Exposure Response Prevention (ERP) Therapists in Merrimack, NH
Whether you're an adult struggling with anxiety, OCD, intrusive thoughts, depression, or feeling overwhelmed by life's challenges, or you're a parent concerned about your child's emotional wellbeing, school adjustment, or ability to manage difficult feelings, you don't have to navigate it alone.
Whether you're an adult struggling with anxiety, OCD, intrusive thoughts, depression, or feeling overwhelmed by life's challenges, or you're a parent concerned about your child's emotional wellbeing, school adjustment, or ability to manage difficult feelings, you don't have to navigate it alone.
I've been a Counselor for about a decade now. I specialize in toxic and abusive relationships. That could be with parents, a romantic partner, or friendships. The relationship between the counselor and the individual is key. It’s so important to have a trusting bond, so I will spend time getting to know you, as well as helping. I believe everyone has the power to promote change within themselves, but sometimes we all need a little guidance. What an awesome step you’ve made. I know it took courage! I offer a non-judgmental atmosphere because we're all people, and we all have pasts.
I've been a Counselor for about a decade now. I specialize in toxic and abusive relationships. That could be with parents, a romantic partner, or friendships. The relationship between the counselor and the individual is key. It’s so important to have a trusting bond, so I will spend time getting to know you, as well as helping. I believe everyone has the power to promote change within themselves, but sometimes we all need a little guidance. What an awesome step you’ve made. I know it took courage! I offer a non-judgmental atmosphere because we're all people, and we all have pasts.
When we experience severe life stressors to traumatic events, it is not uncommon for our lives to become unraveled. As humans, we try to survive as best we can. My passion is to help people find their strength and to learn new ways of thinking and coping in order to create a life that is worth living again. I work with individuals 16+ to help them find understanding and peace within themselves. I believe there is no one approach that fits everyone. I am trained in several modalities of treatment including Cognitive Behavior Therapy; Dialectical Behavior Therapy; Mindfulness; Integrated Somatic Trauma; EMDR; Internal family System
When we experience severe life stressors to traumatic events, it is not uncommon for our lives to become unraveled. As humans, we try to survive as best we can. My passion is to help people find their strength and to learn new ways of thinking and coping in order to create a life that is worth living again. I work with individuals 16+ to help them find understanding and peace within themselves. I believe there is no one approach that fits everyone. I am trained in several modalities of treatment including Cognitive Behavior Therapy; Dialectical Behavior Therapy; Mindfulness; Integrated Somatic Trauma; EMDR; Internal family System
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Dr. Jes Leonard is a psychologist who has been practicing since 2016. She currently serves as the Training Director for the post-doc and practicum training program at Lifestance NH and as the Regional Clinical Assessment Director for Lifestance NH/ME. She graduated from West Virginia University with a doctoral degree in counseling psychology and Ithaca College with a masters of science degree with a concentration in sport psychology. Dr. Leonard believes in the resilience of all humans and has a client-centered approach in assisting clients live a more purposeful and meaningful life and providing tools to manage life stressors.
Dr. Jes Leonard is a psychologist who has been practicing since 2016. She currently serves as the Training Director for the post-doc and practicum training program at Lifestance NH and as the Regional Clinical Assessment Director for Lifestance NH/ME. She graduated from West Virginia University with a doctoral degree in counseling psychology and Ithaca College with a masters of science degree with a concentration in sport psychology. Dr. Leonard believes in the resilience of all humans and has a client-centered approach in assisting clients live a more purposeful and meaningful life and providing tools to manage life stressors.
Alyssa Hamel
Clinical Social Work/Therapist, MSW, LICSW
2 Endorsed
Exeter, NH 03833
Waitlist for new clients
It is my belief that we are all seeking answers as to why we are here and what our purpose is. The only way to find these answers is to identify our values, strengths, weaknesses and barriers and also address what makes us suffer. I believe in healing and nurturing the very aspects of ourselves that make us unique and believe that through changes and transitions we learn how resilient and powerful we really are . With consistent therapy, we are able to step back, reflect and plan for how to respond and endure challenges that arise in our lives while learning appropriate coping techniques and routines.
