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Graded exposure vs flooding Most exposure therapists use a graded approach in which mildly feared stimuli are targeted first, followed by more strongly feared stimuli.

This approach involves constructing an exposure hierarchy in which feared stimuli are ranked according to their anticipated fear reaction (Table 1).

Surveys of psychologists who treat patients with PTSD show that the majority do not use exposure therapy and most believe that exposure therapy is likely to exacerbate symptoms.

The available research literature suggests that exposure-based therapy should be considered the first-line treatment for a variety of anxiety disorders.

With online dating, there’s more of a cultural norm (among most people, at least) that if you’re not interested, there’s no need to respond to say that; it’s okay to just delete the message.We review the results of a handful of the most influential studies that demonstrate the efficacy of exposure therapy and disseminate information about the theoretical mechanisms, practical applications, and empirical support for this treatment.In addition, we provide practical guidelines for clinicians who wish to use exposure-based therapies and empirical evidence to guide their decision making. It feels different, because it feels more like I’m rejecting a person, well, personally, rather than saying they aren’t the right fit or we had more qualified applicants. I do indeed think the etiquette for rejection in different in these two situations: It’s much more acceptable not to reply to messages from would-be suitors on online dating sites than it is for employers not to reply to job applicants.I also think I would get more pushback of the kind hiring managers sometimes get when we reject an applicant. Part of it is just a difference in conventions — the professional conventions for hiring are different than the conventions for online dating.

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