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Therapy glossary

Exposure Therapy

Exposure therapy is a behavioral treatment for anxiety, phobias, and OCD in which you make careful, planned, repeated contact with the situations you fear, starting small and building gradually. Through that contact, the brain relearns that the feared outcome does not arrive, and the alarm quiets.

Avoidance is anxiety’s fuel: every avoided situation confirms the danger and shrinks life a little further. Exposure reverses the ratchet. With your therapist you build a ladder from mildly uncomfortable to genuinely hard, and you climb it at a pace you agree to, never by ambush.

It is among the best-evidenced techniques in all of anxiety therapy, and modern practice emphasizes learning safety rather than white-knuckling: staying in the situation long enough, with support, for the nervous system to record the update.

Common questions

Will my therapist force me into my worst fear?

No. Exposure is collaborative and graded; you and your therapist design the ladder together and you consent to every rung. Flooding, the all-at-once version, is rarely used and never without explicit agreement.

Does exposure work if my anxiety is about thoughts, not situations?

Yes. Imaginal exposure targets feared thoughts, images, and memories, and interoceptive exposure targets feared body sensations. The relearning principle is the same.

Related terms

Want to talk it through with a person?

A free 15-minute call is an easy way to ask how any of this applies to you.