A new study suggests that guided imagining of the source of fear can be just as effective as a technique used by therapists that involves exposing patients to the source of their fears to conquer them.
The traditional method relies on triggering areas of the brain involved in perception, memory, learning and imagination, and the authors of the new study show the same processes occur when the fear source is “simulated” by imagining it, Reuters reported.
Senior author Daniela Schiller, an associate professor of psychiatry and neuroscience at the Icahn School of Medicine at Mount Sinai in New York City, said: "The most interesting aspect was that we could measure neural responses and look at the brain’s state during imagination and see that it was similar to what happens during real exposure."
One of the drawbacks of traditional exposure therapy is that it can be difficult or impractical to try to confront the actual source of a patient’s fears: if they arise from trauma in a war zone, for example. And sometimes the fear is so intense that real exposure therapy can be overwhelming.
To test the principle of imagined exposure, the researchers set up an experiment involving 68 volunteers who would be conditioned to link a certain sound with a mild electric shock. They repeatedly played two tones to the volunteers and during one tone the volunteers got the mild shock. Eventually, just the sound was enough to make them react. Then, the researchers divided the volunteers into three groups. One group got exposed over and over to the sound with no shock. A second group was told to imagine the sound without a shock accompanying it. The third group, which served as a control, was told to just imagine two neutral sounds from nature, birds singing and rain falling.
The volunteers’ brains were scanned with functional MRI during this phase of the experiment. Sensors on the volunteers’ arms also measured skin conductance.
According to Schiller, the researchers found that when you undergo exposure therapy, either real or imagined, a network in the prefrontal cortex kicks into action. "In people with anxiety disorders, that network can be impaired," she wrote in the study published in the journal Neuron.
Dr. Robert Hudak, an associate professor of psychiatry at the University Of Pittsburgh School Of Medicine in Pennsylvania who wasn’t involved in the study, said that therapists already are using imagination therapy, even without the proof that it causes actual brain changes.
For example, someone leaving home for a few hours may pull the plugs out of every socket in the house hoping that will stop it from catching on fire, Hudak said. Repeatedly having the person imagine leaving the house without pulling out the plugs can eventually dampen the anxiety they feel about their home catching on fire.
