Healing from PTSD

Prolonged Exposure for Post-Traumatic Stress Disorder

What is Prolonged Exposure?

Prolonged exposure (PE) therapy is a form of cognitive behavioral therapy developed to treat post-traumatic stress disorder (PTSD). It is a short-term treatment, designed to be completed in less than 15 sessions, where sessions are 90 minutes each. Research has found that Prolonged Exposure can lead to a major improvement in people suffering from PTSD. On average, more than 80% of patients with severe PTSD show a clinically meaningful response, while more than half of clients lost their PTSD diagnosis after treatment.

Prolonged exposure was developed by internationally recognized expert, Dr. Edna Foa, and colleagues at the University of Pennsylvania. It helps people overcome their trauma-related anxiety by gradually confronting fears head-on. The treatment has four critical elements:

1. Education on the therapy: The client is educated on common trauma reactions and PTSD. This process helps them understand their symptoms and the overall goals of their treatment.


2. Breathing techniques: Often when trauma occurs or someone with PTSD is reliving the trauma, their breathing pattern and speed changes. Learning to control the way their breathing can help clients relieve the immediate stress, lessening its impact.


3. Real-world application: In many cases, PTSD sufferers will avoid doing things that may be linked to their trauma, for example someone who has been in a car accident may not want to drive, or someone who has experienced sexual assault may avoid intimacy with another person. Real world therapy helps them to confront the anxiety in a safe way that has no risk of further trauma. Over time this helps reduce distress and helps them regain a sense of control.


4. Talking through the trauma: This part of the process is talking through the trauma with a caring therapist, which helps the person with PTSD gain control over the thoughts and feelings surrounding with the event. This has been the show to reduce stress and eliminate the fear of the memories of the traumatic event.

Does Prolonged Exposure Therapy Work?

Prolonged exposure has been shown to be the most effective treatment for PTSD when compared to medication and other forms of therapy. One of the advantages to PE is that it can be adapted to an individual's therapy needs, and in the hands of a trained therapist it can instill confidence in sufferers as they can again mastery over their PTSD. It has been shown to improve 80% of PTSD patients that have suffered any number of traumas, including combat, sexual assault, accidents, natural disasters and child abuse, among others. PE is a short-term treatment, with most people showing improvement or recovery after just 10-15 sessions.

Prolonged exposure has been developed, studied, and refined for over twenty years, and the U.S. Department of Veterans Affairs has adopted it as one of their measures to help returning soldiers from combat heal from PTSD, an increasing need as soldiers come from overseas and are re-integrated into society. This can be a difficult process for men and women who may have spent months or years in a high-intensity constant state of alert from combat or other dangers.