Coaching practices for Vestibular Exposure Therapy
Describe almost anything you are working through and IX Coach finds the practices whose real-world fit is closest. For Vestibular Exposure Therapy, these are the strongest matches in the current practice library.
Does this sound like the set of challenges you might be facing?
- The instant the room starts to spin or tilt I’m convinced I’m about to faint or collapse
- The thing I dread most isn’t something I can just go and face
- When I make myself face the scary scenario I end up still wound up and rattled afterward, and then I dread doing it again
- When I make myself face the hard thing my body goes straight to full panic
- The moment I let myself feel the tight, awful sensation, it swallows me whole and I can’t find my way back out
Practices that may help
- Spinning-in-chair induction
Spin in a chair for 30 seconds to produce dizziness, then stay with the sensation.
Interoceptive Exposure for Panic - Imaginal exposure for difficult-to-access fears
Vividly imagine the feared scenario in detail as a substitute or preparation for real exposure.
Exposure Therapy: Facing Fears to Shrink Them - Combine worry exposure with relaxation skill
After the exposure period, apply a relaxation practice to close each session with a deactivation phase.
Worry Exposure, Made Practical - Use controlled breathing to manage arousal during exposure
A brief, slow-breathing technique modulates arousal during difficult exposure moments.
Prolonged Exposure Therapy: Principles, Practices, and the Evidence - Brief touch and return — the basic pendulation move
Direct attention briefly toward a difficult sensation, then consciously return to your resource — stay only as long as you can track it without flooding.
Pendulation, Made Practical - Worry Exposure, Made Practical
Worry exposure, developed by Thomas Borkovec as part of his CBT for generalized anxiety disorder, reverses the usual avoidance strategy: instead of suppressing or distracting from worry, you deliberately face the feared scenario in detail, allowing the anxiety to peak and then naturally subside. It is a form of imaginal exposure applied specifically to chronic worry. The evidence base is the broader CBT-GAD literature, in which worry-exposure elements appear as part of well-supported treatment packages. - Generalize exposure to naturalistic triggers
Seek out real-world situations that naturally produce the sensations you have been practicing with.
Interoceptive Exposure for Panic - Prolonged Exposure Therapy: Principles, Practices, and the Evidence
Prolonged Exposure (PE), developed by Edna Foa, is one of the most rigorously studied treatments for PTSD, with consistent randomized trial support across populations. The core mechanism is extinction learning: repeated, systematic contact with trauma-related cues in a safe context teaches the brain that those cues no longer predict danger. The full PE protocol — including imaginal and in vivo exposure — requires a trained therapist; the underlying principles of graduated, systematic approach to avoided cues can be applied in coached or self-guided contexts for sub-clinical fear and avoidance. - Understand imaginal exposure: revisiting the traumatic memory deliberately
Imaginal exposure has the person revisit the traumatic memory in detail to allow the brain to process it as a past event.
Prolonged Exposure Therapy: Principles, Practices, and the Evidence - Hyperventilation induction exercise
Breathe rapidly through the mouth for 60 seconds to produce dizziness and breathlessness — then stay with it.
Interoceptive Exposure for Panic
Related concerns
- Exposure Therapy And Meditation
A brief, slow-breathing technique modulates arousal during difficult exposure moments.
Use controlled breathing to manage arousal during exposure
- Brief Exposure Resource
A brief, slow-breathing technique modulates arousal during difficult exposure moments.
- Exposure Duration
Prolonged Exposure (PE), developed by Edna Foa, is one of the most rigorously studied treatments for PTSD, with consistent randomized trial support across populations. The core mechanism is extinction learning: repeated, systematic contact with trauma-related cues in a safe context teaches the brain that those cues no longer predict danger. The full PE protocol — including imaginal and in vivo exposure — requires a trained therapist; the underlying principles of graduated, systematic approach to avoided cues can be applied in coached or self-guided contexts for sub-clinical fear and avoidance.
- Exposure Therapy
Prolonged Exposure (PE), developed by Edna Foa, is one of the most rigorously studied treatments for PTSD, with consistent randomized trial support across populations. The core mechanism is extinction learning: repeated, systematic contact with trauma-related cues in a safe context teaches the brain that those cues no longer predict danger. The full PE protocol — including imaginal and in vivo exposure — requires a trained therapist; the underlying principles of graduated, systematic approach to avoided cues can be applied in coached or self-guided contexts for sub-clinical fear and avoidance.
- Gentle Exposure
After the exposure period, apply a relaxation practice to close each session with a deactivation phase.
Combine worry exposure with relaxation skill
- Graded Exposure Therapy
Prolonged Exposure (PE), developed by Edna Foa, is one of the most rigorously studied treatments for PTSD, with consistent randomized trial support across populations. The core mechanism is extinction learning: repeated, systematic contact with trauma-related cues in a safe context teaches the brain that those cues no longer predict danger. The full PE protocol — including imaginal and in vivo exposure — requires a trained therapist; the underlying principles of graduated, systematic approach to avoided cues can be applied in coached or self-guided contexts for sub-clinical fear and avoidance.
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