Exposure Response Prevention (ERP) Therapists in Piedmont, CA

Photo of Jennifer Shao, LMFT, Marriage & Family Therapist
Jennifer Shao
Marriage & Family Therapist, LMFT
Verified Verified
Piedmont, CA 94611  (Online Only)
My approach to ERP (Exposure & Response Prevention) work is supplemented by ACT, which many clients find to be a much more effective and compassionate approach than just ERP alone.
Thank you for taking another step toward wellness and healing. Therapy is best facilitated by a good fit and a collaborative kind relationship, so I want to tell you in plain language about my approach. I believe in making space for pain and letting in light around shame. I'm invested in nurturing your innate creativity and natural bent towards healing and growth. I believe in weeping with you, while cherishing the moments we can laugh through the pain.
My approach to ERP (Exposure & Response Prevention) work is supplemented by ACT, which many clients find to be a much more effective and compassionate approach than just ERP alone.
Thank you for taking another step toward wellness and healing. Therapy is best facilitated by a good fit and a collaborative kind relationship, so I want to tell you in plain language about my approach. I believe in making space for pain and letting in light around shame. I'm invested in nurturing your innate creativity and natural bent towards healing and growth. I believe in weeping with you, while cherishing the moments we can laugh through the pain.
(650) 719-5214 View (650) 719-5214
Photo of Dr. Alexandra Davidson, PsyD, Psychologist
Dr. Alexandra Davidson
Psychologist, PsyD
Verified Verified
Piedmont, CA 94618  (Online Only)
I am passionate about helping clients understand and rise above that unwanted presence that has likely been a steady companion for some time — anxiety. This anxious part of the brain can have quite a loud voice, triggering uncomfortable symptoms that lead you to avoid what you fear. You can then become stuck in a smaller, less vibrant life, one where you stop pursuing what matters most. Anxiety can show up in the form of worry that is difficult to control, public speaking anxiety, social anxiety, panic attacks, phobias, OCD, health anxiety, and work stress/burnout. I also treat insomnia, which can be a related problem.
I am passionate about helping clients understand and rise above that unwanted presence that has likely been a steady companion for some time — anxiety. This anxious part of the brain can have quite a loud voice, triggering uncomfortable symptoms that lead you to avoid what you fear. You can then become stuck in a smaller, less vibrant life, one where you stop pursuing what matters most. Anxiety can show up in the form of worry that is difficult to control, public speaking anxiety, social anxiety, panic attacks, phobias, OCD, health anxiety, and work stress/burnout. I also treat insomnia, which can be a related problem.
(415) 481-4255 View (415) 481-4255
Photo of Katie Byram, LMFT, LPCC, Marriage & Family Therapist
Katie Byram
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
1 Endorsed
Piedmont, CA 94611  (Online Only)
Watching your teen struggle with anxiety, academic stress, or social pressures is incredibly challenging. The transition to college, with its demands to succeed, make new friends, and adapt to an entirely new environment, can feel overwhelming. If you’re a college student, you might feel more anxious or down than usual, with all the expectations and responsibilities starting to feel impossible to manage. You know something needs to change, and you’re ready to tackle this stage of life with confidence. I support teens and young adults in navigating the challenges of growing up and transitioning to college life.
Watching your teen struggle with anxiety, academic stress, or social pressures is incredibly challenging. The transition to college, with its demands to succeed, make new friends, and adapt to an entirely new environment, can feel overwhelming. If you’re a college student, you might feel more anxious or down than usual, with all the expectations and responsibilities starting to feel impossible to manage. You know something needs to change, and you’re ready to tackle this stage of life with confidence. I support teens and young adults in navigating the challenges of growing up and transitioning to college life.
(925) 438-0360 View (925) 438-0360
Photo of Polina Eidelman, PhD, Psychologist
Polina Eidelman
Psychologist, PhD
Verified Verified
Piedmont, CA 94611
I was trained as a clinical scientist at UC Berkeley and have been dedicated to providing cognitive behavior therapy (CBT) in a compassionate, warm, individualized, flexible, and collaborative manner for over 10 years. Many of my patients are accomplished and highly intelligent people who are objectively doing well in their lives but struggle to feel fulfilled and successful. If this sounds like you, or if you are experiencing feelings of shame, depression, irritability, trouble sleeping, shame, anxiety, difficulties making decisions, a feeling of being overwhelmed and stressed, or trouble managing your emotions, I can help.
I was trained as a clinical scientist at UC Berkeley and have been dedicated to providing cognitive behavior therapy (CBT) in a compassionate, warm, individualized, flexible, and collaborative manner for over 10 years. Many of my patients are accomplished and highly intelligent people who are objectively doing well in their lives but struggle to feel fulfilled and successful. If this sounds like you, or if you are experiencing feelings of shame, depression, irritability, trouble sleeping, shame, anxiety, difficulties making decisions, a feeling of being overwhelmed and stressed, or trouble managing your emotions, I can help.
