Exposure Response Prevention (ERP) Therapists in Jamison, PA

Photo of Sarah Jean Brady, Licensed Professional Counselor, LPC
Sarah Jean Brady
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Jamison, PA 18929
For some people, therapy is a scary word. There’s been a lot of stigma around it for a long time. But for others it is relief. It takes courage to begin therapy, whether it’s your first time or you’re returning after several years. Life transitions and events can sometimes lead to overwhelming feelings of stress and you need someone to help you navigate through these difficult times. I want my clients to find relief from what they are experiencing and give them an outlet to express themselves. Therapy is self-care, and I want clients to view it as such instead of something they “have to do”.
For some people, therapy is a scary word. There’s been a lot of stigma around it for a long time. But for others it is relief. It takes courage to begin therapy, whether it’s your first time or you’re returning after several years. Life transitions and events can sometimes lead to overwhelming feelings of stress and you need someone to help you navigate through these difficult times. I want my clients to find relief from what they are experiencing and give them an outlet to express themselves. Therapy is self-care, and I want clients to view it as such instead of something they “have to do”.
(267) 563-8180 View (267) 563-8180
Photo of Heidi Hughes, Licensed Professional Counselor, LPC
Heidi Hughes
Licensed Professional Counselor, LPC
Verified Verified
Jamison, PA 18929
Heidi Hughes, LPC Heidi has lived in Bucks County, Pa the majority of her childhood and adult life; minus a few years in the Pittsburgh, PA area. Her education focused primarily on Psychology (Counseling) , Cultural Anthropology, Marriage & Family Therapy and Music. Now, as a Licensed Professional Counselor (LPC) and Certified Advanced Alcohol and Drug Counselor (CAADC) with Problem Gambling endorsement, she puts her years of professional training to use helping people cope with Co-Occurring issues and Marriage, Couples & Family.
Heidi Hughes, LPC Heidi has lived in Bucks County, Pa the majority of her childhood and adult life; minus a few years in the Pittsburgh, PA area. Her education focused primarily on Psychology (Counseling) , Cultural Anthropology, Marriage & Family Therapy and Music. Now, as a Licensed Professional Counselor (LPC) and Certified Advanced Alcohol and Drug Counselor (CAADC) with Problem Gambling endorsement, she puts her years of professional training to use helping people cope with Co-Occurring issues and Marriage, Couples & Family.
(267) 692-5558 View (267) 692-5558
Photo of Avis Pitkow, Licensed Professional Counselor, LPC
Avis Pitkow
Licensed Professional Counselor, LPC
Verified Verified
Jamison, PA 18929
Dr. Pitkow earned her Master's Degree and her Doctoral Degree in Clinical Psychology from Immaculata University. She has a diverse background having worked with outpatient, inpatient, substance abuse and dual diagnosis populations. In addition to working in the field for close to 20 years, Dr. Pitkow brings essential life experiences to the work. Dr. Pitkow believes that the most important aspect of therapy is the relationship established between the client and the therapist, without which very little is accomplished. To that end she aims to create a safe and warm environment where the relationship can develop.
Dr. Pitkow earned her Master's Degree and her Doctoral Degree in Clinical Psychology from Immaculata University. She has a diverse background having worked with outpatient, inpatient, substance abuse and dual diagnosis populations. In addition to working in the field for close to 20 years, Dr. Pitkow brings essential life experiences to the work. Dr. Pitkow believes that the most important aspect of therapy is the relationship established between the client and the therapist, without which very little is accomplished. To that end she aims to create a safe and warm environment where the relationship can develop.
(215) 593-2583 View (215) 593-2583
Photo of Kimberly Gruber, Licensed Professional Counselor, LPC
Kimberly Gruber
Licensed Professional Counselor, LPC
Verified Verified
Jamison, PA 18929
Kim's therapeutic approach is tailored to the needs of the individual and their family system. She focuses on developing a welcoming and meaningful therapeutic relationship allowing for the creation of a safe space to grow and learn. Kim's approach includes supporting the client by using a strength-based approach, questioning patterns of thoughts that do not serve, and tapping into the client's sense of purpose. Kim has training in trauma informed care, understanding developmental issues, anxiety disorders, identifying strengths in families/couples and the use of solution-focused counseling.
Kim's therapeutic approach is tailored to the needs of the individual and their family system. She focuses on developing a welcoming and meaningful therapeutic relationship allowing for the creation of a safe space to grow and learn. Kim's approach includes supporting the client by using a strength-based approach, questioning patterns of thoughts that do not serve, and tapping into the client's sense of purpose. Kim has training in trauma informed care, understanding developmental issues, anxiety disorders, identifying strengths in families/couples and the use of solution-focused counseling.
