[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:04.49,0:00:07.87,Default,,0000,0000,0000,,Meet 22-year-old Mariam Doom\Nfrom Venezuela,
Dialogue: 0,0:00:07.87,0:00:11.31,Default,,0000,0000,0000,,clinical psychologist Lars-Göran Öst\Nfrom Sweden,
Dialogue: 0,0:00:11.31,0:00:13.85,Default,,0000,0000,0000,,and Alph--\Nhe's an American corn snake.
Dialogue: 0,0:00:14.44,0:00:17.11,Default,,0000,0000,0000,,This multinational threesome\Nis working together.
Dialogue: 0,0:00:17.11,0:00:21.52,Default,,0000,0000,0000,,Mariam helps out when Alph gets\Ntangled in Öst's belt loops
Dialogue: 0,0:00:21.52,0:00:25.29,Default,,0000,0000,0000,,and Öst helps Mariam\Nput Alph around her neck.
Dialogue: 0,0:00:25.29,0:00:29.24,Default,,0000,0000,0000,,The picture looks simple enough\Nunless you go back in time,
Dialogue: 0,0:00:29.24,0:00:31.01,Default,,0000,0000,0000,,just three hours ago,
Dialogue: 0,0:00:31.01,0:00:34.28,Default,,0000,0000,0000,,as Mariam was preparing to\Nmeet Alph for the first time.
Dialogue: 0,0:00:34.92,0:00:39.96,Default,,0000,0000,0000,,>> I cannot...\N(crying)
Dialogue: 0,0:00:43.00,0:00:46.56,Default,,0000,0000,0000,,Mariam has a specific phobia,\Na fear of snakes.
Dialogue: 0,0:00:46.67,0:00:49.61,Default,,0000,0000,0000,,Other specific phobias include:\Nclaustrophobia and
Dialogue: 0,0:00:49.61,0:00:51.74,Default,,0000,0000,0000,,a fear of flying and thunder.
Dialogue: 0,0:00:51.96,0:00:56.17,Default,,0000,0000,0000,,Mariam's had almÖst no contact with\Nsnakes and doesn't know why she's afraid.
Dialogue: 0,0:00:56.85,0:01:00.35,Default,,0000,0000,0000,,>> Since I remember myself,\NI remember being afraid of snakes.
Dialogue: 0,0:01:01.08,0:01:04.46,Default,,0000,0000,0000,,>> She has trouble with movies...\N>> I have to close my eyes - always.
Dialogue: 0,0:01:04.98,0:01:06.80,Default,,0000,0000,0000,,>> And the zoo...\N>> It's impossible.
Dialogue: 0,0:01:06.80,0:01:08.90,Default,,0000,0000,0000,,>> And it interferes with her life.
Dialogue: 0,0:01:08.91,0:01:11.66,Default,,0000,0000,0000,,>> I have friends with snakes..\Nit's horrible.
Dialogue: 0,0:01:11.66,0:01:17.07,Default,,0000,0000,0000,,I like to scuba dive and there's snake\Ngills and other things.
Dialogue: 0,0:01:19.24,0:01:21.04,Default,,0000,0000,0000,,>> Mariam is a research technician
Dialogue: 0,0:01:21.04,0:01:25.46,Default,,0000,0000,0000,,here at BÖston University's\NCenter for Anxiety and Related Disorders.
Dialogue: 0,0:01:25.46,0:01:29.56,Default,,0000,0000,0000,,Psychologist David Marlow is director\Nof the center and a pioneer
Dialogue: 0,0:01:29.56,0:01:33.82,Default,,0000,0000,0000,,in exposure therapy. His research\Ndemonstrates the outstanding success
Dialogue: 0,0:01:33.82,0:01:37.82,Default,,0000,0000,0000,,that's been achieved in treating phobias\Nin a very brief time period--
Dialogue: 0,0:01:37.82,0:01:43.62,Default,,0000,0000,0000,,just one week. Some psychologists at the\Ncenter use virtual reality to gradually
Dialogue: 0,0:01:43.62,0:01:45.84,Default,,0000,0000,0000,,introduce a patient to a feared situation,
Dialogue: 0,0:01:45.84,0:01:51.61,Default,,0000,0000,0000,,But Öst bypasses all that. He treats\Nspecific phobias in just 3 hours.
