Describe the first systematic desensitization session of working with a therapist

Question

What will be an ideal response?

Answer 1

In working with a therapist, the client is instructed to begin the first systematic desensitization session by using abbreviated progressive muscle relaxation training to go into a deep relaxation state. The therapist then starts with the image that is lowest on the fear ladder and guides the client to imagine the scene as realistically as possible. Upon experiencing any anxiety, the client is told to signal the therapist by lifting a finger. If the client gives the signal, the therapist instructs the client to change to one of the relaxing scenes. If no anxiety is elicited by the phobic scene, the client continues with the image for 10 seconds. After a pause to experience more deep relaxation, the therapist will repeat the scene before guiding the client to climb the next rung of the fear ladder. Usually, no more than 3 or 4 rungs are climbed per session. A typical desensitization session lasts no more than 15 to 30 minutes because it is difficult to sustain a state that combines concentration with relaxation for longer periods (Prochaska & Norcross, 2010). The therapist will usually end the session with a successful scene completion.