I have followed this string on emetophobia with interest as I have suffered from the disorder for years. The phobia manifests itself like PTSD - when I experience the trigger (someone else vomiting) I dissociate and reach the highest SUD level in the time it takes to cross a synapse. I'm currently being treated with EMDR but my therapist and I have encountered difficulty in that I have trouble with imaginal desensitization. In other words, I only report a 0 or 1 on the SUD scale (EVER) when asked the question. Imagining the trigger does not "trigger" anything. Recently I've been able to re-experience the panic once processing begins (to a 9 or 10), but any reassuring words from the clinician and it immediately dissipates. I usually can't get it back.
I wonder if you've had any other experience with clients who cannot imagine the disturbance easily (I credit some good CBT with this - thanks to years of that, I can function quite well without anxiety). I'd appreciate any thoughts you might have to help a person who cannot easily imagine the disturbance.
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