(267) 365-3156 View (267) 365-3156
Photo of Sara Cecchini, Licensed Professional Counselor, LPC
Sara Cecchini
Licensed Professional Counselor, LPC
Verified Verified
Jamison, PA 18929
Sara Cecchini is a Licensed Professional Counselor in Pennsylvania who has been practicing since 2012. She has a Master of Arts in Clinical Mental Health Counseling from Immaculata University. Sara utilizes an open-minded, non-judgmental approach to help clients express themselves and determine what interventions will help them feel comfortable and successful. In her free time, Sara enjoys playing with her children and dog and watching all types of sports.
Sara Cecchini is a Licensed Professional Counselor in Pennsylvania who has been practicing since 2012. She has a Master of Arts in Clinical Mental Health Counseling from Immaculata University. Sara utilizes an open-minded, non-judgmental approach to help clients express themselves and determine what interventions will help them feel comfortable and successful. In her free time, Sara enjoys playing with her children and dog and watching all types of sports.
(215) 647-0258 View (215) 647-0258
Photo of Avis Pitkow - LifeStance Health, Licensed Professional Counselor, LPC
LifeStance Health
Licensed Professional Counselor, LPC
Verified Verified
Jamison, PA 18929
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.
(267) 732-1439 View (267) 732-1439

More Therapists Nearby

Photo of Twisa A Desai, Licensed Professional Counselor, MA, LPC, NCC
Twisa A Desai
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Online Only
I primarily work from a cognitive-behavioral therapy (CBT) standpoint, specifically exposure and response prevention ( ERP) and incorporate strategies from acceptance and commitment therapy (ACT) and dialectical behavioral therapy (DBT).
My framework is built on providing a nonjudgmental environment to help people gain mastery and better enjoy their lives. I strive to provide the following: a comprehensive evaluation, a treatment plan that meets your individual goals, and working together to gradually break down difficult tasks/situations into manageable steps.
I primarily work from a cognitive-behavioral therapy (CBT) standpoint, specifically exposure and response prevention ( ERP) and incorporate strategies from acceptance and commitment therapy (ACT) and dialectical behavioral therapy (DBT).
My framework is built on providing a nonjudgmental environment to help people gain mastery and better enjoy their lives. I strive to provide the following: a comprehensive evaluation, a treatment plan that meets your individual goals, and working together to gradually break down difficult tasks/situations into manageable steps.
(267) 573-8238 View (267) 573-8238
Photo of Lexie Kremp, Clinical Social Work/Therapist, MSW, LCSW, LICSW
Lexie Kremp
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
Online Only
Our first step will always be getting to know eachother and building trust, before moving into Psychoeducation and CBT or ERP as needed.
As a trauma-informed, attachment-based therapist, I’m not interested in fixing you. I am interested in simply getting to know you. That’s it. Of course, we will be working together on YOU. But our relationship will be the center of the work. I ask that you show up each session as yourself, as much as you can that day, and we will take it from there. If showing up as yourself sounds scary, I totally understand. I will always work to show up as myself, too. You can expect me to tell you about my cat, or the coffee place I’ve tried recently, or to talk about whatever book I am reading. My goal is for therapy to be a conversation.
Our first step will always be getting to know eachother and building trust, before moving into Psychoeducation and CBT or ERP as needed.
As a trauma-informed, attachment-based therapist, I’m not interested in fixing you. I am interested in simply getting to know you. That’s it. Of course, we will be working together on YOU. But our relationship will be the center of the work. I ask that you show up each session as yourself, as much as you can that day, and we will take it from there. If showing up as yourself sounds scary, I totally understand. I will always work to show up as myself, too. You can expect me to tell you about my cat, or the coffee place I’ve tried recently, or to talk about whatever book I am reading. My goal is for therapy to be a conversation.
(215) 714-4300 View (215) 714-4300
Photo of J V Enderle, Clinical Social Work/Therapist, LCSW, C-DBT, MPA
J V Enderle
Clinical Social Work/Therapist, LCSW, C-DBT, MPA
Verified Verified
2 Endorsed
Philadelphia, PA 19111
I am trained in Exposure and Response Prevention ( ERP) an effective treatment for Obsessive Compulsive Disorder and often work with adults experiencing intrusive unwanted, repetitive thoughts.
Everyone deserves to slow down, connect, and grow. I believe therapy helps us do that. If you are feeling overwhelmed, struggling with anxiety, depression or intense emotions, change is possible. I specialize in working with Anxiety and Mood Disorders, PTSD, and impulse control disorders. My goal is to help you gain insights into patterns and behaviors you want to change, live a life in line with your values, and be present for what matters most.