It is my belief that we are all seeking answers as to why we are here and what our purpose is. The only way to find these answers is to identify our values, strengths, weaknesses and barriers and also address what makes us suffer. I believe in healing and nurturing the very aspects of ourselves that make us unique and believe that through changes and transitions we learn how resilient and powerful we really are . With consistent therapy, we are able to step back, reflect and plan for how to respond and endure challenges that arise in our lives while learning appropriate coping techniques and routines.
Dr. Danielle Palmer has been working with individuals in outpatient therapy in NH for the past ten years. She earned her Bachelor of Arts degree in Psychology from Drew University in Madison, New Jersey prior to receiving her Master’s and Doctoral degree in Clinical Psychology from Marywood University in Scranton, Pennsylvania. As part of her training, Dr. Palmer completed her APA accredited internship at Boys Town, in Boys Town, Nebraska where she provided individual and family therapy to youth who were placed in residential treatment settings. Dr.
Dr. Danielle Palmer has been working with individuals in outpatient therapy in NH for the past ten years. She earned her Bachelor of Arts degree in Psychology from Drew University in Madison, New Jersey prior to receiving her Master’s and Doctoral degree in Clinical Psychology from Marywood University in Scranton, Pennsylvania. As part of her training, Dr. Palmer completed her APA accredited internship at Boys Town, in Boys Town, Nebraska where she provided individual and family therapy to youth who were placed in residential treatment settings. Dr.
Have you ever felt like you’re carrying the weight of the world, quietly wondering, “Who sees me?” or “Is it always going to feel this heavy?” Maybe you’ve been the strong one for everyone else—holding it down, keeping it together—but lately, even that feels exhausting. If you’ve found yourself silently saying, “I’m fine,” when you’re really not, I want you to know: you don’t have to do this alone anymore. At Decode Wellness Center, we believe healing isn’t just something you do—it’s a way of being. Our mission is to normalize healing as a lifestyle, not a destination.
Have you ever felt like you’re carrying the weight of the world, quietly wondering, “Who sees me?” or “Is it always going to feel this heavy?” Maybe you’ve been the strong one for everyone else—holding it down, keeping it together—but lately, even that feels exhausting. If you’ve found yourself silently saying, “I’m fine,” when you’re really not, I want you to know: you don’t have to do this alone anymore. At Decode Wellness Center, we believe healing isn’t just something you do—it’s a way of being. Our mission is to normalize healing as a lifestyle, not a destination.
Do you feel trapped by "what-ifs" or exhausted by the cycle of OCD? Navigating complex internal experiences can feel isolating, but you don’t have to do it alone. As a Licensed Independent Clinical Social Worker specializing in Anxiety and OCD, I help adults find relief from intrusive thoughts and overwhelming worry. Together, we will focus on evidence-based strategies to help you gain control and return to the life you want to live.
Do you feel trapped by "what-ifs" or exhausted by the cycle of OCD? Navigating complex internal experiences can feel isolating, but you don’t have to do it alone. As a Licensed Independent Clinical Social Worker specializing in Anxiety and OCD, I help adults find relief from intrusive thoughts and overwhelming worry. Together, we will focus on evidence-based strategies to help you gain control and return to the life you want to live.
Deborah has extensive experience in the areas of anxiety, depression, trauma, grief and loss, and conflict resolution. Deborah worked in a variety of settings including in-patient and in-home hospice, a college counseling center, an independent day school for dual diagnosis behaviorally challenged youth, and the medical hospital setting working with chronic illness, life transitions, end-of-life, and conflict resolution. Deborah’s recent work has been at an inpatient rehabilitation facility for individuals struggling with dual diagnoses of substance use and mental health challenges.
Deborah has extensive experience in the areas of anxiety, depression, trauma, grief and loss, and conflict resolution. Deborah worked in a variety of settings including in-patient and in-home hospice, a college counseling center, an independent day school for dual diagnosis behaviorally challenged youth, and the medical hospital setting working with chronic illness, life transitions, end-of-life, and conflict resolution. Deborah’s recent work has been at an inpatient rehabilitation facility for individuals struggling with dual diagnoses of substance use and mental health challenges.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
I specialize in treating OCD and anxiety disorders using evidence-based approaches like CBT and ERP.
