Prolonged Exposure


Many clients who come to St Louis DBT have experienced either “Big T” trauma (e.g., rape, domestic violence, childhood sexual abuse, combat, assault) or “Little t” trauma (e.g., a lifetime of invalidation) or both. We use PE to treat both.

At St Louis DBT, we also use Prolonged Exposure (PE) in the context of DBT to address these traumas. This therapy helps you experience your emotions and move through them more quickly, rather getting stuck in them and having them control your behavior and thoughts.  Prolonged Exposure (PE) is a scientifically-based and highly effective treatment for chronic PTSD and related depression, anxiety, and anger.  It is based on basic cognitive-behavioral principals and is a flexible therapy that can be modified to fit the needs of individual clients.

PE was developed by Edna Foa, PhD, Director of the Center for the Treatment and Study of Anxiety at the University of Pennsylvania. Some St Louis DBT therapists have post-graduate training in PE.