I am trained in Exposure and Response Prevention ( ERP) an effective treatment for Obsessive Compulsive Disorder and often work with adults experiencing intrusive unwanted, repetitive thoughts.
Everyone deserves to slow down, connect, and grow. I believe therapy helps us do that. If you are feeling overwhelmed, struggling with anxiety, depression or intense emotions, change is possible. I specialize in working with Anxiety and Mood Disorders, PTSD, and impulse control disorders. My goal is to help you gain insights into patterns and behaviors you want to change, live a life in line with your values, and be present for what matters most.
(610) 632-5352 View (610) 632-5352
Photo of Kelly Jude, Clinical Social Work/Therapist, LCSW
Kelly Jude
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I'm an extensively trained clinician about trauma (PE, EMDR, CPT, TfCBT, and DBT), anxiety ( EXRP, CBT, Exposure, Mindfulness), and mood disorders (MI, Strengths, CBT, Schema).
Hi! My name is Kelly Jude and I am a licensed clinical social worker in Pennsylvania, which means I approach therapy from both an individual and contextual lens. Therefore, I approach your concerns from multiple perspectives and focus on the various pieces that make you, you. I help people feel better seen and heard in their lives. I highly individualized care with a focus on rapport and trust. I care deeply for people struggling with hopelessness and shame. I have deep training in depression, anxiety, personality challenges, eating habits, ADHD, and trauma.
I'm an extensively trained clinician about trauma (PE, EMDR, CPT, TfCBT, and DBT), anxiety ( EXRP, CBT, Exposure, Mindfulness), and mood disorders (MI, Strengths, CBT, Schema).
Hi! My name is Kelly Jude and I am a licensed clinical social worker in Pennsylvania, which means I approach therapy from both an individual and contextual lens. Therefore, I approach your concerns from multiple perspectives and focus on the various pieces that make you, you. I help people feel better seen and heard in their lives. I highly individualized care with a focus on rapport and trust. I care deeply for people struggling with hopelessness and shame. I have deep training in depression, anxiety, personality challenges, eating habits, ADHD, and trauma.
(267) 550-5361 View (267) 550-5361
Photo of Jenna Desrosiers, Clinical Social Work/Therapist, LCSW
Jenna Desrosiers
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Perkasie, PA 18944
I focus on one's strengths and offer CBT, DBT, ACT, and ERP techniques to help manage depression and anxiety.
Are you a mom or a future mom who is trying to adjust to pregnancy and life after having a child? Are you neurodivergent and trying to process dealing with a world that feels like it just does not get you? Are you a young adult who is adjusting to life after college? Are you feeling hopeless or worried about the future? So much is unknown and is constantly changing in this world. By working on coping skills and ways to be more self-compassionate, I can help you feel like "you" again.
I focus on one's strengths and offer CBT, DBT, ACT, and ERP techniques to help manage depression and anxiety.
Are you a mom or a future mom who is trying to adjust to pregnancy and life after having a child? Are you neurodivergent and trying to process dealing with a world that feels like it just does not get you? Are you a young adult who is adjusting to life after college? Are you feeling hopeless or worried about the future? So much is unknown and is constantly changing in this world. By working on coping skills and ways to be more self-compassionate, I can help you feel like "you" again.
(919) 585-1069 View (919) 585-1069
Photo of Robin Barnes, Clinical Social Work/Therapist, LCSW
Robin Barnes
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
This includes CBT, ERP, DBT, Strengths-based therapy, supportive therapy, mindfulness, etc.
My name is Robin Barnes, an LCSW working as a counselor in Pennsylvania. I use many therapy styles including bringing art into the sessions to explore thoughts and emotions. I'm passionate in empowering you to make lasting positive change for life! I assist clients in processing trauma and exploring self-esteem, self-worth, and identity. We will work together to address depression and anxiety concerns.
This includes CBT, ERP, DBT, Strengths-based therapy, supportive therapy, mindfulness, etc.
My name is Robin Barnes, an LCSW working as a counselor in Pennsylvania. I use many therapy styles including bringing art into the sessions to explore thoughts and emotions. I'm passionate in empowering you to make lasting positive change for life! I assist clients in processing trauma and exploring self-esteem, self-worth, and identity. We will work together to address depression and anxiety concerns.
(267) 930-1814 View (267) 930-1814
Photo of Claire Picard, Licensed Professional Counselor, MA, LPC, ATR-BC
Claire Picard
Licensed Professional Counselor, MA, LPC, ATR-BC
Verified Verified
1 Endorsed
Online Only
I use the evidence-based practice of Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention ( ERP) to support clients in gaining control over their anxiety.