Dialogue: 0,0:01:51.62,0:01:56.82,Default,,0000,0000,0000,,>> What's he's done though over\Nthe years and he leads, in some ways,
Dialogue: 0,0:01:56.82,0:02:05.70,Default,,0000,0000,0000,,leads the world in this, is, strip the\Nprogram down to its essence.
Dialogue: 0,0:02:05.72,0:02:10.74,Default,,0000,0000,0000,,>> Barlow invited Öst from Sweden\Nto demonstrate brief exposure therapy.
Dialogue: 0,0:02:10.74,0:02:13.96,Default,,0000,0000,0000,,>> In the hopes that we will be\Nbetter able to apply it
Dialogue: 0,0:02:13.96,0:02:15.66,Default,,0000,0000,0000,,here in the United States.
Dialogue: 0,0:02:15.68,0:02:19.68,Default,,0000,0000,0000,,>> And Mariam has agreed to be\Ntreated in front of her colleagues.
Dialogue: 0,0:02:20.30,0:02:25.04,Default,,0000,0000,0000,,Exposure therapy requires that patients\Ngain experience with feared objects.
Dialogue: 0,0:02:25.68,0:02:30.20,Default,,0000,0000,0000,,>> Unless one is willing to\Nexperience one's own negative emotions,
Dialogue: 0,0:02:30.53,0:02:37.98,Default,,0000,0000,0000,,and expose them as not dangerous,\Noverwhelming or threatening, then they
Dialogue: 0,0:02:37.98,0:02:42.33,Default,,0000,0000,0000,,probably will not be able to overcome\Ntheir anxiety and phobia.
Dialogue: 0,0:02:42.33,0:02:45.50,Default,,0000,0000,0000,,>> But some say that this\Nintense exposure is cruel.
Dialogue: 0,0:02:45.52,0:02:50.50,Default,,0000,0000,0000,,>> I disagree completely\Nbecause everything we do in the
Dialogue: 0,0:02:50.50,0:02:58.00,Default,,0000,0000,0000,,treatment is decided by the\Npatient and it is within this
Dialogue: 0,0:02:58.00,0:03:01.26,Default,,0000,0000,0000,,time limit a very gradual approach.
Dialogue: 0,0:03:01.60,0:03:06.94,Default,,0000,0000,0000,,>> There are surprisingly few people\Ngiven the suffering that they have endured
Dialogue: 0,0:03:06.94,0:03:11.72,Default,,0000,0000,0000,,up until this point,\Nwho aren't willing to take that plunge
Dialogue: 0,0:03:11.72,0:03:13.32,Default,,0000,0000,0000,,and see if they can overcome it.
Dialogue: 0,0:03:13.32,0:03:17.17,Default,,0000,0000,0000,,>> People have this idea that\Nyou suddenly pick up the animal
Dialogue: 0,0:03:17.17,0:03:20.79,Default,,0000,0000,0000,,and throw it in the lab or at the person,\Nthat will never happen.
Dialogue: 0,0:03:20.79,0:03:25.87,Default,,0000,0000,0000,,>> It's teamwork. Öst interviews\NMariam for 45 minutes and then
Dialogue: 0,0:03:25.87,0:03:29.48,Default,,0000,0000,0000,,describes and prepares her for treatment\Nin an additional 15 minutes.
Dialogue: 0,0:03:30.09,0:03:33.71,Default,,0000,0000,0000,,>> I will challenge you to try things,
Dialogue: 0,0:03:33.72,0:03:37.07,Default,,0000,0000,0000,,but I will never force you to do anything\Nthat you're not...
