Exposure Response Prevention (ERP) Counselling in Hastings

Photo of Dr Hugh Milburn, Psychologist in Hastings, England
Dr Hugh Milburn
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Hastings TN34
I am a highly experienced Consultant Clinical Psychologist and Child & Family Psychotherapist with over twenty years experience working with Children, Adolescence (CAMHS), Families and Adult mental well being. My clinical services are based in Hastings and Brighton. I provide psychological clinical services to help with psychological distress such as anxiety, low mood, poor self-esteem, complex trauma and eating disorders. I offer a friendly, flexible and holistic approach, providing a range of therapeutic interventions tailored to the individual's or families' needs.
I am a highly experienced Consultant Clinical Psychologist and Child & Family Psychotherapist with over twenty years experience working with Children, Adolescence (CAMHS), Families and Adult mental well being. My clinical services are based in Hastings and Brighton. I provide psychological clinical services to help with psychological distress such as anxiety, low mood, poor self-esteem, complex trauma and eating disorders. I offer a friendly, flexible and holistic approach, providing a range of therapeutic interventions tailored to the individual's or families' needs.
01424 400191 View 01424 400191
Photo of Dr Damien Pearse, Psychologist in Hastings, England
Dr Damien Pearse
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
2 Endorsed
Hastings TN34  (Online Only)
Not accepting new clients
I am a senior psychologist with specialist experience in helping individuals who are experiencing anxiety, depression, trauma-related problems (including PTSD and CTPSD) and stress issues. I also have additional training in helping individuals tackle sleep problems.
I am a senior psychologist with specialist experience in helping individuals who are experiencing anxiety, depression, trauma-related problems (including PTSD and CTPSD) and stress issues. I also have additional training in helping individuals tackle sleep problems.
01424 232875 View 01424 232875

More Therapists Nearby

Photo of Jackson Psychology Services - Dr Danielle Jackson, Psychologist in Hastings, England
Jackson Psychology Services - Dr Danielle Jackson
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Bexhill-on-Sea TN39  (Online Only)
I have worked with people to help them manage a range of difficulties including depression, anxiety, OCD, panic and phobias as well as work-related stress, sleep problems, anger, low self-esteem, trauma, child sexual abuse, rape, relationship difficulties, Looked After Children and perinatal work. In most cases, I have been able to help them move towards recovery and improve their quality of life. I also offer adult ADHD assessments.
I have worked with people to help them manage a range of difficulties including depression, anxiety, OCD, panic and phobias as well as work-related stress, sleep problems, anger, low self-esteem, trauma, child sexual abuse, rape, relationship difficulties, Looked After Children and perinatal work. In most cases, I have been able to help them move towards recovery and improve their quality of life. I also offer adult ADHD assessments.
07588 281035 View 07588 281035
Photo of Dr Alesia Moulton-Perkins at Neurodiverseonline, Psychologist in Hastings, England
Dr Alesia Moulton-Perkins at Neurodiverseonline
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Saint Leonards-on-sea TN38
Do you or your child want a diagnostic assessment for ADHD, Autism/ASD or Tics/Tourettes, or need support coping with these conditions? Or maybe anxiety, low mood, difficulties with relationships, or problems at school, college or work are holding you or your child back? In a complimentary initial session we will explore this together, and make a plan: this could be with me, or one of my colleagues at Neurodiverse Online if I think they are a better fit. We're a small, caring & highly expert team of psychologists working with neurodivergent adults and children.
Do you or your child want a diagnostic assessment for ADHD, Autism/ASD or Tics/Tourettes, or need support coping with these conditions? Or maybe anxiety, low mood, difficulties with relationships, or problems at school, college or work are holding you or your child back? In a complimentary initial session we will explore this together, and make a plan: this could be with me, or one of my colleagues at Neurodiverse Online if I think they are a better fit. We're a small, caring & highly expert team of psychologists working with neurodivergent adults and children.
01903 947001 View 01903 947001

