Evidence-based & specialty care

ERP (Exposure & Response Prevention)

ERP is a gold-standard approach for OCD that helps you reduce compulsions by gradually facing triggers while practicing new responses—at a pace you can handle.

There’s no single “right” therapy—many people benefit from a blend, or a sequence, over time. What matters most is a pace that feels steady and supportive.

Main next step
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Who typically provides this?

Typically provided by licensed therapists who specialize in OCD treatment.

Training note

ERP is a specialty approach most associated with OCD. You can ask about OCD-specific experience, how exposures are paced, and how progress is tracked.

Learn about credentials & training →

What sessions can look like

  • Map obsessions/compulsions and build an exposure plan together
  • Practice exposures in-session (and between sessions) with support and tracking
  • Build tolerance for uncertainty and reduce reassurance/rituals over time

Often helpful for

  • OCD
  • Compulsions
  • Intrusive thoughts
  • Certain anxiety presentations where avoidance is central

Good fit if…

  • You want a direct, evidence-based approach for OCD
  • You’re willing to practice gradually with guidance
  • You like a clear plan and measurable progress

If this feels hard right now, that’s okay

Sometimes the best next step is choosing the right pace and support level first—then building from there.

  • Your main need right now is crisis stabilization (skills-first support can come first)
  • You’re looking for a purely insight-only approach to OCD (ERP tends to work best when practice is included)

If you want help choosing a steady starting point, the quiz can narrow the field fast.

Questions you can bring to a first session

You don’t have to ask all of these—pick the ones that would help you feel confident and supported.

  • What does a typical session look like with you?
  • How will we set goals—and how will we know if things are improving?
  • If something feels too fast or too intense, how do you adjust pace and support?
  • How do you tailor this approach to my needs, identity, and preferences?
  • How do you pace exposures collaboratively (so it feels challenging but doable)?
  • How do you track progress in OCD symptoms and compulsions over time?
Evidence notes+
  • Considered a gold-standard treatment for OCD.
Safety notes+
  • A good provider will pace exposures collaboratively—no flooding or forcing.

Educational only. Not medical advice. If you’re in immediate danger, call 911 or your local emergency number.

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