PSYREFLECT

Issue #85

October 26, 2026

#1Research

Ten minutes with a friend before extinction

“Bring the close person in before exposure, then let the client meet the feared cue alone.”

fear extinctionsocial supportexposure therapysafety behaviours
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#2Research

A flat month and a prediction that refuses to move

“Low positive affect is a signal in its own right before an expectancy-violation exposure, not only high distress.”

exposure therapyinhibitory learningexpectancy violationpositive affect
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#3Tool

Ten safety behaviours worth tracking in PTSD therapy

“Every safety behaviour a client marks as frequent is already an exposure task waiting to be scheduled.”

PTSDsafety behavioursexposure therapymeasurement-based care
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#4Industry

A Russian-language exposure guide for childhood anxiety, with the parents inside the plan

“Each step the child takes in session has a counterpart at home – a reassurance given, a plan changed – that can quietly undo it.”

exposure therapychildhood anxietyfamily accommodationseparation anxiety
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#5Industry

After the Paris attacks, a trauma treatment chosen for speed

“Two days of training and six short sessions reached the outcome of usual care sooner, which is an argument about capacity rather than about a better outcome.”

PTSDreconsolidation therapypropranololcost-utility
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#6Resource

A free lecture on inhibitory learning for exposure therapists

“A session in which anxiety stayed high but the feared outcome did not happen may be the useful one.”

exposure therapyinhibitory learningOCDcontinuing education
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