Online Therapists

Photo of Laura Mole, Counsellor in Hastings, England
Laura Mole
Counsellor, MBACP
Verified Verified
Stanmore HA7
I work with young adults and teenagers with anxiety, intrusive thoughts and OCD. I know it's not easy to ask for help, but finding the right counsellor can make the world of difference. Intrusive thoughts are horrible, frightening, punishing, and disturbing, and often OCD treatment can be a long confusing road to finding the right kind of help. That's why I'm trained in ERP for OCD, which is the "gold standard" treatment. I am an experienced Counsellor working Face to Face in Stanmore, and via Zoom. I offer a free 15 minute phone consultation.
I work with young adults and teenagers with anxiety, intrusive thoughts and OCD. I know it's not easy to ask for help, but finding the right counsellor can make the world of difference. Intrusive thoughts are horrible, frightening, punishing, and disturbing, and often OCD treatment can be a long confusing road to finding the right kind of help. That's why I'm trained in ERP for OCD, which is the "gold standard" treatment. I am an experienced Counsellor working Face to Face in Stanmore, and via Zoom. I offer a free 15 minute phone consultation.
020 3823 6948 View 020 3823 6948
Photo of The Integrative Centre for OCD Therapy, Counsellor in Hastings, England
The Integrative Centre for OCD Therapy
Counsellor, MBACP Accred
Verified Verified
1 Endorsed
Farnham GU9
Each of our therapists come with a wealth of training in different therapies, however the foundation of what we do is exposure and response prevention therapy (ERP), and acceptance and commitment therapy (ACT).
Our therapists work online across the UK, we also work face to face with children and young people in Farnham (Surrey) & Herne Hill (London), and with adults in Manchester. Hello, we are the Integrative Centre for OCD Therapy. The founders BACP accredited therapists Jonny Say and Stuart Ralph founded the centre in 2023 to address the need for more affordable and effective therapy options in the UK. Having both suffered from OCD for long periods of time, they created the clinic to help others sooner. Our therapists cover a range of ages from 6 years old up.
Each of our therapists come with a wealth of training in different therapies, however the foundation of what we do is exposure and response prevention therapy (ERP), and acceptance and commitment therapy (ACT).
Our therapists work online across the UK, we also work face to face with children and young people in Farnham (Surrey) & Herne Hill (London), and with adults in Manchester. Hello, we are the Integrative Centre for OCD Therapy. The founders BACP accredited therapists Jonny Say and Stuart Ralph founded the centre in 2023 to address the need for more affordable and effective therapy options in the UK. Having both suffered from OCD for long periods of time, they created the clinic to help others sooner. Our therapists cover a range of ages from 6 years old up.
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Photo of Amanda Morgan, Counsellor in Hastings, England
Amanda Morgan
Counsellor, MBACP
Verified Verified
Cambridge CB1  (Online Only)
I specialise in supporting adults (18+) to recover from anxiety disorders using CBT with ERP for OCD (e.g. panic disorder/panic attacks, agoraphobia, emetophobia and other phobias, social anxiety, generalised anxiety disorder, health anxiety, OCD, etc.), low self-esteem and low mood/depression.
I specialise in supporting adults (18+) to recover from anxiety disorders using CBT with ERP for OCD (e.g. panic disorder/panic attacks, agoraphobia, emetophobia and other phobias, social anxiety, generalised anxiety disorder, health anxiety, OCD, etc.), low self-esteem and low mood/depression.
01223 734681 View 01223 734681
Photo of Dr Hannah Whitehead, Psychologist in Hastings, England
Dr Hannah Whitehead
Psychologist, HCPC - Clin. Psych.
Verified Verified
Buckhurst Hill IG9
I work a lot with OCD, using CBT with ERP.
I specialise in working with children, young people and young adults experiencing anxiety and/or trauma. I support parents and carers alongside work with their child. I work creatively and playfully when appropriate and if welcomed. I feel it is important to get to know each person as a unique individual and build on their strengths in our work together. I work integratively, drawing upon several therapeutic models including CBT and EMDR, depending on what feels appropriate. My team can also offer support with needs including long-term health conditions (diabetes, CFS/ME, asthma), psychosis, self-esteem and anxiety (see my website).
I work a lot with OCD, using CBT with ERP.
I specialise in working with children, young people and young adults experiencing anxiety and/or trauma. I support parents and carers alongside work with their child. I work creatively and playfully when appropriate and if welcomed. I feel it is important to get to know each person as a unique individual and build on their strengths in our work together. I work integratively, drawing upon several therapeutic models including CBT and EMDR, depending on what feels appropriate. My team can also offer support with needs including long-term health conditions (diabetes, CFS/ME, asthma), psychosis, self-esteem and anxiety (see my website).
020 3835 4012 View 020 3835 4012
Photo of Jonny Say, Counsellor in Hastings, England
Jonny Say
Counsellor, MBACP Accred
Verified Verified
London SE1  (Online Only)
I am a specialist therapist on ACT/ERP for OCD.
I am a therapist specialising in Acceptance and Commitment Therapy (ACT) and Compassion Focused Therapy (CFT) for a broad range of psychological difficulties. I am co-director for the Integrative Centre for OCD Therapy www.integrativecentreforocd.co.uk. My approach to therapy is integrative, drawing primarily on ACT and CFT along with therapies that focus on relationships and social connection (FAP). I have NHS experience. I have worked with a range of clients from charities to Leaders in Business, Tech & Sports.