Dialogue: 0,0:03:37.07,0:03:39.99,Default,,0000,0000,0000,,>> It's critical to determine\NMariam's worst fear,
Dialogue: 0,0:03:39.99,0:03:42.63,Default,,0000,0000,0000,,what's called her "catastrophic belief."
Dialogue: 0,0:03:42.63,0:03:47.83,Default,,0000,0000,0000,,Her catastrophic belief is that if a\Nsnake is loose and she can't escape,
Dialogue: 0,0:03:47.83,0:03:49.40,Default,,0000,0000,0000,,she'll have heart failure.
Dialogue: 0,0:03:49.40,0:03:52.02,Default,,0000,0000,0000,,>> How certain are you\Nthat you might die
Dialogue: 0,0:03:52.02,0:03:55.07,Default,,0000,0000,0000,,as a consequence of that interaction?
Dialogue: 0,0:03:55.07,0:03:58.64,Default,,0000,0000,0000,,>> Maybe 70%.\N>> 70%? Ok.
Dialogue: 0,0:03:58.100,0:04:01.34,Default,,0000,0000,0000,,>> No one has ever died\Nor become ill,
Dialogue: 0,0:04:01.34,0:04:03.92,Default,,0000,0000,0000,,either with Öst's or Barlow's treatment.
Dialogue: 0,0:04:03.92,0:04:07.94,Default,,0000,0000,0000,,But Mariam believes her anxiety\Nwon't diminish and she'll escape.
Dialogue: 0,0:04:08.46,0:04:10.25,Default,,0000,0000,0000,,>> Like, run away from the room.
Dialogue: 0,0:04:10.26,0:04:13.47,Default,,0000,0000,0000,,>> The strong belief in the\Ncatastrophe,
Dialogue: 0,0:04:13.47,0:04:16.70,Default,,0000,0000,0000,,that is what's driving\Nthe avoidance behavior,
Dialogue: 0,0:04:16.70,0:04:22.66,Default,,0000,0000,0000,,and the avoidance behavior is the directly\Nmaintaining factor for the phobia.
Dialogue: 0,0:04:22.66,0:04:26.28,Default,,0000,0000,0000,,>> But if Miriam doesn't escape,\NÖst predicts her anxiety...
Dialogue: 0,0:04:26.28,0:04:31.32,Default,,0000,0000,0000,,>> ...will then gradually diminish as we\Ngo along in the treatment.
Dialogue: 0,0:04:31.32,0:04:34.40,Default,,0000,0000,0000,,>> And importantly, there can be\Ncognitive changes...
Dialogue: 0,0:04:34.40,0:04:40.98,Default,,0000,0000,0000,,>> ...to help you get new information\Nabout that catastrophic belief.
Dialogue: 0,0:04:41.26,0:04:45.06,Default,,0000,0000,0000,,>> Öst does not prepare patients\Nwith relaxation or deep breathing.
Dialogue: 0,0:04:45.06,0:04:47.80,Default,,0000,0000,0000,,>> I don't think it's necessary at all.
Dialogue: 0,0:04:47.80,0:04:52.46,Default,,0000,0000,0000,,>> We discovered through systematic\Nresearch evaluating this component
Dialogue: 0,0:04:52.46,0:04:57.88,Default,,0000,0000,0000,,that patients receiving these skills were\Ntrained in these skills, who then use them
Dialogue: 0,0:04:57.88,0:05:02.33,Default,,0000,0000,0000,,to cope with their anxiety or fear,\Nactually did not do as well.
Dialogue: 0,0:05:02.33,0:05:05.82,Default,,0000,0000,0000,,>> Deep breathing masks anxiety\Nand the patient doesn't learn
Dialogue: 0,0:05:05.82,0:05:07.44,Default,,0000,0000,0000,,anxiety isn't dangerous.
Dialogue: 0,0:05:07.44,0:05:10.89,Default,,0000,0000,0000,,Here it will be used only if Mariam\Nhyperventilates.
