A supportive, evidence-based approach where individuals practice ERP skills alongside peers facing similar challenges.
A snapshot of who this therapy is for and how it works
OCD, phobias, generalized anxiety, panic disorder
Group (typically 6–10 participants) · In person or virtual
Weekly
Typically 12–20 weeks, with maintenance groups available
Individual ERP, ACT, CBT, Family support, medication management
Research consistently shows group ERP is highly effective and cost-efficient
Group ERP is a structured therapy program that delivers Exposure and Response Prevention in a group environment. Instead of working solely one-on-one with a therapist, individuals join peers who share similar OCD or anxiety challenges. Together, they practice exposures, discuss strategies, and support one another in resisting compulsions.
Psychoeducation about OCD, anxiety, and exposure work
Building personalized fear hierarchies
Group-based exposures with therapist support
Homework assignments to reinforce progress
Shared support and structured exposure for lasting progress
Encourages consistent follow-through on exposures
Normalizes OCD experiences by sharing them openly with peers
Group sessions are often lower cost than individual therapy
Offers strategies from therapists and peers
Group Exposure and Response Prevention Therapy sessions are structured, collaborative, and therapist-guided to ensure each participant feels supported while practicing exposures in a safe, paced environment.
Each session typically begins with grounding practices, brief check-ins, or mindfulness exercises to help participants settle in and prepare for exposure work.
Therapists teach key concepts such as how obsessions work, why rituals persist, and how exposures retrain the brain. This prepares participants to engage with exposures more confidently.
Each group member creates an individualized list of anxiety triggers, ranked from least to most distressing. These hierarchies guide exposures at a pace that feels manageable and safe.
Participants work through exposures during the group meeting, with therapists offering coaching, encouragement, and response prevention guidance. Each person practices based on their own hierarchy, not the group’s.
After exposure exercises, participants reflect on what they experienced, celebrate progress, and learn from others. Peer encouragement helps reduce shame and reinforces resilience.
Group ERP is ideal for people who want effective OCD and anxiety treatment while also benefiting from peer encouragement, shared learning, and a sense of belonging.
Connection and support with others facing similar intrusive thoughts and compulsions
Group therapy provides high-quality care at a more accessible price point.
Seeing peers practice exposures boosts motivation and confidence.
Structured exposure practice alongside others facing related challenges
A structured place for their family member to grow, learn, and gain encouragement
A collaborative environment where everyone moves at a safe, supportive pace
TruPaths highlights Group ERP because it combines gold-standard OCD treatment with the healing power of community. Group ERP helps individuals feel understood, supported and encouraged making recovery more accessible and less isolating.
You do not have to face OCD alone. Group ERP provides structure, encouragement, and evidence-based strategies alongside peers on the same path.
Recommendations are based on your location and recovery needs, including the programs you've explored, the services you've saved, and the filters you've used. We use this information to highlight similar treatment options so you never miss a trusted path forward.
