A tale of two outcomes: Remission and exacerbation in the use of trauma ‐focused imaginal exposure for trauma‐related voice‐hearing. Key learnings to guide future practice

ConclusionsWe highlight the potential for symptom exacerbation in early sessions and consider how this might influence acceptability, including the possibility that exposure therapy may be less tolerable when clients have persecutory appraisals of their voice ‐hearing experience. We also explore the potential therapeutic importance of associations between trauma and voices, suggesting exposure therapy is particularly indicated when there is a direct link between the content of voices and the index trauma.

Source: Clinical Psychologist - November 27, 2019 Category: Psychiatry & Psychology Authors: Rachel M. Brand, Amy Hardy, Sarah Bendall, Neil Thomas Tags: ORIGINAL ARTICLE Source Type: research