Implementing Imaginal Exposure: Revisiting the Trauma Memory

This video offers tips on how to employ imaginal exposure with your clients, including advice about when to use the Subjective Units of Distress Scale (SUDS).
In this presentation, Dr. Barbara Rothbaum offers tips on how to employ imaginal exposure with your clients, including advice about when to use the Subjective Units of Distress Scale (SUDS).
Here are some highlights we’ve extracted from this video:
1. Review the start and end points of the narrative with the patient before you start imaginal exposure.
2. Remind the patient that once they go through the memory, you’ll ask them to go immediately back to the beginning and start again. If the patient is doing fine, let them talk and stay out of their way.
3. Only interrupt every 5 minutes for a SUDS rating. It’s fine if you want to offer encouragement at that point with something like “You're doing great” or “What's happening now?” That gets them right back into the exposure.
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