ERP 疗法糟透了。
ERP Therapy Sucks

原始链接: https://taylor.town/try-erp

作者最近被诊断出患有强迫症,正在通过NOCD接受暴露与反应预防(ERP)疗法。与传统的谈话疗法不同,ERP通过系统地*做*你所害怕的事情来直接面对焦虑,而不依赖于通常的应对机制。 作者发现这个过程是故意让人不舒服的——“很糟糕”,但认识到这种不适是重新训练大脑和打破焦虑循环的关键。ERP表明,焦虑常常与不必要的、仪式化的行为*共存*。 有趣的是,作者认为面对恐惧的核心原则可以使很多人受益,并强调大型语言模型(LLM)可以通过特定的提示来促进最初的ERP“实验”。虽然LLM可以作为一个起点,但仍然建议寻求专业指导。最终,尽管它很困难,作者鼓励其他人尝试ERP疗法。

黑客新闻 新的 | 过去的 | 评论 | 提问 | 展示 | 工作 | 提交 登录 ERP 疗法很糟糕 (taylor.town) 9 分,由 surprisetalk 1小时前发布 | 隐藏 | 过去的 | 收藏 | 2 条评论 willvarfar 1 分钟前 | 下一个 [–] 我完全同意直到作者建议人们使用 LLM 尝试一下。嗯,LLM 容易陷入迷信,我不确定它们是否值得信任,即使是最简单的自助。回复 codeduck 2 分钟前 | 上一个 [–] > 幸运的是,LLM 显著降低了治疗实验的努力/成本。 今天才刚开始,我就已经受够了。回复 指南 | 常见问题 | 列表 | API | 安全 | 法律 | 申请 YC | 联系 搜索:
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原文
ERP Therapy Sucks
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OCD is a cycle.

I was recently diagnosed with obsessive-compulsive disorder. I was like "woah" and then I was like "duh".

But "OCD" is just a diagnosis. I don't care about labels -- I care about treatment. I want results.

So I started NOCD's program a few weeks ago. It's good, but it's not what I expected. I thought it would be stuff like "tell me about your childhood" and "how does that make you feel?". Nah. It's just "enumerate your fears and let's go purposefully do all those things". It really sucks. But that's the whole point.

This is the essence of exposure & response prevention (ERP) therapy. You purposefully provoke fear/anxiety without resorting to your usual coping mechanisms. This feedback shows your brain the futility of familiar rituals. All this time, you've been experiencing anxiety with extra steps.

ERP therapy seems valuable beyond OCD treatment. I suspect that most people could benefit from listing fears and systematically tackling them.

Luckily, LLMs significantly reduce the effort/cost of therapy experiments. Consider trying the following prompt:

Please guide me through a round of ERP therapy. Start by listing universal sources of fear/discomfort/anxiety.

If you find this process useful, consider trying it with a licensed human professional.

Anyway, ERP sucks. I hope you try it.

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