(619) 771-0464 View (619) 771-0464
Photo of Megan Mathewson, LMFT, Marriage & Family Therapist
Megan Mathewson
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Piedmont, CA 94611  (Online Only)
I believe that people have an innate capacity to heal and make changes in their lives. However, I know the work of personal and relational growth can be tough. I strive to be a supportive guide in helping you create what you want to see in your life. I provide practical skills with mindfulness folded in throughout to help people develop increased self-awareness, be with and modulate unpleasant emotions, and foster nourishing relationships with others.
I believe that people have an innate capacity to heal and make changes in their lives. However, I know the work of personal and relational growth can be tough. I strive to be a supportive guide in helping you create what you want to see in your life. I provide practical skills with mindfulness folded in throughout to help people develop increased self-awareness, be with and modulate unpleasant emotions, and foster nourishing relationships with others.
(510) 491-9414 View (510) 491-9414
Photo of Malin Kimoto, PsyD, Psychologist
Malin Kimoto
Psychologist, PsyD
Verified Verified
Piedmont, CA 94611  (Online Only)
Not accepting new clients
I specialize in working with adults who struggle with anxiety, depression, low self-esteem, relationship issues, trauma, life transitions, and identity development. I help people build a solid foundation of skills to manage their thoughts, feelings, and behaviors, while also providing a safe space to explore and process emotional wounds in order to help them come to terms with suffering and the past. I find that it is important to understand individuals and their struggles by examining the role of family, culture, and systemic oppression like racism, heterosexism, ableism, and sexism.
I specialize in working with adults who struggle with anxiety, depression, low self-esteem, relationship issues, trauma, life transitions, and identity development. I help people build a solid foundation of skills to manage their thoughts, feelings, and behaviors, while also providing a safe space to explore and process emotional wounds in order to help them come to terms with suffering and the past. I find that it is important to understand individuals and their struggles by examining the role of family, culture, and systemic oppression like racism, heterosexism, ableism, and sexism.
(510) 851-8168 View (510) 851-8168
Photo of Bri Byrne, MA, LMFT, Marriage & Family Therapist
Bri Byrne
Marriage & Family Therapist, MA, LMFT
Verified Verified
Piedmont, CA 94618
Not accepting new clients
You've taken a big first step just by making it to this page. Even if you are just scrolling for now, good for you. Some people come to therapy to grow as a person or to build insight. Most people seek out therapy because they are in some pain. Their immediate goal is to make the pain stop as quickly as possible. I am much more interested in getting to know your pain than I am in getting rid of it ASAP. We need to know where the pain stems from, how you hide it and why it scares you. That way we aren't "fixing" your pain in this moment, but we are preparing for the next time life inevitably throws a version of that pain at you.
You've taken a big first step just by making it to this page. Even if you are just scrolling for now, good for you. Some people come to therapy to grow as a person or to build insight. Most people seek out therapy because they are in some pain. Their immediate goal is to make the pain stop as quickly as possible. I am much more interested in getting to know your pain than I am in getting rid of it ASAP. We need to know where the pain stems from, how you hide it and why it scares you. That way we aren't "fixing" your pain in this moment, but we are preparing for the next time life inevitably throws a version of that pain at you.
(925) 300-8659 View (925) 300-8659

More Therapists Nearby

Photo of Cameron Murphey, LMFT, Marriage & Family Therapist
Cameron Murphey
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Oakland, CA 94607
I specialize in Acceptance and Commitment Therapy (ACT) and Exposure and Response Prevention ( ERP).
“The best things in life are on the other side of fear.” You or your teen struggle with anxiety, OCD, or trauma. You spend hours worrying and feeling anxious. You feel tense and you're in a ton of pain. You’ve tried all kinds of ways to get rid of the problem - relaxation, meditation, etc. - and nothing has worked. You’re confused, frustrated, and nearly hopeless. You don’t understand why this is happening, how to make it go away, or even what to do next.
I specialize in Acceptance and Commitment Therapy (ACT) and Exposure and Response Prevention ( ERP).
“The best things in life are on the other side of fear.” You or your teen struggle with anxiety, OCD, or trauma. You spend hours worrying and feeling anxious. You feel tense and you're in a ton of pain. You’ve tried all kinds of ways to get rid of the problem - relaxation, meditation, etc. - and nothing has worked. You’re confused, frustrated, and nearly hopeless. You don’t understand why this is happening, how to make it go away, or even what to do next.
(510) 216-1751 View (510) 216-1751
Photo of Satpal Khalsa - Pali Khalsa, LCSW, LCSW, Clinical Social Work/Therapist
Pali Khalsa, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Oakland, CA 94618
This may look like using ERP and ACT to manage anxiety or OCD, DBT to increase skills for distress or int erpersonal effectiveness, or exploring how attachment injuries are impacting you and your relationships.
