Exposure and Response Prevention (ERP) remains a cornerstone in the treatment of anxiety disorders, yet certain phobias—such as emetophobia and needle phobia—pose unique challenges due to the rarity or impracticality of real-life exposure scenarios. As therapeutic landscapes evolve, technology is proving to be a powerful ally in bridging these gaps. From client-recorded video exposures to immersive simulations, digital tools are enabling therapists to creatively extend ERP beyond the therapy room. This article explores how clinicians can harness these tools to facilitate habituation, deepen self-reflection, and tailor exposure work to complex fears, ultimately supporting clients in confronting and reframing their most distressing experiences.

In my review of Dara Lovitz and David Yusko’s work, The Gag Reflections, I recognize both the strengths and limitations in their approach. Dara's treatment journey offers hope and inspiration, especially for those dealing with emetophobia. However, I believe there's a critical element missing in their conceptualization of her condition.