“…Nonetheless, the process poses obvious ethical and procedural challenges, not the least of which is the documented risk of causing real harm to participants. These include reports of exacerbated anxieties (Foa, Zoellner, Feeny, Hembree, & Alvarez‐Conrad, ), the development of new pathology (Hogan, ) including new fears, as when the procedure‐induced terror is associated with other proximal stimuli, for example, the therapist or the therapy (Frankel, ). With these concerns in mind, it is not a surprise that many studies of “the cruelest cure” (Olatunji & Deacon, ) report very high subject dropout rates (Leahy, ).…”