ONLINE THERAPY FOR PHOBIAS
Online Mindfulness Therapy will teach you very effective methods for overcoming the intense fear reactions of your phobia. The treatment of phobias incorporates Mindfulness-based Exposure Therapy and Mindfulness-based Image Reprocessing Therapy, both of which are very direct and practical ways of changing the underlying psychological process that generates the phobia.
Please feel free to contact me via email if you would like to learn more about online mindfulness therapy for treating your phobia and if you would like to schedule a Skype therapy session.
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Does this interest you? Send me an email now. Tell me about yourself and how I can help you. Schedule a trial session via Skype now.
Online Mindfulness Therapy for Phobias
What is a Phobia?
So a phobia is basically an extreme fear reaction to a specific trigger, for example a spider or other object. It could be really anything. It could be also in the form of a thought trigger as in agoraphobia – The thought of not being able to get back home to a secure place, making it very difficult to leave home. So a phobia basically is just an extreme emotional reaction of fear that is triggered by a specific experience.
How to overcome a phobia
And the best way to overcome any kind of phobia, basically, is a combination of two things. The first is some form of exposure therapy, in our case we will be looking at mindfulness-based exposure therapy. And the second thing that we need to do is actually look at the imagery of the fear emotion itself and how that works.
So fear is an emotional reaction and all emotions are structured around imagery. So typically for example a spider will trigger a large threatening image of a spider or some other threatening image in the mind and that is what actually produces the fear, is that internal picture of the spider. Now this is simply a conditioned habit and once we uncover that imagery we can begin to change it.
So this is the process that I developed several years ago now called mindfulness-based imagery processing. It works very well for PTSD as well as for traumatic images and memories and experiences and also for phobias, which have many of the same characteristics as traumatic imagery.
Change the imagery of the phobia
Typically, the images are very large, very close and often very high in the psychological field in which you see the emotion, and that’s what gives it power. So once we uncover the imagery we can change that imagery. And when you change the imagery you change the emotion. So this is one part of the work that we do, is reprocessing the way you see the spider, for example, in the mind. We might simply make it very much smaller. A small image is not able to generate the same degree of fear that a large psychological image would do. There are many other factors that we can change in this internal imagery.
The other thing that we need to do is change our relationship to the emotions, to the fear, that gets triggered. So many people develop a fear reaction to the fear and that simply feeds it and makes it worse. So we need to turn that completely around and actually develop a very friendly relationship to the fear. That friendliness stops the fear controlling you. It allows you to get control of the fear, but you must generate an internal friendly attitude towards your fear. When you do that the fear begins to diminish by itself.
A good analogy here is to think of a scared child. Think of the fear reaction, the emotion in you, as being like a scared child. The best way to help a child overcome its fear is through contact with you as a parent, as a fearless person who is not afraid, and the child absorbs that confidence and fearlessness and that allows the child to let go of its fear.
The same happens the same process happens with our emotions as well. So we learn to develop a mindful relationship with our emotions. We learn to sit with our emotions in the same way that you would sit with a child that was afraid, and this is very important for healing. We must stop that emotional reactivity to the fear.
So the combination of image reprocessing and then establishing a non-reactive and friendly relationship to the fear itself are the two primary features in mindfulness therapy for phobias.
If you approach your phobia in this way and test out your work by exposing yourself to the actual trigger, and do this repeatedly you’ll rapidly overcome your phobia. Most people that I work with can significantly change their phobia within a matter of weeks if you start doing this work that I will teach you during the online therapy sessions.
So if you’re interested in mindfulness therapy for overcoming your phobia. Please reach out to me by email and let’s schedule a session. Thank you.
A phobia, from the Greek phobos, meaning to fear, is a recurrent irrational emotional and physiological reaction to an object or situation. Phobias are actually one of the most common forms of anxiety disorder and the National Institute of Mental Health estimates that as many as 10% of Americans suffer from phobias. The most well known phobias are the Specific Phobias produced in reaction to animate objects, such as spiders, cats, dogs and moths or inanimate objects such as needles. This class also includes fear of enclosed spaces, high places, dark places, dirt, the fear of injury or activities such as driving a car. Some of these specific phobias may have had evolutionary origins as defense reactions against real threats, but most have no clear explanation. Another major group of phobias are the Social Phobias.
Most of us feel a degree of fear if we are called on to give a presentation, but for a social phobic the fear reaction takes the form of panic, accompanied by an elevation in heart rate, rapid breathing, sweating and blurred vision and an uncontrollable urge to flee the situation. This class of phobias also includes fear of crowds, parties and social gatherings and is often accompanied by extreme self-consciousness and embarrassment. Agoraphobia is perhaps the most disabling phobia in which there is a generalized fear of a wide range of stimuli associated with being outside of a defined safe space such as home.
Phobias have a major impact on the quality of life and can cause a great deal of stress. They cause embarrassment and lead to all manner of conscious and unconscious avoidance reactions that limit choices and freedom. Phobias can have a major influence on self-esteem and self-confidence.
