Exposure & response prevention (ERP)
The leading evidence‑based treatment for OCD. Carefully graded, always agreed with you first.
Written and reviewed by Ben White, MBACP (Accred) · Last reviewed
BACP accreditedMBACP (Accred) · no. 401198What ERP involves
Exposure and response prevention is a form of CBT developed specifically for OCD. NICE guidance places it at the core of psychological treatment for OCD in adults.
It involves gradually and deliberately approaching the thoughts, images and situations that trigger your OCD, while resisting the compulsions that usually follow. Over time your brain learns that the anxiety passes on its own, and the urge to perform rituals weakens.
- Session
- 50 minutes
- Fee
- £80
- Typical length
- Often 8–16 sessions
- Format
- Hackney, Peckham, East Dulwich or online
How the work usually unfolds
- 1A free 20‑minute intro call to see whether this fits
- 2We understand your OCD cycle together
- 3We build a graded ladder, from easiest to hardest
- 4You choose where to start and how fast to climb
- 5We practise in sessions and between them
Do I have to face my worst fear straight away?
No. We start with something small and agreed, and you decide when to move up.
What if I am ashamed of my thoughts?
Intrusive thoughts are extremely common in OCD and say nothing about who you are. Nothing you share will shock me.
Is ERP different from general CBT?
ERP is a specific form of CBT designed for OCD, with exposure work at its centre.