My ideal client struggles with OCD, anxiety, or intrusive thoughts that feel overwhelming and disruptive to daily life. They want tools to break free from the cycle of obsessions and compulsions, and a safe, supportive space to process the fears driving these patterns. Their goals are to reduce symptoms, manage stress more effectively, and reclaim time and energy for the things that matter most. Ultimately, they seek freedom from being controlled by their thoughts so they can live with greater balance, purpose, and joy.
I specialize in treating OCD and anxiety disorders using evidence-based approaches like CBT and ERP.
My ideal client struggles with OCD, anxiety, or intrusive thoughts that feel overwhelming and disruptive to daily life. They want tools to break free from the cycle of obsessions and compulsions, and a safe, supportive space to process the fears driving these patterns. Their goals are to reduce symptoms, manage stress more effectively, and reclaim time and energy for the things that matter most. Ultimately, they seek freedom from being controlled by their thoughts so they can live with greater balance, purpose, and joy.
Welcome! If you're feeling stressed, overwhelmed, or disconnected, or if a recent change or transition has left you feeling stuck, therapy can make a real difference. I provide psychotherapy to adults and couples, bringing compassion, cultural sensitivity, and empathy to every session. Using a range of approaches, including cognitive-behavioral therapy (CBT), I help clients work through anxiety, depression, life transitions, stress, and communication challenges in a way that supports self-exploration, growth, and healing.
Welcome! If you're feeling stressed, overwhelmed, or disconnected, or if a recent change or transition has left you feeling stuck, therapy can make a real difference. I provide psychotherapy to adults and couples, bringing compassion, cultural sensitivity, and empathy to every session. Using a range of approaches, including cognitive-behavioral therapy (CBT), I help clients work through anxiety, depression, life transitions, stress, and communication challenges in a way that supports self-exploration, growth, and healing.
I draw on my experience supporting adults, adolescents, and families to help clients with anxiety, OCD, depression, and related concerns, using approaches such as ACT, ERP, and MBCT to tailor treatment.
At Counseling Associates, I work with a team of experienced clinical professionals with a wide range of specialties and interests. At our offices in New London, Hanover, Claremont, Keene, Concord, and Plymouth, NH, and Hattiesburg, MS, we offer comprehensive, specialized strengths-based services for children, adolescents, adults, couples and families.
I draw on my experience supporting adults, adolescents, and families to help clients with anxiety, OCD, depression, and related concerns, using approaches such as ACT, ERP, and MBCT to tailor treatment.
At Counseling Associates, I work with a team of experienced clinical professionals with a wide range of specialties and interests. At our offices in New London, Hanover, Claremont, Keene, Concord, and Plymouth, NH, and Hattiesburg, MS, we offer comprehensive, specialized strengths-based services for children, adolescents, adults, couples and families.
Dr. Christina Fazio is a clinical psychologist, who has been practicing since 2015. She graduated from Adler University’s Chicago campus with a doctorate degree in clinical psychology and specialized in child and adolescent mental health. Christina’s main focus includes treating anxiety and depression among children, youth, and young adults. She is also passionate about working with individuals with complex family systems and histories of trauma.
Dr. Christina Fazio is a clinical psychologist, who has been practicing since 2015. She graduated from Adler University’s Chicago campus with a doctorate degree in clinical psychology and specialized in child and adolescent mental health. Christina’s main focus includes treating anxiety and depression among children, youth, and young adults. She is also passionate about working with individuals with complex family systems and histories of trauma.
Tara Richard is a Licensed Clinical Mental Health Counselor and the Regional Clinical Director in both New Hampshire and Maine. She graduated from Rivier University with a Masters Degree in Mental Health Counseling. She also attended the University of New Hampshire obtaining a Bachelor of Arts Degree in Psychology. Tara has worked in the mental health field for the last 12 years, treating mainly older teens and adults, with varying mental health diagnoses.
Tara Richard is a Licensed Clinical Mental Health Counselor and the Regional Clinical Director in both New Hampshire and Maine. She graduated from Rivier University with a Masters Degree in Mental Health Counseling. She also attended the University of New Hampshire obtaining a Bachelor of Arts Degree in Psychology. Tara has worked in the mental health field for the last 12 years, treating mainly older teens and adults, with varying mental health diagnoses.
