Convinced you'll be the one person who does Exposure and Response Prevention (ERP) wrong? This one's for you. Jess Hayes and Laura Mole walk through how ERP actually works — who picks the exposures, how scary they need to be, and why you genuinely cannot fail — plus what happens when therapy ends.
Exposure and Response Prevention is all about exposing yourself to your OCD fears (exposure) and then making active choices in not engaging in compulsions and avoidance (response prevention) to challenge the OCD, and it is often referred to as the 'gold standard' of OCD treatment. This episode explores why it can be a helpful approach, and future episodes will discuss some alternatives.
Podcast by
Laura Mole, Adv. Dip, MBACP OCD specialist therapist
and
Jessica Hayes, Msc PGDip, BABCP Accred OCD and perinatal specialist therapist
Edited by Christian Nickson
Time stamps:
02:00 Brain spam
05:20 OCD brains need to obsess
07:20 Compassionate other voices
09:20 Erp as the gold standard, what is it?
10:45 Amygdala, the brain, and the threat response
15:44 How erp fits into cognitive behavioural therapy
18:40 Which cbt treatments are unhelpful for OCD
21:45 Brody and their contamination OCD
24:20 How might erp look like for Brody?
26:30 What we don't do with erp
27:10 Do you have to immediately do exposures?
27:30 Who picks the exposures?
28:30 You are in control and what to do if you aren't ready?
29:28 You can't fail your erp
31:15 How scary should exposures be? How Brody tackles erp
34:29 What to do to make erp work?
36:00 How family and other support can help
41:10 What comes after therapy?
43:00 When does erp not work?
46:34 Erp is imperfect
49:05 Questions from the listeners: Erp and medication
51:20 Key takeaways for erp for OCD
51:55 OCD Weekly Wins
52:56 Exposure Lab feedback
55:20 Exposure Lab for contamination OCD
56:20 Thank you and goodbyes
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Content Warnings:
We do reference some thoughts that people may find distressing so please listen with caution if this is you, and take a break if you need to.
Disclaimer
This podcast provides educational content only and is not a substitute for professional mental health support, please contact a mental health professional for advice and support.