I am a specialist therapist on ACT/ERP for OCD.
I am a therapist specialising in Acceptance and Commitment Therapy (ACT) and Compassion Focused Therapy (CFT) for a broad range of psychological difficulties. I am co-director for the Integrative Centre for OCD Therapy www.integrativecentreforocd.co.uk. My approach to therapy is integrative, drawing primarily on ACT and CFT along with therapies that focus on relationships and social connection (FAP). I have NHS experience. I have worked with a range of clients from charities to Leaders in Business, Tech & Sports.
020 3984 8847 View 020 3984 8847
Photo of Bridget Barnes Cbt Therapy, Psychotherapist in Hastings, England
Bridget Barnes Cbt Therapy
Psychotherapist, MBABCP
Verified Verified
4 Endorsed
London E17  (Online Only)
I help my clients LET GO of perfectionism, worry, social anxiety, panic attacks & OCD (using ERP).
Hello I’m Bridget, a Cognitive Behavioural Therapist and Anxiety Disorder specialist. I have extensive experience helping my clients view their anxious thoughts, feelings and behaviours in a more rational, less threatening way. Bringing in a new perspective enables a new way of relating to yourself, or others. - -> Recent client feedback - “Bridget was really wonderful. I have left my sessions feeling empowered and confident that I have everything I need to tackle my OCD and challenging situations that may arise in future. I really can not thank her enough and I'm excited that I have various exercises I can use to navigate my OCD."
I help my clients LET GO of perfectionism, worry, social anxiety, panic attacks & OCD (using ERP).
Hello I’m Bridget, a Cognitive Behavioural Therapist and Anxiety Disorder specialist. I have extensive experience helping my clients view their anxious thoughts, feelings and behaviours in a more rational, less threatening way. Bringing in a new perspective enables a new way of relating to yourself, or others. - -> Recent client feedback - “Bridget was really wonderful. I have left my sessions feeling empowered and confident that I have everything I need to tackle my OCD and challenging situations that may arise in future. I really can not thank her enough and I'm excited that I have various exercises I can use to navigate my OCD."
020 3835 5416 View 020 3835 5416
Photo of The Specialist OCD Clinic, Psychologist in Hastings, England
The Specialist OCD Clinic
Psychologist, HCPC - Clin. Psych.
Verified Verified
Haywards Heath RH16
We work collaboratively with you to deliver the evidence-based treatment for OCD (CBT with ERP) with support and empathy.
We are a team of friendly and professional Clinical Psychologists, committed to offering the highest quality, evidence-based treatment for OCD. Having all worked within the NHS at the National and Specialist OCD, BDD and Related Disorders Clinic, we are experienced working across the full range of OCD severity and presentations. We work with individuals of any age who are suffering with symptoms of OCD. Whether you're struggling with pOCD, sexual/aggressive obsessions, avoidance, mental rituals, checking, scrutinizing, or any other symptoms, we appreciate the significant and debilitating impact OCD can have on your life.
We work collaboratively with you to deliver the evidence-based treatment for OCD (CBT with ERP) with support and empathy.
We are a team of friendly and professional Clinical Psychologists, committed to offering the highest quality, evidence-based treatment for OCD. Having all worked within the NHS at the National and Specialist OCD, BDD and Related Disorders Clinic, we are experienced working across the full range of OCD severity and presentations. We work with individuals of any age who are suffering with symptoms of OCD. Whether you're struggling with pOCD, sexual/aggressive obsessions, avoidance, mental rituals, checking, scrutinizing, or any other symptoms, we appreciate the significant and debilitating impact OCD can have on your life.
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Photo of Dr Constantina Markides, Psychologist in Hastings, England
Dr Constantina Markides
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Great Missenden HP16
Dr Markides specialises in integrating therapies such as Cognitive Behavioural Therapy (CBT), Exposure Response Prevention (ERP), Systemic, Narrative, Acceptance and Commitment Therapy (ACT), Compassion Focused Therapy (CFT), Dialectical Behavioural Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR) and Brief Solution Focused Therapy.
Dr Constantina Markides is a Clinical Psychologist with experience working with adults and children with a range of mental health difficulties, such as severe OCD, low self-esteem, low mood and anxiety and body image concerns. She particularly enjoys working with those struggling with OCD, and has developed and delivered individual as well as group interventions within the NHS to offer evidence based therapies around this. Regardless of the presenting difficulty, Dr Markides hopes to support her clients not only to free themselves from their symptoms, but to connect to their values and live their life doing what matters to them.
Dr Markides specialises in integrating therapies such as Cognitive Behavioural Therapy (CBT), Exposure Response Prevention (ERP), Systemic, Narrative, Acceptance and Commitment Therapy (ACT), Compassion Focused Therapy (CFT), Dialectical Behavioural Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR) and Brief Solution Focused Therapy.