This provider specializes in treating women only. Hi, I’m Barb I am a Licensed Independent Clinical Social Worker in New Hampshire and Massachusetts. I earned a Bachelor of Arts in Psychology from Rivier College and a Master’s in Social Work from Boston University School of Social Work. I have been working in the mental health field for over 25 years. Since graduating from BUSSW in 2000, I have worked in community mental health centers, schools, hospitals, small group practices and in private practice.
This provider specializes in treating women only. Hi, I’m Barb I am a Licensed Independent Clinical Social Worker in New Hampshire and Massachusetts. I earned a Bachelor of Arts in Psychology from Rivier College and a Master’s in Social Work from Boston University School of Social Work. I have been working in the mental health field for over 25 years. Since graduating from BUSSW in 2000, I have worked in community mental health centers, schools, hospitals, small group practices and in private practice.
The needs of my clients are multifaceted. They are those who come to therapy with a range of challenges that are deeply intertwined with their everyday life. They are in search of effective coping mechanisms, improved decision-making skills, and an enhanced sense of mental well-being. Essentially, they are looking to develop a healthier relationship with themselves and with others around them. They are focused on tangible progress. What they want is a transformative experience – learning practical skills for for daily life management and gaining insights for long-term mental health and personal growth.
The needs of my clients are multifaceted. They are those who come to therapy with a range of challenges that are deeply intertwined with their everyday life. They are in search of effective coping mechanisms, improved decision-making skills, and an enhanced sense of mental well-being. Essentially, they are looking to develop a healthier relationship with themselves and with others around them. They are focused on tangible progress. What they want is a transformative experience – learning practical skills for for daily life management and gaining insights for long-term mental health and personal growth.
I believe that human suffering happens when the way we live our lives falls out of alignment with our internal compass. We are inherently driven to self-actualize and become the best version possible of ourselves; however, the reality is that we live in a very complex world that often steers us away from what we value. We often fall into this trap and begin to chase what society deems valuable, while being convinced that it's our true calling. This behavioral pattern is often piloted by our anxieties and relational trauma, which is what I am most fluent in, as a fellow human first, and a therapist second.
I believe that human suffering happens when the way we live our lives falls out of alignment with our internal compass. We are inherently driven to self-actualize and become the best version possible of ourselves; however, the reality is that we live in a very complex world that often steers us away from what we value. We often fall into this trap and begin to chase what society deems valuable, while being convinced that it's our true calling. This behavioral pattern is often piloted by our anxieties and relational trauma, which is what I am most fluent in, as a fellow human first, and a therapist second.
Are you looking to make a change and find more joy in your life? My focus is helping clients find solutions to challenges and to better manage the difficulties life presents. Whether you struggle with depression, anxiety, social skill challenges or interpersonal/family conflicts, I can help you build the skills you need.
Are you looking to make a change and find more joy in your life? My focus is helping clients find solutions to challenges and to better manage the difficulties life presents. Whether you struggle with depression, anxiety, social skill challenges or interpersonal/family conflicts, I can help you build the skills you need.
Echo diSpirito, LCMHC, is a dedicated therapist who offers compassionate, evidence-based care to children, adolescents, and adults throughout New Hampshire. Specializing in treating anxiety, depression, and trauma, Echo helps clients navigate the complexities of their mental health and achieve meaningful growth. With 10 years of experience working in inpatient mental health, addiction services, and family counseling, Echo provides individualized support to clients dealing with a wide range of mental health concerns, using methods tailored to meet each person’s unique needs.
Echo diSpirito, LCMHC, is a dedicated therapist who offers compassionate, evidence-based care to children, adolescents, and adults throughout New Hampshire. Specializing in treating anxiety, depression, and trauma, Echo helps clients navigate the complexities of their mental health and achieve meaningful growth. With 10 years of experience working in inpatient mental health, addiction services, and family counseling, Echo provides individualized support to clients dealing with a wide range of mental health concerns, using methods tailored to meet each person’s unique needs.
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Nearby Exposure Response Prevention (ERP) Therapists Searches for Merrimack
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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.