What causes phobias to arise is far from clear. However, it is well known that emotional trauma in which the individual is confronted with an overpowering sense of helplessness may manifest as a phobia long after the event and it is not unreasonable to assume that phobias contain a core of unresolved emotional conflict. The treatment options for phobias are varied, but the general consensus is that effective psychotherapy must involve some form of desensitization protocol coupled with controlled exposure to the phobic trigger. Clients are taught a relaxation response to use whenever they encounter the stimulus. They are gradually introduced to the stimulus, learn to monitor their stress response and respond with the relaxation technique. This is repeated many times until the client can encounter the object without having the phobic reaction.
Mindfulness Therapy for phobias
Mindfulness Therapy has attracted considerable attention as a treatment for phobias and claims many success stories. The central premise in Mindfulness Therapy is that an emotional reaction is built around internal imagery. This Structural Theory of Emotions is a useful concept when working with intense emotional reactions such as phobias or post-traumatic stress reactions. Basically, the theory states that an emotional reaction has an internal structure built around sensory modalities. The principle modalities are visual, auditory and psychophysical sensations. Of these, the visual modality of inner imagery is usually dominant.
In effect, when an arachnophobe encounters a spider, what he sees is not the actual animal, but an internal image, his internal representation of spiders. Most likely this will consist of a very large, very vivid in-your-face image that is in color and probably moves in a particular way. The emotional fear is encoded in these various sub-modalities of size, position, color and movement. This is the internal structure of the emotion and this structure encodes the feelings that form the emotional reaction. The external object seen through the eyes is simply a stimulus that evokes this internal representation and it is the internal representation generates the fear.
During Mindfulness Therapy, the client learns how to establish a safe and non-reactive relationship, the Mindfulness Based Relationship, with the core internal representation of a phobia. There are a number of techniques that he can experiment with to create this safety, such as making the image very small and distant. He might imagine looking at the spider through a thick glass window. The therapist and client engage their creativity to find what works for the client.
In Mindfulness Therapy, the emphasis is always on helping the client form a non-reactive relationship with his or her inner representation of emotions and when working with a phobia much time is spent on establishing a mindful relationship. This is called the RELATIONSHIP PHASE of Mindfulness Meditation Therapy. This in itself can be highly transformative, because as the client learns not to react to his internal representation he will find that he will be less reactive when he encounters the actual object or situation.
The next phase of Mindfulness Therapy is the TRANSFORMATIONAL PHASE. Now that you are able to relate to the inner imagery with mindfulness, continue to observe and investigate the imagery, to become more familiar with its structure and all the various feeling sensations associated with the color, size and other sub-modalities. There is no attempt to analyze or interpret, only to fully observe and know what is being experienced, like a scientist observing an experiment as it unfolds, or a fisherman observing the river for subtle features and changes that indicate where the fish are to be found. As this wealth of subtle details begins to unfold, you will simultaneously become aware of what needs to happen next.
The psyche naturally looks for changes at the experiential level that reduce suffering and when you remain mindful and present with the unfolding experience of inner imagery, it will present changes to you. You may discover that placing the spider in a glass jar and putting the jar on a shelf is sufficient to completely neutralize the fear reaction or that changing its color from blood red to pale pink does the job. What is important is that you experiment for your self and find what works for you. But, rather than stopping there, you stay with the inner experience and continue to sense what needs to happen next. Perhaps you sense a need to take the spider jar and take it to a place where you can release the spider or you may discover some other thing that needs to happen. The important thing is to allow these solutions to arise experientially and that they feel right.
Next is the RE-EXPOSURE PHASE. You deliberately imagine seeing a spider in your home or other environment. Start with the least difficult encounter and progress to the most difficult encounter of all, such as imagining the spider crawling on your hand. Check the feeling response in each case and repeat the visualization many times. If the emotional reaction is still too intense, then return to the Relationship phase and continue working with the sub-modalities.
If you can successfully manage all the different imaginary situations, then you are ready to try exposure to a real spider. Do this gradually, first observing the spider at a distance, then move closer and finally place the spider on your hand. If the reactions are too intense, then return to the visualization phase. It may take many repetitions of the process, from the relationship phase through to re-exposure, but you now have a strategy for working with your inner experience of a phobia at the experiential level and eventually this will lead to the desired results
Peter Strong, PhD is a Professional psychotherapist and Online Therapist, teacher and author based in Boulder, Colorado, who specializes in the study of mindfulness and its application in Mindfulness Psychotherapy for healing the root causes of anxiety, depression, stress and Post-traumatic stress disorder.
Besides face-to-face therapy sessions, Dr Strong offers Online Counseling Therapy through live Skype video sessions.
GO TO MY CONTACT PAGE TO SCHEDULE AN ONLINE THERAPY SESSION
Does this interest you? Send me an email now. Tell me about yourself and how I can help you. Schedule a trial session via Skype now.
ONLINE THERAPIST FOR ANXIETY VIA SKYPE
Further Reading
- ONLINE THERAPY FOR AGORAPHOBIA
- Online Therapy for Driving Anxiety & Phobia
- Fear of Flying Therapy Online
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