Obsessive-Compulsive Disorder centers exposure and response prevention (ERP) with motivational and skills supports that make hard work doable. We translate obsession themes—contamination, harm, checking, symmetry, taboo thoughts—into individualized hierarchies, then coach clients to face cues while dropping rituals and avoidance. If you’re designing tracks for an OCD treatment conference, you’ll find protocols for assessment (Y-BOCS, differential vs. psychosis/OCPD), consent and values-based framing, and how to embed sleep/circadian anchors so learning consolidates. Medications (SSRIs/clomipramine) are aligned with ERP timing and side-effect budgets; augmentation is considered after disciplined trials. Family accommodation is addressed directly—scripts reduce reassurance and checking assistance—so home reinforces progress.

Access and equity drive outcomes. We build briefer, more frequent practices that fit real life; tele and community settings extend reach; interpreters and plain-language materials reduce barriers. Special pathways adapt ERP for perinatal themes, scrupulosity, sexual orientation/gender identity OCD, and co-occurring tics or ASD traits. For eating-disorder rigidity or hoarding, we coordinate with dietetics or housing/safety partners. Dashboards track exposures completed, ritual latency, function (school/work/relationships), sleep, and quality of life—not just severity scores. When progress stalls, we examine hierarchy granularity, sleep timing, values alignment, and medication fit before escalating. Recovery is measured in life reclaimed, not only time saved from rituals.