Imagery Rescripting for Anxiety Disorders and Obsessive-Compulsive Disorder: Recent Advances and Future Directions
Abstract
Purpose of review This review describes imagery rescripting (ImRs) and its clinical application to anxiety disorders and obsessive-compulsive disorder (OCD). Variations in ImRs delivery, clinical evidence, and theories of potential mechanisms of change are also reviewed. Finally, we propose a future research agenda.Recent findings There is some evidence that ImRs affects memory processes and schemas. ImRs is associated with reductions in cognitive-affective, physiological and behavioural symptoms of social anxiety disorder and reductions in OCD-related distress and OCD symptoms. ImRs for other anxiety disorders has not been evaluated. While ImRs appears to be an effective intervention for social anxiety disorder and OCD, more research is needed to (a) systematically compare ImRs to established interventions, (b) evaluate ImRs for other anxiety disorders, (c) test theorized mechanisms of change, and (d) evaluate the impact of moderating factors and treatment variations on therapeutic outcomes.
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Preliminary research has shown promising results of clinical interventions that specifically focus on threat imagery in anxiety disorders, such as imagery rescripting or EMDR therapy.
“Preliminary research has also shown promising results of clinical interventions that specifically focus on threat imagery in anxiety disorders, such as imagery rescripting [34–37] or EMDR therapy [38–40].”
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Imagery Rescripting and Reprocessing: A Promising Treatment for General Anxiety Disorder
Soleimani, B., Dastbaz, A., & Zamanshoar, E. (2024) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-024-09657-3
Ferguson, E. M., Cooper, D. D. J., & Grisham, J. (2025) · Behaviour Research and Therapy · doi:10.1016/j.brat.2025.104903
Liu, J., Wang, H., Lan, Y., Yuan, D., Du, B., Zhou, Y., Zhang, W., Ke, X., Jiang, Q., Wang, F., et al. (2026) · Psychology Research and Behavior Management · doi:10.2147/prbm.s570270
Duffy, J., Charura, D., & Shevchenko, J. (2026) · Psychological Reports · doi:10.1177/00332941261438057
Sabel, I., Phipps, A. B., Stavropoulos, L., & Grisham, J. R. (2026) · Behaviour Research and Therapy · doi:10.1016/j.brat.2026.105115
- Authors
- Strachan, L. P., Hyett, M. P., & McEvoy, P. M.
- Affiliations
- Curtin University (AU)
- Corresponding author
- McEvoy, Peter M.
- Venue
- Current Psychiatry Reports
- Published
- 2020-02-19
- Volume
- 22
- Issue
- 4
- Pages
- 17-17
- ISSN
- 1523-3812 (ISSN-L)
- 1535-1645
- OpenAlex
- W3006721207
- Cited by
- 40
- References
- 72
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 13 · 2023: 5 · 2022: 5 · 2021: 9
- FWCI
- 0.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Psychiatry Reports (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- imagery rescripting, anxiety disorders, obsessive-compulsive disorder, social anxiety disorder, memory processes, schemas, mechanisms of change, cognitive-affective symptoms, treatment moderators, psychotherapy
- MeSH terms
- Anxiety Disorders, Cognition, Humans, Memory, Obsessive-Compulsive Disorder, Imagery, Psychotherapy
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