Expert guidance based on a large body of research recommends Exposure and Response Prevention (ERP) as the gold standard treatment for OCD. ERP is a specific type of Cognitive-Behavioral Therapy (CBT) that includes exposures. Exposure involves gradually facing fears or obsessions, while preventing or resisting compulsions. With practice, anxiety becomes less intense and confidence grows. The cornerstone of ERP is exposure, though ERP for youth includes other important components. First, effective treatment will include age-appropriate information about OCD and the rationale for engaging in exposure. Typically called “psychoeducation,” this component of treatment is critical for empowering youth and parents in both understanding the cycle of OCD and engaging in ERP to disrupt that cycle. An evidence-based approach to treating OCD also includes mapping out a “hierarchy” or “ladder” of OCD symptoms. This hierarchy guides treatment by detailing symptoms in an order that allows treatment to progress gradually, beginning with easier exposure steps and climbing the ladder to more difficult challenges as treatment continues and confidence builds. ERP for youth may also include cognitive strategies similar to other CBT interventions, but specific for OCD. Finally, sometimes supporting parents in reducing any accommodation of OCD is needed. 

At Brave Minds Psychology Center, I specialize in ERP and work closely with individuals and families to create a treatment plan with these components. You can also read more about OCD and ERP in our blog.