Photo of Dr. Emma Basch & Associates, Psychologist in Washington, DC
Dr. Emma Basch & Associates
Psychologist, PsyD
Verified Verified
2 Endorsed
Washington, DC 20015
We are a group practice with a shared passion for women's mental health. Our clients are working professionals, parents, and students in all phases of life. We love to work with clients experiencing anxiety, depression, ADHD/neurodivergence, relationship challenges, trauma, and eating disorders. Our team has experience in numerous evidence-based treatment modalities including EMDR, ACT, EFT, CBT, ERP, & DBT. We believe in collaborative, integrative, and holistic mental health care and are here to support you. We are proud to offer individual, couples, and family therapy.
We are a group practice with a shared passion for women's mental health. Our clients are working professionals, parents, and students in all phases of life. We love to work with clients experiencing anxiety, depression, ADHD/neurodivergence, relationship challenges, trauma, and eating disorders. Our team has experience in numerous evidence-based treatment modalities including EMDR, ACT, EFT, CBT, ERP, & DBT. We believe in collaborative, integrative, and holistic mental health care and are here to support you. We are proud to offer individual, couples, and family therapy.
(202) 831-3085 View (202) 831-3085
Photo of Chelsey Barrios Foster, Psychologist in Washington, DC
Chelsey Barrios Foster
Psychologist, PhD
Verified Verified
1 Endorsed
Washington, DC 20016  (Online Only)
I combine this with concrete, evidence-based therapeutic techniques including cognitive-behavioral therapy (CBT), exposure and response prevention (ERP), dialectical behavior therapy (DBT) skills, and mindfulness/acceptance.
I provide therapy to children, adolescents, and adults. I have expertise in treating anxiety, depression, OCD, adjustment difficulties, ADHD, emotion dysregulation, coping with health issues and chronic illness, and stress-related disorders across the lifespan. I also specialize in women’s mental health and perinatal mood and anxiety disorders. I further specialize in working with college students and young adults (20's and 30's) through life transitions and identity development. In addition, I consult with parents to develop strategies to support their children, and enact lasting change in the home.
I combine this with concrete, evidence-based therapeutic techniques including cognitive-behavioral therapy (CBT), exposure and response prevention (ERP), dialectical behavior therapy (DBT) skills, and mindfulness/acceptance.
I provide therapy to children, adolescents, and adults. I have expertise in treating anxiety, depression, OCD, adjustment difficulties, ADHD, emotion dysregulation, coping with health issues and chronic illness, and stress-related disorders across the lifespan. I also specialize in women’s mental health and perinatal mood and anxiety disorders. I further specialize in working with college students and young adults (20's and 30's) through life transitions and identity development. In addition, I consult with parents to develop strategies to support their children, and enact lasting change in the home.
(202) 937-2621 View (202) 937-2621
Photo of Frances Rekrut, Psychologist in Washington, DC
Frances Rekrut
Psychologist, MA, PhD
Verified Verified
11 Endorsed
Washington, DC 20036
To best meet clients’ needs, I employ an integrative approach, drawing from from different therapeutic models including Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), Interpersonal Therapy (IPT), & Acceptance Commitment Therapy (ACT).
Compassionate therapy has the power to help people reflect, grow, and change. Using a warm and engaging approach, I collaborate with clients to develop treatment strategies that work based on research-based techniques. I specialize in working with clients struggling with relationship issues, OCD, grief and loss, and difficult life transitions, including changes in roles or identity.
To best meet clients’ needs, I employ an integrative approach, drawing from from different therapeutic models including Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), Interpersonal Therapy (IPT), & Acceptance Commitment Therapy (ACT).
Compassionate therapy has the power to help people reflect, grow, and change. Using a warm and engaging approach, I collaborate with clients to develop treatment strategies that work based on research-based techniques. I specialize in working with clients struggling with relationship issues, OCD, grief and loss, and difficult life transitions, including changes in roles or identity.