Dr Constantina Markides is a Clinical Psychologist with experience working with adults and children with a range of mental health difficulties, such as severe OCD, low self-esteem, low mood and anxiety and body image concerns. She particularly enjoys working with those struggling with OCD, and has developed and delivered individual as well as group interventions within the NHS to offer evidence based therapies around this. Regardless of the presenting difficulty, Dr Markides hopes to support her clients not only to free themselves from their symptoms, but to connect to their values and live their life doing what matters to them.
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Photo of Dr Khodayar Shahriyarmolki, Psychologist in Hastings, England
Dr Khodayar Shahriyarmolki
Psychologist, HCPC - Clin. Psych.
Verified Verified
London WC1X  (Online Only)
I have worked with the full range of types of OCD and BDD, and have extensive experience in Cognitive-Behavioural Therapy (CBT) and Exposure and Response-Prevention (ERP) for these problems.
I am a specialist in the assessment and treatment of Obsessive Compulsive Disorder (OCD), Body Dysmorphic Disorder (BDD), and related anxiety problems. I have worked since 2016 as a clinical psychologist at the Centre for Anxiety Disorders and Trauma at the Maudsley Hospital in London, which is an NHS national specialist treatment centre for these problems.
I have worked with the full range of types of OCD and BDD, and have extensive experience in Cognitive-Behavioural Therapy (CBT) and Exposure and Response-Prevention (ERP) for these problems.
I am a specialist in the assessment and treatment of Obsessive Compulsive Disorder (OCD), Body Dysmorphic Disorder (BDD), and related anxiety problems. I have worked since 2016 as a clinical psychologist at the Centre for Anxiety Disorders and Trauma at the Maudsley Hospital in London, which is an NHS national specialist treatment centre for these problems.
020 3872 4867 View 020 3872 4867
Photo of Tehani Benjamin, Psychologist in Hastings, England
Tehani Benjamin
Psychologist, HCPC - Clin. Psych.
Verified Verified
London SE1  (Online Only)
I draw on a range of therapies to fit your needs, including CBT, ERP, Compassion-Focused Therapy, and Acceptance and Commitment Therapy.
At the heart of my work, I strive to create a warm and compassionate space for clients from all walks of life. I work with clients presenting with various challenges including relationship difficulties, self-esteem issues, anxiety and low mood. I also have experience working with complex mental health and co-morbid difficulties, including trauma and childhood abuse. Whether your issue feels vague or specific, therapy can help you understand how the past informs current patterns, develop coping skills to process difficult feelings, and nurture the internal strengths and resources that we all hold.
I draw on a range of therapies to fit your needs, including CBT, ERP, Compassion-Focused Therapy, and Acceptance and Commitment Therapy.
At the heart of my work, I strive to create a warm and compassionate space for clients from all walks of life. I work with clients presenting with various challenges including relationship difficulties, self-esteem issues, anxiety and low mood. I also have experience working with complex mental health and co-morbid difficulties, including trauma and childhood abuse. Whether your issue feels vague or specific, therapy can help you understand how the past informs current patterns, develop coping skills to process difficult feelings, and nurture the internal strengths and resources that we all hold.
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Photo of Jessica Drake, Psychotherapist in Hastings, England
Jessica Drake
Psychotherapist, MSc
Verified Verified
Buntingford SG9
I work with anxiety (in particular OCD), addiction, trauma and codependency, using Acceptance and Commitment Therapy (ACT), Exposure and response prevention (ERP) for OCD, CBT, Transactional Analysis (TA), eastern and Jungian psychology and the 12 step model. Over a decade working as a therapist and recovering from addiction, anxiety and OCD/ADHD, I know first hand how hard it can be to deal with these mental health conditions. I also know the strategies that have helped me come through some of the darkest times in my life, which I apply in the therapy room.
I work with anxiety (in particular OCD), addiction, trauma and codependency, using Acceptance and Commitment Therapy (ACT), Exposure and response prevention (ERP) for OCD, CBT, Transactional Analysis (TA), eastern and Jungian psychology and the 12 step model. Over a decade working as a therapist and recovering from addiction, anxiety and OCD/ADHD, I know first hand how hard it can be to deal with these mental health conditions. I also know the strategies that have helped me come through some of the darkest times in my life, which I apply in the therapy room.
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Photo of Kirsty Lally, Psychotherapist in Hastings, England
Kirsty Lally
Psychotherapist, MBABCP
Verified Verified
Bedford MK41
I am an accredited Cognitive Behavioural Therapist with the BABCP.My skills, interests and experience are primarily in eating disorders, depression and anxiety disorders. It is not unusual to feel lost and stuck in your illness, and it can feel anxiety provoking and frightening when initially asking for help. You may feel conflicted about letting go of your illness as you may find it helps and protects you at times - this is not uncommon - and we will spend some time at the start of therapy understanding what is keeping you stuck and working through some of these conflicting feelings in order to decide together the best ways to move