Living in a constant state of anxiety is exhausting and isolating. Anxiety is an essential part of being human — it can keep us safe, healthy, and motivated. However there are times when our bodies can start to feel anxious, or we can be flooded with anxious thoughts and the worry is no longer helpful to us. Together, we will redefine your relationship with anxiety, making room for more joy and meaningful connections. I specialize in the treatment of anxiety and OCD. My clients can expect to experience some relief from anxiety symptoms within the first month of treatment.
I use the evidence-based practice of Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention ( ERP) to support clients in gaining control over their anxiety.
Living in a constant state of anxiety is exhausting and isolating. Anxiety is an essential part of being human — it can keep us safe, healthy, and motivated. However there are times when our bodies can start to feel anxious, or we can be flooded with anxious thoughts and the worry is no longer helpful to us. Together, we will redefine your relationship with anxiety, making room for more joy and meaningful connections. I specialize in the treatment of anxiety and OCD. My clients can expect to experience some relief from anxiety symptoms within the first month of treatment.
(610) 978-6710 View (610) 978-6710
Photo of Nicole Leigh Wheeler, Licensed Professional Counselor, MA, NCC , LPC
Nicole Leigh Wheeler
Licensed Professional Counselor, MA, NCC , LPC
Verified Verified
1 Endorsed
Online Only
I specialize in Excoriation Disorder, Trichotillomania, and other Body Focused Repetitive Behaviors through CBT, DBT, ACT, ERP, COMB and Habit Reversal.
Today's life struggles are much different than yesterdays. On top of average everyday obstacles of navigating a busy life, raising a family, and making ends meet, were faced with political tensions, health concerns, and morals/values that we've never thought of before. Amongst all these stressors, I relate and empathize with this journey were on together. I enjoy helping today's transition-aged youth (late teen to early adult) learn to slow down in the midst of society's business, learn to enjoy this journey, find meaning in their experiences and find their way through life's difficulties, relationships and career paths.
I specialize in Excoriation Disorder, Trichotillomania, and other Body Focused Repetitive Behaviors through CBT, DBT, ACT, ERP, COMB and Habit Reversal.
Today's life struggles are much different than yesterdays. On top of average everyday obstacles of navigating a busy life, raising a family, and making ends meet, were faced with political tensions, health concerns, and morals/values that we've never thought of before. Amongst all these stressors, I relate and empathize with this journey were on together. I enjoy helping today's transition-aged youth (late teen to early adult) learn to slow down in the midst of society's business, learn to enjoy this journey, find meaning in their experiences and find their way through life's difficulties, relationships and career paths.
(412) 744-2935 View (412) 744-2935
Photo of Moran Gottesman, Psychologist, PsyD
Moran Gottesman
Psychologist, PsyD
Verified Verified
1 Endorsed
Warminster, PA 18974
Exposure and Response Prevention ( ERP) for OCD
If you’ve ever found yourself awake at 3 AM, wondering, “What’s wrong with me?” or “How did I get here?”—you’re not alone. If your mind floods with memories from the day, or even years past, this page is for you. Rather than asking, “What’s wrong with you?” I focus on “What happened to you?” This shift allows us to explore the roots of your experiences and create lasting change. Through a trauma-informed approach, we can uncover the function of dysfunctional behaviors and address the core issues that led to them. Together, we’ll work to heal patterns that no longer serve you and foster healthier relationships and behaviors.
Exposure and Response Prevention ( ERP) for OCD
If you’ve ever found yourself awake at 3 AM, wondering, “What’s wrong with me?” or “How did I get here?”—you’re not alone. If your mind floods with memories from the day, or even years past, this page is for you. Rather than asking, “What’s wrong with you?” I focus on “What happened to you?” This shift allows us to explore the roots of your experiences and create lasting change. Through a trauma-informed approach, we can uncover the function of dysfunctional behaviors and address the core issues that led to them. Together, we’ll work to heal patterns that no longer serve you and foster healthier relationships and behaviors.
(215) 987-4655 View (215) 987-4655
Photo of Jessica Weis, Psychologist, PsyD
Jessica Weis
Psychologist, PsyD
Verified Verified
3 Endorsed
Online Only
I specialize in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Exposure with Response Prevention ( ERP), Habit Reversal Training (HRT), Cognitive Processing Therapy (CPT), and mindfulness-based approaches.
I am a licensed clinical psychologist and work with adolescents and adults who have a variety of presenting problems, including anxiety, depression, and relationship concerns. I believe in the importance of developing a positive therapeutic relationship in order to foster growth and change in my clients.
