To manage clients’ distress during exposure exercises:

  • Prepare Clients: Before beginning exposures, prepare clients by discussing what to expect and normalising their anxiety. Explain that discomfort is a part of the process.
  • Establish a Hierarchy: Collaborate with clients to create an exposure hierarchy, ranking feared situations from least to most anxiety-provoking. Start with lower levels to build confidence.
  • Teach Coping Skills: Equip clients with coping strategies, such as deep breathing, grounding techniques, or mindfulness practices, to use during exposures to help manage distress.
  • Positive Reinforcement: Celebrate small victories and progress after each exposure. Reinforcement can motivate clients and help them recognise their courage and resilience.