that has to be voluntary, it's the anxiety itself that has to be voluntary. You have to actually try to feel anxious in order for it to work.

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