Dialogue: 0,0:05:11.97,0:05:16.40,Default,,0000,0000,0000,,Just prior to exposure she rates her\Nanxiety on a scale of 0 to 100.
Dialogue: 0,0:05:17.03,0:05:18.24,Default,,0000,0000,0000,,>> 70 or 80.
Dialogue: 0,0:05:18.48,0:05:20.80,Default,,0000,0000,0000,,>> Now, it's time to go \Nget the snake.
Dialogue: 0,0:05:21.10,0:05:22.84,Default,,0000,0000,0000,,Mariam's anxiety soars.
Dialogue: 0,0:05:23.69,0:05:27.47,Default,,0000,0000,0000,,>> I can stand with my back\Ntowards you if you want me to.
Dialogue: 0,0:05:27.47,0:05:28.22,Default,,0000,0000,0000,,>> Ok.
Dialogue: 0,0:05:28.22,0:05:30.75,Default,,0000,0000,0000,,>> And then...\N>> Can I close my eyes?
Dialogue: 0,0:05:30.75,0:05:33.16,Default,,0000,0000,0000,,>> Then I can gradually turn..
Dialogue: 0,0:05:33.68,0:05:34.39,Default,,0000,0000,0000,,>> No!
Dialogue: 0,0:05:34.53,0:05:38.10,Default,,0000,0000,0000,,>> I'm standing here now with my\Nback towards you..
Dialogue: 0,0:05:38.60,0:05:42.99,Default,,0000,0000,0000,,>> Öst does that for two\Nminutes. What is Mariam thinking?
Dialogue: 0,0:05:44.20,0:05:47.81,Default,,0000,0000,0000,,>> It was horrible, I felt that I\Nwas going to leave the room
Dialogue: 0,0:05:49.15,0:05:53.04,Default,,0000,0000,0000,,and that it was,\Nyou know, stronger than me.
Dialogue: 0,0:05:53.04,0:05:55.71,Default,,0000,0000,0000,,>>And what was Öst thinking\Nabout her reaction?
Dialogue: 0,0:05:55.71,0:05:58.02,Default,,0000,0000,0000,,>> Maybe not the\Nstrongest i've seen,
Dialogue: 0,0:05:58.04,0:06:02.04,Default,,0000,0000,0000,,but up there among the 25% strongest.
Dialogue: 0,0:06:02.79,0:06:06.57,Default,,0000,0000,0000,,>> But he knows that the initial\Nanxiety is not the best predictor of
Dialogue: 0,0:06:06.57,0:06:08.89,Default,,0000,0000,0000,,success, it's motivation to succeed.
Dialogue: 0,0:06:09.68,0:06:12.10,Default,,0000,0000,0000,,She lets him turn around after three\Nminutes.
Dialogue: 0,0:06:12.20,0:06:15.38,Default,,0000,0000,0000,,>> Ok, I’m going to close my\Neyes, ok? But don't come...
Dialogue: 0,0:06:16.95,0:06:17.97,Default,,0000,0000,0000,,(Sobbing)
Dialogue: 0,0:06:24.90,0:06:32.91,Default,,0000,0000,0000,,>> Doing good. Let's try\Nto watch it. It's in my hands.
Dialogue: 0,0:06:33.17,0:06:34.39,Default,,0000,0000,0000,,(Sobbing)
Dialogue: 0,0:06:34.56,0:06:36.84,Default,,0000,0000,0000,,>> She looks for the first time.
Dialogue: 0,0:06:36.84,0:06:42.76,Default,,0000,0000,0000,,>> That's the only way you are\Ngoing to get new knowledge.
Dialogue: 0,0:06:43.100,0:06:45.57,Default,,0000,0000,0000,,It's completely peaceful.
Dialogue: 0,0:06:45.82,0:06:49.20,Default,,0000,0000,0000,,>> She stands and smiles as her\Nanxiety level comes down.
Dialogue: 0,0:06:49.40,0:06:50.15,Default,,0000,0000,0000,,>> 50.