I am an accredited Cognitive Behavioural Therapist with the BABCP.My skills, interests and experience are primarily in eating disorders, depression and anxiety disorders. It is not unusual to feel lost and stuck in your illness, and it can feel anxiety provoking and frightening when initially asking for help. You may feel conflicted about letting go of your illness as you may find it helps and protects you at times - this is not uncommon - and we will spend some time at the start of therapy understanding what is keeping you stuck and working through some of these conflicting feelings in order to decide together the best ways to move
01234 981929 View 01234 981929
Photo of Patricia Ann Murphy, Psychotherapist in Hastings, England
Patricia Ann Murphy
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Canterbury CT1
We are all unique but our shared humanity means that we all struggle.With over 40yrs experience of working in mental health I have learnt that one of the most helpful interventions for a human in distress is to help them clarify their values and to use this information as leverage to facilitate the inevitable behavioural change that is needed for a life lived well. I have found that combining CBT with Acceptance and Commitment Therapy (ACT) promotes symptom reduction but also helps patient's to reconnect with what is important in their lives. If you're reading this I'm guessing you're feeling stuck-maybe I can help with that.
We are all unique but our shared humanity means that we all struggle.With over 40yrs experience of working in mental health I have learnt that one of the most helpful interventions for a human in distress is to help them clarify their values and to use this information as leverage to facilitate the inevitable behavioural change that is needed for a life lived well. I have found that combining CBT with Acceptance and Commitment Therapy (ACT) promotes symptom reduction but also helps patient's to reconnect with what is important in their lives. If you're reading this I'm guessing you're feeling stuck-maybe I can help with that.
01227 949490 View 01227 949490
Photo of Donna Goodman, Psychotherapist in Hastings, England
Donna Goodman
Psychotherapist, MA, MBABCP
Verified Verified
Hove BN3
I'm both a BABCP accredited Cognitive Behavioural Therapist and HCPC registered Art Psychotherapist- Are you finding that you've stopped doing the things you enjoy, lost sense of pleasure and motivation? Are you finding yourself thinking and feeling negatively about everything? Is it making you feel stressed, worried and exhausted? If this resonates with you please do get in contact. I offer a free initial telephone call to discuss what the main struggles are and what you want to change. Together we'll work out the next steps to you feeling better.
I'm both a BABCP accredited Cognitive Behavioural Therapist and HCPC registered Art Psychotherapist- Are you finding that you've stopped doing the things you enjoy, lost sense of pleasure and motivation? Are you finding yourself thinking and feeling negatively about everything? Is it making you feel stressed, worried and exhausted? If this resonates with you please do get in contact. I offer a free initial telephone call to discuss what the main struggles are and what you want to change. Together we'll work out the next steps to you feeling better.
01273 092023 View 01273 092023
Photo of Dawn Elizabeth Burlton, Counsellor in Hastings, England
Dawn Elizabeth Burlton
Counsellor, MBACP
Verified Verified
Enfield EN2
Welcome I’m Dawn, an experienced qualified integrative and trauma informed counsellor and clinical supervisor and registered member of the BACP. I am also trained in online and telephone working. I work with adults in an integrative way combining Humanistic, Psychodynamic and CBT approaches as this fits my own philosophy of not one approach fits all. I aim to provide you with a warm, compassionate, confidential counselling relationship within a safe therapeutic space where you can talk freely about what is troubling you and explore the challenges you are currently facing.
Welcome I’m Dawn, an experienced qualified integrative and trauma informed counsellor and clinical supervisor and registered member of the BACP. I am also trained in online and telephone working. I work with adults in an integrative way combining Humanistic, Psychodynamic and CBT approaches as this fits my own philosophy of not one approach fits all. I aim to provide you with a warm, compassionate, confidential counselling relationship within a safe therapeutic space where you can talk freely about what is troubling you and explore the challenges you are currently facing.
01992 662318 View 01992 662318
Photo of Tom Wegg-Prosser, Psychotherapist in Hastings, England
Tom Wegg-Prosser
Psychotherapist, MSc, MBABCP
Verified Verified
London W2
Hi, my name is Tom Wegg-Prosser and I am an accredited Cognitive Behavioural Therapist with the British Association of Cognitive Behavioural Psychotherapists (BABCP). I use evidence-based practice, working with clients to help them improve their psychological wellbeing and lead a more value orientated life. Therapeutic goals might relate to overcoming low mood and loss of meaning, building self-esteem and self-worth, managing work related stress, helping with phobias, or managing anxiety related problems. Along with private practice I have worked in both the NHS and on Harley St.
Hi, my name is Tom Wegg-Prosser and I am an accredited Cognitive Behavioural Therapist with the British Association of Cognitive Behavioural Psychotherapists (BABCP). I use evidence-based practice, working with clients to help them improve their psychological wellbeing and lead a more value orientated life. Therapeutic goals might relate to overcoming low mood and loss of meaning, building self-esteem and self-worth, managing work related stress, helping with phobias, or managing anxiety related problems. Along with private practice I have worked in both the NHS and on Harley St.
020 3912 9707 View 020 3912 9707

