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The Counting Method as Exposure Therapy: Revisions and Case Examples

Post Traumatic Stress Center, 19 Edwards Street, New Haven, CT 06511, Yale University School of Medicine, ptsdcenter{at}sbcglobal.net

Hadar Lubin

Post Traumatic Stress Center, 19 Edwards Street, New Haven, CT 06511, Yale University School of Medicine

Revisions in the theoretical basis and practical applications of the Counting Method are described based on clinical and research experience with this technique, which aims to reduce intrusive traumatic memories. The importance of the role of imaginal exposure, rather than the therapeutic alliance, is emphasized, and the advantages of a more parsimonious, streamlined approach to exposure therapy are highlighted. Five clinical examples are offered to illustrate the range of application of the Counting Method with different traumatic stressors and different therapeutic challenges.

Key Words: PTSD • imaginal exposure • the Counting Method

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