(202) 759-7878 View (202) 759-7878
Photo of Melissa Murphy, Clinical Social Work/Therapist in Washington, DC
Melissa Murphy
Clinical Social Work/Therapist, MSW, LCSW-C, LICSW, LCSW, C-DBT
Verified Verified
3 Endorsed
Washington, DC 20016  (Online Only)
I use Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Exposure and Response Prevention (ERP), and Sex Therapy.
Now accepting NEW clients — Feelings of anxiety, depression, and grief are totally normal responses in these difficult times. My goal as a therapist is to guide clients through whatever is keeping them from living their happiest lives — whether the issue is more recent/due to COVID, or a deeper issue that has been draining someone’s energy for years (or a lifetime). I operate from a collaborative, strengths-based perspective to help clients understand their thoughts, feelings, and behaviors. I help clients develop strategies to mitigate OCD, anxiety, depression, ADHD, and trauma/PTSD symptoms that interfere with their well-being.
I use Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Exposure and Response Prevention (ERP), and Sex Therapy.
Now accepting NEW clients — Feelings of anxiety, depression, and grief are totally normal responses in these difficult times. My goal as a therapist is to guide clients through whatever is keeping them from living their happiest lives — whether the issue is more recent/due to COVID, or a deeper issue that has been draining someone’s energy for years (or a lifetime). I operate from a collaborative, strengths-based perspective to help clients understand their thoughts, feelings, and behaviors. I help clients develop strategies to mitigate OCD, anxiety, depression, ADHD, and trauma/PTSD symptoms that interfere with their well-being.
(301) 900-3284 View (301) 900-3284
Photo of Bethesda Therapy, Clinical Social Work/Therapist in Washington, DC
Bethesda Therapy
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Washington, DC 20016  (Online Only)
We are well-versed in a wide range of evidence-based therapies, including DBT, ERP and I-CBT for OCD, and specialized treatments for trauma.
Sometimes life can feel very difficult. It can be hard to handle big emotions on your own. Bethesda Therapy would like to help! We are a group practice serving clients in MD, DC, and VA. We specialize in OCD, anxiety disorders, depression, trauma/PTSD, ADHD, grief/loss and couples therapy. We serve clients age 12+. Everyone’s path to mental wellness is different. That’s why we offer treatment designed to meet your unique needs. Our skilled clinicians are ready to guide and support you through your healing process. We are committed to helping you discover your route to a life that’s happier, healthier, and deeply fulfilling.
We are well-versed in a wide range of evidence-based therapies, including DBT, ERP and I-CBT for OCD, and specialized treatments for trauma.
Sometimes life can feel very difficult. It can be hard to handle big emotions on your own. Bethesda Therapy would like to help! We are a group practice serving clients in MD, DC, and VA. We specialize in OCD, anxiety disorders, depression, trauma/PTSD, ADHD, grief/loss and couples therapy. We serve clients age 12+. Everyone’s path to mental wellness is different. That’s why we offer treatment designed to meet your unique needs. Our skilled clinicians are ready to guide and support you through your healing process. We are committed to helping you discover your route to a life that’s happier, healthier, and deeply fulfilling.
(240) 332-0701 View (240) 332-0701
Photo of Dr. Jemour Maddux Psychologist, Accepting Patients, Psychologist in Washington, DC
Dr. Jemour Maddux Psychologist, Accepting Patients
Psychologist, PsyD, ABPP
Verified Verified
Washington, DC 20019  (Online Only)
Professional - Doctoral Level - Theologically Sensitive- TeleHealth Friendly - Diagnostician & Therapist: Dr. Maddux offers tools for escaping bothersome thoughts, behaviors & reactions so you can reclaim self-control, fresh perspectives, stable relationships, energy & hope. I also understand that faith is important. I completed postdoctoral Theology & Ministry education at Princeton Theological Seminary to ethically combine faith-based tools & evidence-based psychotherapies, such as CBT & ERP. My style is time-limited & practical. Get a "Game Plan" for reaching your social, emotional & relationship goals.
