Photo of Josie Ann Sensier, Psychotherapist in WA14, England
Josie Ann Sensier
Psychotherapist, MSc, MBABCP
Verified Verified
Hi there, welcome to my page, I'm Josie, a Psychotherapist based in Manchester. I'm dedicated to helping people become 'unstuck' from cycles of negative thoughts or behaviours. Are you wanting a change, but unsure how to take the next step? I understand what that can feel like and so I've spent my life specialising in helping people break free. I provide warmth and support in understanding where your cycles come from, and a mentor and guide in how to break them. I specialise in long-term depression, low self-esteem work, anxiety disorders (such as OCD, GAD, Phobias and Health Anxiety) and trauma focused CBT.
Hi there, welcome to my page, I'm Josie, a Psychotherapist based in Manchester. I'm dedicated to helping people become 'unstuck' from cycles of negative thoughts or behaviours. Are you wanting a change, but unsure how to take the next step? I understand what that can feel like and so I've spent my life specialising in helping people break free. I provide warmth and support in understanding where your cycles come from, and a mentor and guide in how to break them. I specialise in long-term depression, low self-esteem work, anxiety disorders (such as OCD, GAD, Phobias and Health Anxiety) and trauma focused CBT.
0161 524 3591 View 0161 524 3591

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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.