Dialogue: 0,0:06:50.15,0:06:51.59,Default,,0000,0000,0000,,>> She's learning...
Dialogue: 0,0:06:51.59,0:06:56.37,Default,,0000,0000,0000,,>> .. that if you stay exposed\Nto the situation long enough you'll see
Dialogue: 0,0:06:56.37,0:06:58.52,Default,,0000,0000,0000,,that the anxiety level goes down.
Dialogue: 0,0:06:59.20,0:07:03.21,Default,,0000,0000,0000,,>> She lets him enter after\Neight minutes. She realizes that her
Dialogue: 0,0:07:03.21,0:07:07.18,Default,,0000,0000,0000,,catastrophic belief can't occur unless\NÖst releases the snake.
Dialogue: 0,0:07:07.42,0:07:09.98,Default,,0000,0000,0000,,>> I'm not doing that.\N>> Ok.
Dialogue: 0,0:07:09.98,0:07:13.67,Default,,0000,0000,0000,,>> After 15 minutes, Öst sits down.\NSome anxiety returns.
Dialogue: 0,0:07:14.42,0:07:20.98,Default,,0000,0000,0000,,>> Try to breathe slowly and\Ncalmly and with your stomach.
Dialogue: 0,0:07:21.71,0:07:23.16,Default,,0000,0000,0000,,>> She calms down.
Dialogue: 0,0:07:23.16,0:07:25.91,Default,,0000,0000,0000,,>> So, what about the name\Nfor it?
Dialogue: 0,0:07:26.16,0:07:27.28,Default,,0000,0000,0000,,(laughing)
Dialogue: 0,0:07:29.85,0:07:32.80,Default,,0000,0000,0000,,>> And where are you going?\N>> I'm gonna move here.
Dialogue: 0,0:07:32.80,0:07:35.93,Default,,0000,0000,0000,,>> Ok. What do you think it\Nfeels like?
Dialogue: 0,0:07:36.72,0:07:39.01,Default,,0000,0000,0000,,>> It's a nice snake.
Dialogue: 0,0:07:39.35,0:07:41.45,Default,,0000,0000,0000,,>> Her anxiety is down.
Dialogue: 0,0:07:41.45,0:07:47.72,Default,,0000,0000,0000,,>> Great! You're sitting about\Nwhat is this... three meters away?
Dialogue: 0,0:07:48.09,0:07:49.84,Default,,0000,0000,0000,,>> She decides to approach.
Dialogue: 0,0:07:51.11,0:07:52.66,Default,,0000,0000,0000,,>> Ok, I'm going to approach you.
Dialogue: 0,0:07:53.54,0:07:56.14,Default,,0000,0000,0000,,>> Yeah? Good.
Dialogue: 0,0:07:57.24,0:07:59.15,Default,,0000,0000,0000,,>> But hold it.\N(laugh)
Dialogue: 0,0:07:59.69,0:08:02.88,Default,,0000,0000,0000,,>> What psychological principles\Nmight account for the improvement so far?
Dialogue: 0,0:08:03.20,0:08:09.98,Default,,0000,0000,0000,,>> It might be that you have\Nhabituation going on-- which leads
Dialogue: 0,0:08:09.98,0:08:15.73,Default,,0000,0000,0000,,to extinction of the anxiety reaction.\NYou could say that the confidence
Dialogue: 0,0:08:15.73,0:08:22.54,Default,,0000,0000,0000,,is increasing. Self efficacy, Bandura's\Nideas come in to play here from a
Dialogue: 0,0:08:22.54,0:08:30.27,Default,,0000,0000,0000,,cognitive point of view. I think what is\Nhappening here is that the patient is,
Dialogue: 0,0:08:30.27,0:08:35.99,Default,,0000,0000,0000,,with the help of the therapist, accepting\Nto take in new information.
Dialogue: 0,0:08:36.51,0:08:39.40,Default,,0000,0000,0000,,>> There's also positive\Nreinforcement and modeling.
