What I believe is most successful (and what worked for people such as Sage, who was treated successfully and now works as a therapist herself) is cognitive behavioural therapy and exposure therapy.
Cognitive behavioural therapy works to kind of re-program your thought process as it related to vomit/vomitting. A person reinforces their phobia through thinking errors- ie the act of vomitting is horrible and I would rather die than do it, if I vomit I won't be able to breathe or won't be able to stop vomitting, etc- when in reality it is a normal and beneficial bodily function. Having these thinking errors pointed out, and being given things to tell yourself to counteract them, really works to get yourself through rough situations, and eventually change the way you view vomitting altogether. Kind of like a vomit- reality check.
(This is explained more factually an elegantly in a sticky at the top of the treatments section, curtesy of our resident treatment expert Sage[img]smileys/smilies_01.gif[/img]).
In regards to exposure therapy- I really do think that it's necessary in order to get over this phobia completely. It's kind of like people who have a fear of public speaking but then get a job that requires it-they may be extremely nervous to the point of panicking the first time they have to do it- but every subsequent time it gets a little easier, until it no longer evokes those emotions. With exposure therapy, you start off small (writing the word down, and viewing stick figuredrawings)- but then eventually move up to pictures and videos once the person is comfortable enough to move up to the next level(as Sage pointed out in a previous post, some people are under the impression that it has to end in the person vomitting themself, which is totally not true). What this does it get you to the point that you have seen it so many times that you are desensitized to the act. I think for many of us, if we see/hear someone vomitting, our first instinct is to run- but if we actually sit down and force ourselves to watch, it would probably work to dispell some of the myths we may have about it, or make us realize that it's not QUITE such a big deal.
I know it may seem completely repulsive or anxiety inducing to be made to watch what you are most afraid of- but the fact that it is done gradually, and in conjunction with other types of therapy really makes it as non-threatening as possible. It's not like on day one of your therapy sessions the doc is going to pull out a video of people vomitting all over the place- you will move at a speed you are comfortable with.
Karenina- I completely emphasize with you. In my first year of university I lived in a dorm with 25 people on our floor- and one bathroom for 14 girls (2 toilets, 2 showers)- there were inevitably vomit episodes and it freaked me out completely. When it got bad (like when my roomate got trashed and was sleeping with the garbage bag next to her bed), I would lie down, put my sleep mask on, and listen to music. That usually helped me to at least calm down and get to sleep.
*amber*
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