Prolongerad exponering

Öva imaginär exponering vid PTSD: håll kvar minnet, följ SUDS och hejda undvikande.

Det här övar du

• Build the treatment rationale with the patient instead of delivering it at them.
• Establish one memory as the treatment target and hold it against competing material.
• Anchor the 0-100 distress scale in the patient's own life and build a graded list of avoided situations from it.
• Guide the patient through telling the memory aloud in the present tense, with concrete, one-at-a-time questions.
• Track distress often enough to steer the session and briefly enough not to break engagement.
• Adjust the intensity in both directions: neither push on when the patient has gone absent, nor retreat from distress.

Dem du kan möta

• Elias, 24 — Young man with ADHD and severe mistrust after being robbed at gunpoint in a forest by masked men after a friend set him up. Avoids friends, forests, night travel, and any situation where he cannot control exits.
• Johanna, 34 — A 34-year-old pharmacist with PTSD after a van ran a red light and struck her car eight months ago. A single trauma with no other diagnoses: motivated, precise, easy to interview, and quietly avoidant. She never resists out loud; she slips out of the memory into polite, fluent reporting.
• Vera, 51 — Licensed psychologist with fifteen years of Prolonged Exposure practice and a supervisor's calm. She takes you back through a memory in the present tense, asks for the same moment again, and does not reassure you out of it. Useful focus: notice what keeps you inside the memory, what pulls you out, and what the repetition does.

Det här tittar återkopplingen på

• Rationale delivery
• Establishing the treatment target
• Anchoring the distress scale
• Building the in-vivo hierarchy
• Setting up and guiding the narrative
• Tracking distress
• Titration and pacing
• Hot spots

Skattat mot: Dimensions adapted from the session components of Prolonged Exposure as described in the PE therapist manual (Foa, Hembree, Rothbaum & Rauch), VA National Center for PTSD materials, and NICE NG116. No published competence instrument exists for PE — fidelity ratings used in trials come from an unpublished adherence and competence protocol — so this rubric is PsychBase's own work rather than an adaptation of a validated scale. Scores here are generated by an AI reviewer for practice feedback and are not equivalent to fidelity coding by a trained human rater. Nothing here is endorsed or certified by any manual author or issuing body.

Labbet är avsett för klinisk träning. Patienten genereras av en AI-språkmodell utifrån ett skrivet fall; inga verkliga patienter och inga patientuppgifter förekommer. Alla kan bläddra fritt; för att starta en session krävs ett kostnadsfritt konto.