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Interoceptive Exposure

Interoceptive Exposure
🔧 Problem processing 🖐️ Sensation

Deliberately evoking bodily sensations that the client interprets as dangerous, in order to reduce fear of the body's normal sensations.

Step-by-step guide

  1. Explain the rationale and obtain informed consent
  2. Screen for medical contraindications
  3. Choose an exercise such as hyperventilation, spinning, running in place, or straw breathing
  4. Conduct the exercise for 30-60 seconds
  5. Ask what the client felt and feared
  6. Compare feared outcome with actual outcome
  7. Repeat two or three times for learning

When to use

  • Module 6
  • Especially in panic disorder, health anxiety, and fear of bodily sensations

Key phrases

We are going to show that these sensations are unpleasant but safe.

Follow-up questions

What did you predict would happen?
What happened in reality?
What did you learn about the sensation?

Alternative phrasings

The aim is learning, not endurance.

Warnings

  • ⚠️ Check asthma, epilepsy, cardiovascular problems, and other medical contraindications
  • ⚠️ Do not conduct without informed consent and preparation

Source: Barlow et al. 2011; Barlow et al. 2018

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Materials are informational and educational and summarize publicly available scientific sources. They are not medical or psychological advice, are not intended for self-diagnosis or self-treatment, and do not replace consultation with a qualified professional.