Professional - Doctoral Level - Theologically Sensitive- TeleHealth Friendly - Diagnostician & Therapist: Dr. Maddux offers tools for escaping bothersome thoughts, behaviors & reactions so you can reclaim self-control, fresh perspectives, stable relationships, energy & hope. I also understand that faith is important. I completed postdoctoral Theology & Ministry education at Princeton Theological Seminary to ethically combine faith-based tools & evidence-based psychotherapies, such as CBT & ERP. My style is time-limited & practical. Get a "Game Plan" for reaching your social, emotional & relationship goals.
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Photo of Dr. Victor D. Kidd, Clinical Social Work/Therapist in Washington, DC
Dr. Victor D. Kidd
Clinical Social Work/Therapist, PhD, LMSW
Verified Verified
5 Endorsed
Washington, DC 20018  (Online Only)
The therapeutic journey is a great way to challenge outdated perspectives while providing a new lens on emotional & mental well-being. Dr. Kidd will guide you through the journey of self-discovery & self-mastery, aligning you with your redefined perspective & life purpose. From challenges with anxiety & depression to trauma & family history, Dr. Kidd's purpose is to assist you in considering the various solutions for a more fulfilling life. It is together, through the therapeutic process, we will tackle your life challenges, leading to growth and prosperity. His hope is that we learn how to reflect, heal, and embrace new beginnings!
The therapeutic journey is a great way to challenge outdated perspectives while providing a new lens on emotional & mental well-being. Dr. Kidd will guide you through the journey of self-discovery & self-mastery, aligning you with your redefined perspective & life purpose. From challenges with anxiety & depression to trauma & family history, Dr. Kidd's purpose is to assist you in considering the various solutions for a more fulfilling life. It is together, through the therapeutic process, we will tackle your life challenges, leading to growth and prosperity. His hope is that we learn how to reflect, heal, and embrace new beginnings!
(202) 410-0685 View (202) 410-0685
Photo of Amy Feeser, Pre-Licensed Professional in Washington, DC
Amy Feeser
Pre-Licensed Professional, LGSW
Verified Verified
1 Endorsed
Washington, DC 20009
Are you feeling overwhelmed by anxiety, stress, or money? Maybe you don't quite feel like yourself anymore, and you're not sure what to do. I'm here to support you in creating new coping skills and building the bridge to connect to yourself and your relationships fully again. I value leaning into our strengths and understanding how the systems we live in impact our daily lives. I utilize an eclectic mix of trauma informed approaches including CBT, mindfulness, interpersonal, and somatic tools. I especially welcome humor in our sessions as a tool to find relief in our daily struggles
Are you feeling overwhelmed by anxiety, stress, or money? Maybe you don't quite feel like yourself anymore, and you're not sure what to do. I'm here to support you in creating new coping skills and building the bridge to connect to yourself and your relationships fully again. I value leaning into our strengths and understanding how the systems we live in impact our daily lives. I utilize an eclectic mix of trauma informed approaches including CBT, mindfulness, interpersonal, and somatic tools. I especially welcome humor in our sessions as a tool to find relief in our daily struggles
(888) 594-2877 View (888) 594-2877
Photo of Roxane Keller, Licensed Professional Counselor in Washington, DC
Roxane Keller
Licensed Professional Counselor, LPC, PMH-C, A-CBT
Verified Verified
Washington, DC 20016
I take an individualized approach to therapy that’s tailored to your personal needs and goals. Within a warm and supportive environment, we examine the challenges you’re facing and the way forward. Using concrete skills and strategies, we'll work collaboratively to equip you with versatile tools to apply in your daily life.
I take an individualized approach to therapy that’s tailored to your personal needs and goals. Within a warm and supportive environment, we examine the challenges you’re facing and the way forward. Using concrete skills and strategies, we'll work collaboratively to equip you with versatile tools to apply in your daily life.
(202) 963-7833 View (202) 963-7833
Photo of Arielle Bernstein, Psychologist in Washington, DC
Arielle Bernstein
Psychologist, PsyD
Verified Verified
Washington, DC 20009  (Online Only)
Stress and anxiety are something we all have to deal with. Perhaps now you’re feeling like it’s getting to be a bit too much to handle? My specialization in Cognitive Behavior Therapy (CBT) and Acceptance and Commitment Therapy (ACT) can help you better manage your stress and anxiety, improve your mood and relationships, and get you moving towards the things you value most in life. We can work on this together by building a compassionate awareness of thoughts and feelings, and improving the control you have over your behaviors.