Dialogue: 0,0:08:39.40,0:08:42.72,Default,,0000,0000,0000,,What's Öst's assessment so far?
Dialogue: 0,0:08:42.72,0:08:45.62,Default,,0000,0000,0000,,>> Deep in my mind \NI know it's going to work.
Dialogue: 0,0:08:45.62,0:08:51.17,Default,,0000,0000,0000,,That means that I don't have \Nto be impatient, I can be calm.
Dialogue: 0,0:08:51.99,0:08:54.81,Default,,0000,0000,0000,,>> Certaintly his research\Nsupports his confidence.
Dialogue: 0,0:08:54.81,0:08:59.72,Default,,0000,0000,0000,,Across several types of specific phobias,\Neven with children, Öst's research shows
Dialogue: 0,0:08:59.72,0:09:03.51,Default,,0000,0000,0000,,over 80% improvement compared\Nwith control groups.
Dialogue: 0,0:09:03.51,0:09:06.03,Default,,0000,0000,0000,,And the results are maintained at\Na one-year follow-up.
Dialogue: 0,0:09:07.24,0:09:12.41,Default,,0000,0000,0000,,>> The research is actually\Nvery, very strong.
Dialogue: 0,0:09:12.41,0:09:14.59,Default,,0000,0000,0000,,I would say surprisingly strong
Dialogue: 0,0:09:14.59,0:09:18.31,Default,,0000,0000,0000,,when you consider the dramatic \Nnature of the intense approach.
Dialogue: 0,0:09:18.31,0:09:22.15,Default,,0000,0000,0000,,>> It's close to one hour now\Nand she decides to name the snake.
Dialogue: 0,0:09:22.15,0:09:28.47,Default,,0000,0000,0000,,>> Maybe Alph.\N>> Alph? OK. That's a nice name.
Dialogue: 0,0:09:28.47,0:09:30.97,Default,,0000,0000,0000,,What would it feel like touching it?
Dialogue: 0,0:09:30.97,0:09:33.43,Default,,0000,0000,0000,,>> I'm thinking about it..\N>> Yeah?
Dialogue: 0,0:09:33.43,0:09:35.96,Default,,0000,0000,0000,,>> After an hour, \Nshe touches Alph.
Dialogue: 0,0:09:35.96,0:09:39.13,Default,,0000,0000,0000,,>> Good! Did you touch him?\N>> A little bit...
Dialogue: 0,0:09:39.13,0:09:43.86,Default,,0000,0000,0000,,I can't believe I'm touching a snake.\N>> You are touching the snake.
Dialogue: 0,0:09:45.40,0:09:48.89,Default,,0000,0000,0000,,>> Progress is very uneven\Nthroughout the afternoon, but it
Dialogue: 0,0:09:48.89,0:09:51.94,Default,,0000,0000,0000,,provides an opportunity to challenge the\Ncatastrophic belief.
Dialogue: 0,0:09:52.45,0:09:54.13,Default,,0000,0000,0000,,(surprised sound)
Dialogue: 0,0:09:54.53,0:09:58.18,Default,,0000,0000,0000,,>> Woah... and you died?\N>> No...
Dialogue: 0,0:09:58.18,0:10:01.68,Default,,0000,0000,0000,,(laughter)\N>> And you survived... Great!
Dialogue: 0,0:10:02.45,0:10:06.97,Default,,0000,0000,0000,,>> Alph is placed on Mariam's\Nlap, but again, progress is uneven.
Dialogue: 0,0:10:07.69,0:10:09.84,Default,,0000,0000,0000,,Alph is on her lap now alone.
Dialogue: 0,0:10:11.47,0:10:12.67,Default,,0000,0000,0000,,>> One more time.
Dialogue: 0,0:10:12.67,0:10:14.45,Default,,0000,0000,0000,,>> One more time?
Dialogue: 0,0:10:14.45,0:10:17.99,Default,,0000,0000,0000,,>> And finally it's time to test\NMariam's catastrophic belief.