At the core of our well-being are the relationships we hold. I specialize in supporting individuals with issues that impact how we relate to others and ourselves including anxiety, perfectionism, people-pleasing, self-judgment, OCD, and various relationship issues. Additionally, I have expertise in helping those who want to take a non-diet approach to recovery from bulimia, binge eating disorders, and compulsive/emotional eating concerns. In general, I work well with individuals who feel stuck and are ready to move in a new direction.
This may look like using ERP and ACT to manage anxiety or OCD, DBT to increase skills for distress or int erpersonal effectiveness, or exploring how attachment injuries are impacting you and your relationships.
At the core of our well-being are the relationships we hold. I specialize in supporting individuals with issues that impact how we relate to others and ourselves including anxiety, perfectionism, people-pleasing, self-judgment, OCD, and various relationship issues. Additionally, I have expertise in helping those who want to take a non-diet approach to recovery from bulimia, binge eating disorders, and compulsive/emotional eating concerns. In general, I work well with individuals who feel stuck and are ready to move in a new direction.
(415) 877-6199 View (415) 877-6199
Photo of Nicolaus Garcia, MSW, LCSW, CYT-200, Clinical Social Work/Therapist
Nicolaus Garcia
Clinical Social Work/Therapist, MSW, LCSW, CYT-200
Verified Verified
Oakland, CA 94609
I incorporate evidence-based interventions, including Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), Mindfulness, Exposure and Response Prevention ( ERP), yoga, and more.
My work focuses on LGBTQ+ and BIPOC issues relating to anxiety and depression, with an emphasis on relationships and sex. Common topics include relationship anxiety and ambivalence, Obsessive-Compulsive Disorder (OCD), hook-up culture, non-monogamy, kink, infidelity, and problematic sex and porn use. I am a professional member of the American Association of Sexuality Educators, Counselors and Therapists (AASECT) as well as the International OCD Foundation (IOCDF).
I incorporate evidence-based interventions, including Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), Mindfulness, Exposure and Response Prevention ( ERP), yoga, and more.
My work focuses on LGBTQ+ and BIPOC issues relating to anxiety and depression, with an emphasis on relationships and sex. Common topics include relationship anxiety and ambivalence, Obsessive-Compulsive Disorder (OCD), hook-up culture, non-monogamy, kink, infidelity, and problematic sex and porn use. I am a professional member of the American Association of Sexuality Educators, Counselors and Therapists (AASECT) as well as the International OCD Foundation (IOCDF).
(805) 322-7597 View (805) 322-7597
Photo of Erik Bromberg, LCSW, Clinical Social Work/Therapist
Erik Bromberg
Clinical Social Work/Therapist, LCSW
Verified Verified
Oakland, CA 94609  (Online Only)
I use evidence based practices in my work including Cognitive Behavioral Therapy (CBT), Comprehensive Behavioral Interventions for Tics (CBIT), Acceptance and Commitment Therapy (ACT), and Exposure and Response Prevention ( ERP) for OCD.
I provide services for children, adolescents and adults who are experiencing challenges with anxiety and depression. I specialize in working with youth and their families who experience Tourette Syndrome, Selective Mutism, Obsessive Compulsive Disorder (OCD) and Generalized Anxiety Disorder (GAD). I utilize a strengths-based and whole person approach to help young people find their inner strength and bravery to face even the hardest situations. If you or your child are feeling anxious, overwhelmed or are struggling to find a place in the world I would like to collaborate with you to live a life that feels bright and vibrant.
I use evidence based practices in my work including Cognitive Behavioral Therapy (CBT), Comprehensive Behavioral Interventions for Tics (CBIT), Acceptance and Commitment Therapy (ACT), and Exposure and Response Prevention ( ERP) for OCD.
I provide services for children, adolescents and adults who are experiencing challenges with anxiety and depression. I specialize in working with youth and their families who experience Tourette Syndrome, Selective Mutism, Obsessive Compulsive Disorder (OCD) and Generalized Anxiety Disorder (GAD). I utilize a strengths-based and whole person approach to help young people find their inner strength and bravery to face even the hardest situations. If you or your child are feeling anxious, overwhelmed or are struggling to find a place in the world I would like to collaborate with you to live a life that feels bright and vibrant.
(510) 216-1992 View (510) 216-1992
Photo of Matthew R. Hicks, LCSW, Clinical Social Work/Therapist
Matthew R. Hicks
Clinical Social Work/Therapist, LCSW
Verified Verified
Oakland, CA 94618
If you are feeling overwhelmed by life’s demands, my aim is to introduce clarity, authenticity, and self-motivation. As a Licensed Clinical Social Worker (LCSW), I’ve been successfully treating adults, families, and youth for over 20 years facilitating their self-growth. I teach techniques to better manage the emotional stress of everyday life. I have also focused on extensive training in treating past and recent trauma, EMDR, OCD(utilizing ERP), anxiety/depression, play therapy, parenting, addiction, and working with family systems.
