A gold-standard CBT technique for reducing OCD and anxiety symptoms through structured exposure and support.
Obsessive-Compulsive Disorder (OCD), phobias, generalized anxiety, panic disorder
Individual (sometimes group), In person or Virtual
Weekly or twice-weekly, Session length: 45–90 minutes
Medication management, CBT, mindfulness, family therapy
Considered the most effective treatment for OCD; supported by decades of clinical research
Exposure and Response Prevention (ERP) is a specialized form of Cognitive Behavioral Therapy. It helps people confront feared thoughts, images, or situations (exposure) while resisting the urge to engage in compulsions or avoidance behaviors (response prevention).
Through this process, the brain learns that feared outcomes are less likely than imagined, and anxiety naturally decreases over time. ERP empowers people to break free from the cycle of obsessions and compulsions that dominate daily life.
Reducing Anxiety Through Gradual, Evidence-Based Exposure
Weakens the link between obsessions and compulsions
Helps the body and mind learn that feared situations are tolerable
Each successful step shows that you can manage triggers without rituals
Frees up time, energy, and attention once consumed by OCD behaviors
ERP is collaborative and highly structured. Early sessions focus on education and creating a personalized “fear hierarchy” a step-by-step plan of situations to gradually face. The therapist provides support during exposures, guiding clients to resist compulsions and build tolerance for discomfort.
As progress builds, clients gain independence and confidence. Homework often includes practicing exposures between sessions, with strategies tailored to daily life. ERP is challenging but highly effective, with therapists pacing the process to ensure safety and consent.
Support for Individuals Struggling with OCD and Anxiety
Individuals with OCD (obsessions and compulsions)
People struggling with phobias or panic disorder
Those with generalized anxiety disorder
Individuals whose compulsive behaviors interfere with work, relationships,
Families supporting loved ones who need structured tools for recovery
Evidence-Based Exposure to Reduce Anxiety and Compulsions
TruPaths highlights ERP because it is considered the gold standard for treating OCD and related anxiety disorders. Programs on TruPaths feature ERP led by trained clinicians who combine evidence-based methods with compassion, safety, and collaboration.
Freedom is possible. ERP therapy helps individuals regain control from OCD and anxiety. Explore programs that offer ERP as part of a complete recovery plan.
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