Two of the primary modalities we use – Exposure and Response Prevention (ERP) and Acceptance and Commitment Therapy (ACT) – work together in powerful, complementary ways to support individuals struggling with OCD and anxiety.
ERP, considered the first-line psychological treatment for OCD, is a specific form of Cognitive-Behavioral Therapy (CBT). The “exposure” part means intentionally facing the thoughts, images, situations, or things that trigger obsessions. The “response prevention” part means resisting the compulsive behaviors or rituals that normally follow. Over time, this helps clients learn that anxiety can rise and fall on its own, without relying on compulsions, and that they are capable of navigating discomfort with confidence.
ACT, also a form of CBT, differs in its focus. Rather than aiming to reduce or eliminate unwanted thoughts, feelings, or physical sensations, ACT emphasizes changing our relationship with these internal experiences. Through mindfulness, acceptance strategies, and values-based action, clients learn to make room for difficult thoughts and feelings while moving toward the meaningful lives they want to build.
When used together, ERP and ACT create a uniquely effective treatment approach.
ACT helps clients build the willingness and psychological flexibility needed to engage fully in ERP, even when exposures feel challenging.
ERP gives clients structured, evidence-based practices that reinforce ACT principles, showing them through experience that they can face discomfort without needing to control or avoid it.
Both emphasize acting in service of your values, even when anxiety shows up.
This integrated approach not only helps reduce symptoms – it strengthens resilience, empowers clients to make choices aligned with what matters most to them, and supports long-term recovery and wellbeing.
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