I specialize in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Exposure with Response Prevention ( ERP), Habit Reversal Training (HRT), Cognitive Processing Therapy (CPT), and mindfulness-based approaches.
I am a licensed clinical psychologist and work with adolescents and adults who have a variety of presenting problems, including anxiety, depression, and relationship concerns. I believe in the importance of developing a positive therapeutic relationship in order to foster growth and change in my clients.
(844) 287-4228 View (844) 287-4228
Photo of Jillian E Cahill, Licensed Professional Counselor, LPC
Jillian E Cahill
Licensed Professional Counselor, LPC
Verified Verified
Newtown, PA 18940
I am trained in Exposure Response Prevention ( ERP).
My goal is to give individuals the tools and support they need for long-term success so they can be happy, take risks and thrive.
I am trained in Exposure Response Prevention ( ERP).
My goal is to give individuals the tools and support they need for long-term success so they can be happy, take risks and thrive.
(267) 641-5883 View (267) 641-5883
Photo of Nicole Garrison, Licensed Professional Counselor, MS, LPC, NCC
Nicole Garrison
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Online Only
I utilize evidenced based treatment known as Exposure Therapy ( ERP) and Prolonged Exposure (PE) to treat these.
Research shows at least 1 in 5 people struggle with an anxiety disorder. Helping someone with anxiety or OCD has become a true passion of mine- or the "bread and butter" of my therapy skillset. I am a state licensed professional counselor drawn towards helping children and adults to be the best version of themselves. I primarily use a short term, problem solving approach also known as cognitive behavioral therapy (CBT), but often use a "neapolitan" combination approach in working with people to tailor to their each individual needs.
I utilize evidenced based treatment known as Exposure Therapy ( ERP) and Prolonged Exposure (PE) to treat these.
Research shows at least 1 in 5 people struggle with an anxiety disorder. Helping someone with anxiety or OCD has become a true passion of mine- or the "bread and butter" of my therapy skillset. I am a state licensed professional counselor drawn towards helping children and adults to be the best version of themselves. I primarily use a short term, problem solving approach also known as cognitive behavioral therapy (CBT), but often use a "neapolitan" combination approach in working with people to tailor to their each individual needs.
(267) 435-3756 View (267) 435-3756
Photo of Brittany Keim, Licensed Professional Counselor, MS, LPC
Brittany Keim
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Chalfont, PA 18914
I am a Licensed Professional Counselor (LPC) who has experience treating a wide range of mental health challenges using evidence-based practices such as Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Exposure with Response Prevention ( ERP).
I work with children, teens, and adults of all ages. I have specialized experience working with those impacted by anxiety and related disorders such as Obsessive Compulsive Disorder (OCD), but I also treat a number of mental health concerns such as depression, ADHD, and behavioral issues.
I am a Licensed Professional Counselor (LPC) who has experience treating a wide range of mental health challenges using evidence-based practices such as Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Exposure with Response Prevention ( ERP).
I work with children, teens, and adults of all ages. I have specialized experience working with those impacted by anxiety and related disorders such as Obsessive Compulsive Disorder (OCD), but I also treat a number of mental health concerns such as depression, ADHD, and behavioral issues.
(267) 662-2359 View (267) 662-2359
Photo of Patricia Gunerman - Licensed Professional Counseling Services, Licensed Professional Counselor, LPC, EdS-MFT, MA, MS, NCC
Licensed Professional Counseling Services
Licensed Professional Counselor, LPC, EdS-MFT, MA, MS, NCC
Verified Verified
Yardley, PA 19067
However, this is used in conjunction with mindfulness, ERP, strength-based therapies for individual therapy.
Reaching out to a professional takes courage. When struggles and unexpected challenges arise, it can lead to symptoms of anxiety, depression, suicidal thoughts, OCD, and many other psychological and emotional symptoms. Sometimes stress leads to compulsive behaviors, including; over indulging in alcohol and substance misuse. We encourage self-exploration into the patterns that keep individuals stuck, and prevent them from moving forward. We help client's capitalize on their strengths to focus on reaching their highest potential.
However, this is used in conjunction with mindfulness, ERP, strength-based therapies for individual therapy.
Reaching out to a professional takes courage. When struggles and unexpected challenges arise, it can lead to symptoms of anxiety, depression, suicidal thoughts, OCD, and many other psychological and emotional symptoms. Sometimes stress leads to compulsive behaviors, including; over indulging in alcohol and substance misuse. We encourage self-exploration into the patterns that keep individuals stuck, and prevent them from moving forward. We help client's capitalize on their strengths to focus on reaching their highest potential.
(267) 833-2425 View (267) 833-2425

See more therapy options for Jamison

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.