Stress and anxiety are something we all have to deal with. Perhaps now you’re feeling like it’s getting to be a bit too much to handle? My specialization in Cognitive Behavior Therapy (CBT) and Acceptance and Commitment Therapy (ACT) can help you better manage your stress and anxiety, improve your mood and relationships, and get you moving towards the things you value most in life. We can work on this together by building a compassionate awareness of thoughts and feelings, and improving the control you have over your behaviors.
(571) 777-0488 x9 View (571) 777-0488 x9
Photo of UpLift Behavioral Health in Washington, DC
UpLift Behavioral Health
Verified Verified
Washington, DC 20007  (Online Only)
UpLift aims to give everyone access to affordable mental health care and build a future where a primary mental health provider is the new standard. We want everyone to experience how therapy leads to life-changing personal growth. Reaching out for help is the hardest step and UpLift strives to make it as easy as possible for those in need.
UpLift aims to give everyone access to affordable mental health care and build a future where a primary mental health provider is the new standard. We want everyone to experience how therapy leads to life-changing personal growth. Reaching out for help is the hardest step and UpLift strives to make it as easy as possible for those in need.
(202) 796-5926 View (202) 796-5926
Photo of Capital Institute for Cognitive Behavioral Therapy, Psychologist in Washington, DC
Capital Institute for Cognitive Behavioral Therapy
Psychologist, PsyD
Verified Verified
Washington, DC 20009
We are CBT experts. Since it was founded in 2003 by Dr. Stephen Holland, Capital Institute for Cognitive Behavioral Therapy has been providing research-proven treatments and compassionate care. Cognitive-behavioral therapy (CBT) has been shown to be effective for a number of problems, including: depression, bipolar disorder, generalized anxiety, obsessive-compulsive disorder (OCD), hoarding, phobias, social anxiety, post-traumatic stress disorder (PTSD), eating disorders, insomnia, chronic pain, personality disorders, and relationship problems. Studies find most patients in CBT have significant reduction in symptoms and distress.
We are CBT experts. Since it was founded in 2003 by Dr. Stephen Holland, Capital Institute for Cognitive Behavioral Therapy has been providing research-proven treatments and compassionate care. Cognitive-behavioral therapy (CBT) has been shown to be effective for a number of problems, including: depression, bipolar disorder, generalized anxiety, obsessive-compulsive disorder (OCD), hoarding, phobias, social anxiety, post-traumatic stress disorder (PTSD), eating disorders, insomnia, chronic pain, personality disorders, and relationship problems. Studies find most patients in CBT have significant reduction in symptoms and distress.
(202) 759-2873 x15 View (202) 759-2873 x15
Photo of Silver Lake Psychology--Washington D.C. location, Psychologist in Washington, DC
Silver Lake Psychology--Washington D.C. location
Psychologist, PsyD
Verified Verified
Washington, DC 20009
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(202) 949-3034 View (202) 949-3034
Photo of Joy Natwick, Licensed Professional Counselor in Washington, DC
Joy Natwick
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Washington, DC 20016
I'm a dedicated Licensed Professional Counselor with a passion for fostering growth and resilience in individuals and families. My aim is to provide a nurturing and supportive environment where clients of all ages can explore their inner worlds, overcome challenges, and discover their innate potential for healing and transformation. Whether you're seeking therapy for yourself or your child, adolescent, or family unit, I tailor my approach to meet your specific needs and goals. I work with clients experiencing anxiety, depression, anger, ADHD, autism spectrum disorders, low self-esteem, trauma, drug and alcohol use and more.
