What is Exposure and Response Prevention Therapy?

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Exposure and Response Prevention Therapy is for people diagnosed with Obsessive-Compulsive Disorder. OCD is when a person uses compulsive behaviors to try and control repetitive, distressing, and intrusive thoughts. For example, a person may wash their hands excessively because they have extreme fear and anxiety of germs.

ERP’s goal is to promote distress tolerance skills that replace rituals or compulsions.

Your therapist will introduce the concept of “habituation,” which involves slowly exposing you to the feared experience. Through distress tolerance techniques such as mindfulness and breathing exercises, your nervous system learns to calm down when exposed to the stimuli. Eventually, after repeated exposure, your body learns to respond differently.

Another idea behind Exposure and Response Prevention Therapy is that you learn that your previous associations are likely wrong by being exposed to the feared stimuli multiple times. For example, someone who fears germs learns, through repeated exposure, that they will not become deathly ill after exposing themself to germs.

ERP also can help you manage distressing emotions surrounding the fear itself. You can ease some of these obsessions and compulsions by learning to tolerate uncertainty.

Your ERP therapist will work with you to develop skills of distress tolerance, mindfulness, and staying present in the moment, which can help you manage your symptoms.

Therapists Who Specialize in Using Exposure and Response Prevention Therapy

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Benjamin Harris

Billings

Montana

I am an OCD/Anxiety expert who is skilled at providing telemental health services (via the internet) to patients who are suffering from all types of anxiety; I specialize in using Cognitive Behavioral Therapy and exposure-based interventions to treat OCD and related disorders (such as hair pulling and skin picking) and Body Dysmorphic Disorder. Other areas of specialty include Panic Disorder,...
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Abby Brown

Chicago

Illinois

If you're feeling overwhelmed with anxiety, discouraged by struggles relating to disordered eating, anxiety or depression, I am an enthusiastic, dedicated and non-judgmental therapist who would feel privileged to provide you with a safe space and useful coping tools in a friendly therapeutic setting. Intense emotions and obsessive thinking often take us out of the present moment and slow our...

Leigh Hall

Los Angeles

California

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Bray Counseling

Austin

Texas

Our counselors offer compassionate, individualized, and evidence-based therapy to meet your specific needs in a confidential and safe environment. Each therapist is constantly growing their expertise through education and supervision. Some of the things we can help with include depression, grief, trauma, life transitions, heartbreak, OCD, fears, phobias, and the ups and downs life throws at you...

Rebecca Mackin

Pittsburgh

Pennsylvania

I am a licensed clinical social worker who specializes in counseling with adults and older adolescents. I have a special interest and expertise in the treatment of Obsessive Compulsive Disorder and have significant experience with Exposure and Response Prevention and Dialectal Behavior Therapy Skills Training. I have worked with individuals who struggle with a variety of behavioral health issue...

Adam Clark-Tan

San Francisco

California

Do your worries or thoughts feel overwhelming? Do your compulsive behaviors feel out of your control? Now imagine that you can experience your thoughts and feelings without getting stuck trying to block them, change them, or act on them. Imagine being able to spend time with the people you love and accomplishing your goals. If you are ready to live your life joyfully, let's talk. I have special...
I have been working in the mental health field for over eight years. During this time I have had experience with a variety of mental health disorders such as depression, anxiety, obsessive-compulsive disorder, attention-deficit disorders, and bipolar disorder. I have experience working with individuals of all ages. While I mostly work with clients using Cognitive Behavioral Therapy, it is also...
Are you ready to overcome challenges and move toward what you really value in your life? Our goal at Eugene Center for Anxiety and Stress is to help you learn new ways to respond to difficult emotions and situations and take actions that help you meet your goals. We emphasize evidence-based practice, which means we specialize in treatments that have been researched and have been shown to be...
It's not easy to talk to a stranger about the things that make us feel most vulnerable. It's difficult to hope that things could be better or to believe that we could be loved or accepted once we are fully known. I work with my clients in an atmosphere of respect, believing the best things for you that you cannot see right now, working together towards the goals that you courageously speak out...
I am a Licensed Professional Counselor with over fifteen years of clinical experience working with adolescents and adults. I specialize in treating anxiety disorders, including obsessive compulsive disorder (OCD), specific phobias, social phobias, generalized anxiety disorder, and panic disorder. I also specialize in treating clients with difficulty regulating emotions and help them to work...

Haley Rorabeck

Madison

Wisconsin

Battling anxiety and OCD can lead to a feeling of constant defeat. It is time to take control and fight back. I help to provide individuals with the knowledge and tools to do exactly that. Through several years of experience, I can tell you that you can develop the skills needed in order to reduce the amount of anxiety and stress in your life and get you back on track. I provide individual...

Hillary Sandoval

Sacramento

California

Are you feeling stuck or overwhelmed? Do you long for more support, connection, and hope in your life? I believe therapy is an effective and powerful resource for healing and growth. Let go of coping patterns that aren't useful to you anymore and discourage you from growing. Sometimes the unknown can feel scary or out of control, but staying in that difficult place prevents you from opening...
Anxiety is highly treatable but finding the right therapist is key! Successful treatment depends on the right fit and the right therapy approach. My goal in therapy is to empower each client to manage their anxiety and lead a meaningful life. My practice utilizes evidence-based approaches to treat Anxiety and OCD spectrum disorders in children, adolescents, and young adults. I use a collaborati...