See more therapy options for Hastings

Exposure Response Prevention (ERP) Counsellors

Do I need exposure and response prevention therapy?

Many clients decide to seek help for obsessive thoughts and compulsive behaviours when these symptoms are distressing enough to disrupt everyday life. Any thoughts or behaviours that cause friction in close relationships are also worth addressing. In addition, the client’s symptoms don’t have to be severe for them to benefit from ERP therapy.

Is exposure and response prevention therapy part of cognitive behavioural therapy?

Exposure and response prevention is one specific type of CBT that focuses on behavioural change in response to triggering stimuli. It is related to exposure therapy but adds an additional component of preventing compulsive and harmful responses.

How long does exposure and response prevention therapy take?

While every patient is different, exposure and response prevention therapy typically lasts around 12 sessions, although some treatments can take longer. A therapist will determine if the treatment is complete based on how the client faces their fears, particularly the strongest ones. When a client feels less anxiety about stimuli that once evoked terror or distress, that is generally an indication that they are nearing the end of ERP therapy.

What are the limitations of exposure and response prevention therapy?

The most common pitfalls of exposure and response prevention therapy include not addressing a client’s core fears, allowing the client to avoid their most distressing stimuli, and using imaginary exposure when the client requires real-life exposure (and vice versa). ERP therapy is most effective when the client commits to the full course of treatment; if the client stops early or doesn’t practice what they have learned outside of therapy sessions, they are less likely to have successful outcomes.