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Photo of Melanie Maria Smith, Licensed Professional Counselor in Webster Groves, MO
Melanie Maria Smith
Licensed Professional Counselor, MEd, MHA, LPC, CBHC, CCATP
Verified Verified
Saint Louis, MO 63127
Welcome and congratulations on making your self-care a priority! In addition to specializing in treating ADD/ADHD and Supervising Provisionally Licensed Counselors, hae a Women with ADHD support group and I also offer ADD Digital Therapy. If you’re tired and embarrassed of arriving 30 minutes late or more to the party, you can’t find things when you need them, you forget important dates and your life feels like it's totally disorganized I can help.
Welcome and congratulations on making your self-care a priority! In addition to specializing in treating ADD/ADHD and Supervising Provisionally Licensed Counselors, hae a Women with ADHD support group and I also offer ADD Digital Therapy. If you’re tired and embarrassed of arriving 30 minutes late or more to the party, you can’t find things when you need them, you forget important dates and your life feels like it's totally disorganized I can help.
(314) 756-0704 View (314) 756-0704

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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.