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Phobia Protocol

Phobia Protocol
πŸ”§ Problem processing

A specialized protocol for processing specific phobias on the basis of the three-pronged protocol. A phobia often has an original traumatic event (sometimes early childhood), current trigger scenarios (many β€” flying, the airport, takeoff), and a desired future image of calm interaction. Each scenario may require separate processing. High avoidance is a sign that work should move from less intense scenarios to more frightening ones.

Step-by-step guide

  1. PAST: "What is the earliest memory of this fear?" β€” process the original event
  2. If no original event is found β€” move to current triggers
  3. PRESENT: identify all trigger scenarios (e.g., booking β†’ airport β†’ boarding β†’ takeoff β†’ turbulence)
  4. Process each scenario as a separate target image, from less to more intense
  5. FUTURE: build an image of calm interaction with the object of the phobia
  6. Process the future image with BLS, PC: "I am safe" or "I can cope"

When to use

  • Specific phobias: heights, flying, animals, injections, medical procedures
  • Phobic avoidance that limits the client's life

Key phrases

What is the earliest time you remember this fear? What happened then?

Follow-up questions

Let us list all the situations that trigger fear β€” from the easiest to the hardest
We will work gradually β€” start with the least frightening scenario

Alternative phrasings

If there is no original event β€” we begin from the earliest memory of the fear

Warnings

  • ⚠️ With active panic or dissociation β€” stabilization first
  • ⚠️ With a high SUD on the first scenario β€” consider the Flash Technique
  • ⚠️ Phobias require several sessions β€” do not force it

Source: Shapiro, 2001, 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.