
Managing OCD
Exposure and Response Prevention (ERP) Therapy for OCD
Break Free from the Cycle of Obsessions and Compulsions
If you’re struggling with Obsessive-Compulsive Disorder (OCD), you know how exhausting it can be. Intrusive thoughts, relentless anxiety, and repetitive behaviors can take over your daily life, relationships, and sense of peace. The good news is, there’s an evidence-based therapy that works—ERP.
What is ERP?
Exposure and Response Prevention (ERP) is the gold standard treatment for OCD. It is a type of cognitive-behavioral therapy (CBT) that helps individuals confront their fears and reduce the compulsive behaviors that follow. Instead of avoiding triggers or performing rituals to feel better, ERP helps you face what you fear most—gradually and safely—without engaging in compulsions.
Through repeated practice, your brain learns that you don’t have to obey OCD’s rules to be safe or okay.
How ERP Works
ERP therapy involves two main components:
Exposure: You’re guided to intentionally face thoughts, images, or situations that trigger your OCD anxiety. This is always done at a pace that feels manageable and respectful of your needs.
Response Prevention: Instead of doing your usual compulsive behavior (like checking, washing, or seeking reassurance), you practice resisting the urge to respond, learning to sit with uncertainty or discomfort without “fixing” it.
With the support of a trained therapist, ERP helps retrain your brain, reduce anxiety over time, and regain control of your life.
Common OCD Themes Treated with ERP
ERP is effective for a wide range of OCD presentations, including:
Contamination fears (e.g., germs, illness)
Harm OCD (fear of causing harm to self or others)
Sexual or intrusive taboo thoughts
Religious or moral obsessions (scrupulosity)
Symmetry, ordering, and perfectionism
Why Choose ERP?
✅ Backed by decades of research
✅ Recommended by the American Psychiatric Association
✅ Often effective in reducing OCD symptoms in 17–25 sessions
✅ Helps build long-term resilience and emotional tolerance
What to Expect in ERP Therapy
ERP isn’t about throwing you into your worst fears. Instead, your therapist will work with you to create a hierarchy of feared situations and help you approach them step-by-step. You’ll be supported with empathy, encouragement, and practical strategies every step of the way.
You’ll learn that discomfort can be tolerated—and that freedom is possible without compulsions.