I'm a dedicated Licensed Professional Counselor with a passion for fostering growth and resilience in individuals and families. My aim is to provide a nurturing and supportive environment where clients of all ages can explore their inner worlds, overcome challenges, and discover their innate potential for healing and transformation. Whether you're seeking therapy for yourself or your child, adolescent, or family unit, I tailor my approach to meet your specific needs and goals. I work with clients experiencing anxiety, depression, anger, ADHD, autism spectrum disorders, low self-esteem, trauma, drug and alcohol use and more.
(202) 810-1153 View (202) 810-1153
Photo of Silver Lake Psychology--Washington DC location, Psychologist in Washington, DC
Silver Lake Psychology--Washington DC location
Psychologist, PsyD
Verified Verified
Washington, DC 20009
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(202) 991-3191 View (202) 991-3191
Photo of Silver Lake Psychology--Washington DC , Psychologist in Washington, DC
Silver Lake Psychology--Washington DC
Psychologist, PsyD
Verified Verified
Washington, DC 20009
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(202) 335-8252 View (202) 335-8252
Photo of Stephen Holland, Psychologist in Washington, DC
Stephen Holland
Psychologist, PsyD
Verified Verified
Washington, DC 20009
I am Founder and Director of the Capital Institute for Cognitive Behavioral Therapy. Since 2003, the Institute has been a leading provider of research-proven treatments and compassionate care. Cognitive-behavioral therapy (CBT) has been shown to be effective for a number of problems, including: depression, bipolar disorder, generalized anxiety, obsessive-compulsive disorder (OCD), hoarding, phobias, social anxiety, post-traumatic stress disorder (PTSD), eating disorders, insomnia, chronic pain, personality disorders, and relationship problems. Studies find most patients in CBT have significant reduction in symptoms and distress.
I am Founder and Director of the Capital Institute for Cognitive Behavioral Therapy. Since 2003, the Institute has been a leading provider of research-proven treatments and compassionate care. Cognitive-behavioral therapy (CBT) has been shown to be effective for a number of problems, including: depression, bipolar disorder, generalized anxiety, obsessive-compulsive disorder (OCD), hoarding, phobias, social anxiety, post-traumatic stress disorder (PTSD), eating disorders, insomnia, chronic pain, personality disorders, and relationship problems. Studies find most patients in CBT have significant reduction in symptoms and distress.
(202) 759-2884 View (202) 759-2884
Photo of Silver Lake Psychology--Washington DC location, Psychologist in Washington, DC
Silver Lake Psychology--Washington DC location
Psychologist, PsyD
Verified Verified
Washington, DC 20009
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(202) 918-3447 View (202) 918-3447
Photo of Silver Lake Psychology--Washington DC location, Psychologist in Washington, DC
Silver Lake Psychology--Washington DC location
Psychologist, PsyD
Verified Verified
Washington, DC 20009
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(202) 952-4298 View (202) 952-4298
Photo of Purposeful Life Therapy - Carolyn Watson Phd, Psychologist in Washington, DC
Purposeful Life Therapy - Carolyn Watson Phd
Psychologist, PhD
Verified Verified
Washington, DC 20009  (Online Only)
You have the power to heal, grow, and thrive. & I can help! As a clinical therapist, it’s my privilege to hold space for clients as they unpack areas of concern, increase self-awareness, restore balance, and identify strengths they can cultivate to create sustainable change. My clientele come from diverse walks of life. Many are working professionals who are struggling to keep up with the busy demands of life and now feel ready to explore areas they are stuck.
You have the power to heal, grow, and thrive. & I can help! As a clinical therapist, it’s my privilege to hold space for clients as they unpack areas of concern, increase self-awareness, restore balance, and identify strengths they can cultivate to create sustainable change. My clientele come from diverse walks of life. Many are working professionals who are struggling to keep up with the busy demands of life and now feel ready to explore areas they are stuck.
(202) 831-4486 View (202) 831-4486
Exposure Response Prevention (ERP) Therapists

Do I need exposure and response prevention therapy?

Many clients decide to seek help for obsessive thoughts and compulsive behaviors when these symptoms are distressing enough to disrupt everyday life. Any thoughts or behaviors 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 behavioral therapy?

Exposure and response prevention is one specific type of CBT that focuses on behavioral 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.