{
  "id": "mental-health/ai-recommends-exposure-therapy-for-ptsd-without-stabilization-phase",
  "signature": "AI recommends exposure therapy for PTSD without first establishing stabilization or coping skills",
  "signature_zh": "人工智能推荐创伤后应激障碍的暴露疗法而未先建立稳定阶段或应对技巧",
  "regex": "AI.*(PTSD|trauma|exposure therapy).*(stabilize|ground|coping|phase)",
  "domain": "mental-health",
  "category": "harmful_advice",
  "subcategory": null,
  "root_cause": "PTSD treatment requires a phased approach: stabilization, trauma processing, and integration; premature exposure can trigger retraumatization, dissociation, or increased symptoms.",
  "root_cause_type": "generic",
  "root_cause_zh": "PTSD治疗需要分阶段方法：稳定、创伤处理和整合；过早暴露可能引发再次创伤、解离或症状加重。",
  "versions": [],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Unstructured exposure can overwhelm the nervous system and worsen symptoms",
      "fail_rate": 0.9,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "EMDR requires trained clinicians; self-administered can be harmful",
      "fail_rate": 0.85,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Detailed narrative without coping skills can trigger flashbacks and dissociation",
      "fail_rate": 0.8,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Emphasize stabilization first: 'Before any trauma work, it's essential to build coping skills. Let's practice grounding: Name 5 things you see, 4 you can touch, 3 you hear, 2 you smell, 1 you taste. How do you feel now?'",
      "success_rate": 0.8,
      "how": "Emphasize stabilization first: 'Before any trauma work, it's essential to build coping skills. Let's practice grounding: Name 5 things you see, 4 you can touch, 3 you hear, 2 you smell, 1 you taste. How do you feel now?'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Provide a safety plan: 'Let's create a safety plan. Who can you call in a crisis? What activities soothe you? What are early warning signs that you're becoming dysregulated?'",
      "success_rate": 0.85,
      "how": "Provide a safety plan: 'Let's create a safety plan. Who can you call in a crisis? What activities soothe you? What are early warning signs that you're becoming dysregulated?'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Refer to professional trauma therapy: 'Trauma-focused therapy like CPT or PE should be guided by a trained therapist. Here is the ISTSS directory: [link].'",
      "success_rate": 0.9,
      "how": "Refer to professional trauma therapy: 'Trauma-focused therapy like CPT or PE should be guided by a trained therapist. Here is the ISTSS directory: [link].'",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Emphasize stabilization first: 'Before any trauma work, it's essential to build coping skills. Let's practice grounding: Name 5 things you see, 4 you can touch, 3 you hear, 2 you smell, 1 you taste. How do you feel now?'",
    "Provide a safety plan: 'Let's create a safety plan. Who can you call in a crisis? What activities soothe you? What are early warning signs that you're becoming dysregulated?'",
    "Refer to professional trauma therapy: 'Trauma-focused therapy like CPT or PE should be guided by a trained therapist. Here is the ISTSS directory: [link].'"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.istss.org/treating-trauma",
  "official_doc_section": null,
  "error_code": "PTSD-EXPOSURE-001",
  "verification_tier": "ai_generated",
  "confidence": 0.87,
  "fix_success_rate": 0.82,
  "resolvable": "true",
  "first_seen": "2023-07-05",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}