Dialogue: 0,0:10:18.27,0:10:21.92,Default,,0000,0000,0000,,But Alph's more interested in the\Nradiator and warmth.
Dialogue: 0,0:10:21.92,0:10:26.90,Default,,0000,0000,0000,,>> The snake didn't do a lot of\Nthings that she predicted it would do.
Dialogue: 0,0:10:26.90,0:10:29.96,Default,,0000,0000,0000,,>> What about Mariam's\Ncatastrophic belief?
Dialogue: 0,0:10:29.96,0:10:32.10,Default,,0000,0000,0000,,>> Is it down to 0?\N>> Yes.
Dialogue: 0,0:10:32.10,0:10:33.29,Default,,0000,0000,0000,,>> Good!
Dialogue: 0,0:10:33.29,0:10:38.14,Default,,0000,0000,0000,,>> Now it's time to pose...\N>> A picture. (laughs)
Dialogue: 0,0:10:38.14,0:10:42.20,Default,,0000,0000,0000,,>> ...and then help untangle Alph.\NAs for her anxiety?
Dialogue: 0,0:10:42.86,0:10:48.53,Default,,0000,0000,0000,,>> At the end when I was helping\Nhere, it was zero. That impressed me,
Dialogue: 0,0:10:48.53,0:10:50.60,Default,,0000,0000,0000,,that last part really,\Nthat I was able to do that.
Dialogue: 0,0:10:50.97,0:10:53.36,Default,,0000,0000,0000,,>> There was time for some\Ncelebration and congratulations.
Dialogue: 0,0:10:53.68,0:10:56.24,Default,,0000,0000,0000,,>> Did you really think you would\Nget this far?
Dialogue: 0,0:10:56.24,0:10:57.60,Default,,0000,0000,0000,,>> No, I didn't.
Dialogue: 0,0:10:57.60,0:10:59.44,Default,,0000,0000,0000,,>> And reflect on the\Nimplications for treatment.
Dialogue: 0,0:10:59.96,0:11:04.84,Default,,0000,0000,0000,,>> We have no reason to believe\Nthat the three hour program would be
Dialogue: 0,0:11:04.84,0:11:08.68,Default,,0000,0000,0000,,any less effective than the one week\Nprogram. So, then it becomes an issue of
Dialogue: 0,0:11:08.68,0:11:15.50,Default,,0000,0000,0000,,what would the patient choose? There are\Nmany patients who really don't have the
Dialogue: 0,0:11:15.50,0:11:17.74,Default,,0000,0000,0000,,time to take a week out of their lives.
Dialogue: 0,0:11:18.06,0:11:21.56,Default,,0000,0000,0000,,>> The recommendation is that\NMariam engage in maintenance,
Dialogue: 0,0:11:21.56,0:11:24.77,Default,,0000,0000,0000,,watch nature films, \Ngo to the park and the zoo.
Dialogue: 0,0:11:24.77,0:11:29.15,Default,,0000,0000,0000,,>> It is alright if I see a snake\Non the street at least I'm gonna be
Dialogue: 0,0:11:29.15,0:11:35.11,Default,,0000,0000,0000,,able to see it and walk away and\Nnot see it and run.
Dialogue: 0,0:11:35.83,0:11:40.08,Default,,0000,0000,0000,,>> And two months after treatment,\Nwe spoke to Mariam by phone.
Dialogue: 0,0:11:40.08,0:11:47.17,Default,,0000,0000,0000,,>> I have dream with snakes but\NI didn't have any anxiety.
Dialogue: 0,0:11:47.17,0:11:51.78,Default,,0000,0000,0000,,I also watch movies with no problems,\Nand pictures.
Dialogue: 0,0:11:51.78,0:11:54.47,Default,,0000,0000,0000,,So I think that I'm doing great.
Dialogue: 0,0:11:54.47,0:11:58.84,Default,,0000,0000,0000,,I really feel confident that if I see a\Nsnake I won't be scared.