Exposure and Response Prevention is a first-line therapy for OCD and related conditions, adapted here for contamination, harm, checking, and symmetry presentations across ages. This page turns manuals into stepwise care: collaborative case formulation, fear hierarchies, graded in-vivo/imaginal exposures, and coachable response-prevention strategies that patients can practice between visits. If you’re scanning an OCD therapy conference, you’ll find protocols for family accommodation reduction, digital homework, and integration with SSRIs or clomipramine when needed. We also address co-occurring anxiety or depression and how to sequence ERP with trauma or eating-disorder care.

Success requires precision, consent, and reinforcement. We outline scripts for motivational enhancement, ways to measure distress and mastery, and procedures for high-risk themes without retraumatization. Sleep and rhythm stability support learning; school/work plans protect practice time and reduce setbacks. Equity means language-appropriate materials and low-cost options; tele-ERP expands reach. For spectrum content and body-image overlap, see OCD and Related Disorders.