If you are feeling overwhelmed by life’s demands, my aim is to introduce clarity, authenticity, and self-motivation. As a Licensed Clinical Social Worker (LCSW), I’ve been successfully treating adults, families, and youth for over 20 years facilitating their self-growth. I teach techniques to better manage the emotional stress of everyday life. I have also focused on extensive training in treating past and recent trauma, EMDR, OCD(utilizing ERP), anxiety/depression, play therapy, parenting, addiction, and working with family systems.
(510) 683-5273 View (510) 683-5273
Photo of Andrea Weicker, LMFT, Marriage & Family Therapist
Andrea Weicker
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Oakland, CA 94611
Therapy should be focused on you and your needs. Are you feeling overwhelmed and unsure about what to do about your teen's anxiety? Do you worry a lot, often leaving you anxious, exhausted and overwhelmed? Has parenting become a constant battle, leaving you feeling drained and exhausted? I can help. I have extensive experience working with teens and parents who have experienced trauma, who have suicidal thoughts, self-harming behaviors, school refusal, anxiety, OCD, social withdraw, bullying, low self-esteem, and depression. I specialize in Cognitive Behavior Therapy (CBT) and Exposure Response Prevention (ERP).
Therapy should be focused on you and your needs. Are you feeling overwhelmed and unsure about what to do about your teen's anxiety? Do you worry a lot, often leaving you anxious, exhausted and overwhelmed? Has parenting become a constant battle, leaving you feeling drained and exhausted? I can help. I have extensive experience working with teens and parents who have experienced trauma, who have suicidal thoughts, self-harming behaviors, school refusal, anxiety, OCD, social withdraw, bullying, low self-esteem, and depression. I specialize in Cognitive Behavior Therapy (CBT) and Exposure Response Prevention (ERP).
(510) 694-1783 View (510) 694-1783
Photo of Daphne Ng, LMFT, Marriage & Family Therapist
Daphne Ng
Marriage & Family Therapist, LMFT
Verified Verified
Oakland, CA 94618
I've received specialized training for treating anxiety and OCD with ERP and ACT models.
Sometimes, we get stuck in patterns that might have been helpful at some point in our lives but are not so helpful to us now. These patterns show up in the ways we respond in our relationships, in work/school, to challenges, and to ourselves. We’ll approach therapy as collaborators to build up your skills and strengths to get you unstuck. In our work together, we'll gently explore the past, so we can create an action plan for a different future. We'll recontextualize what no longer serves you and make space for your curious, creative self to emerge.
I've received specialized training for treating anxiety and OCD with ERP and ACT models.
Sometimes, we get stuck in patterns that might have been helpful at some point in our lives but are not so helpful to us now. These patterns show up in the ways we respond in our relationships, in work/school, to challenges, and to ourselves. We’ll approach therapy as collaborators to build up your skills and strengths to get you unstuck. In our work together, we'll gently explore the past, so we can create an action plan for a different future. We'll recontextualize what no longer serves you and make space for your curious, creative self to emerge.
(415) 917-2947 View (415) 917-2947
Photo of Dr. Lucina Miranda- Young Adult Specialist, PsyD, Psychologist
Dr. Lucina Miranda- Young Adult Specialist
Psychologist, PsyD
Verified Verified
Oakland, CA 94611  (Online Only)
I specialize in a various therapy practices with a collaborative approach for young adults and adolescents (aged 16 - 30) who want to understand and change feelings of anxiety, depression, self criticism, and relationship difficulties. My aim is to listen to your concerns and support you as a whole and authentic person.
I specialize in a various therapy practices with a collaborative approach for young adults and adolescents (aged 16 - 30) who want to understand and change feelings of anxiety, depression, self criticism, and relationship difficulties. My aim is to listen to your concerns and support you as a whole and authentic person.
(510) 350-3236 View (510) 350-3236
Photo of Leanne Jones, AMFT, Marriage & Family Therapist Associate
Leanne Jones
Marriage & Family Therapist Associate, AMFT
Verified Verified
Oakland, CA 94606  (Online Only)
My style works best with individuals or couples that are interested in a solution focused approach. I enjoy working with individual clients that are working through anxiety, mood, or relationship issues. When working with couples I focus on making practical communication changes that increase closeness and intimacy. I also specialize in working with the LGBTQ community.
My style works best with individuals or couples that are interested in a solution focused approach. I enjoy working with individual clients that are working through anxiety, mood, or relationship issues. When working with couples I focus on making practical communication changes that increase closeness and intimacy. I also specialize in working with the LGBTQ community.
(628) 345-5172 View (628) 345-5172
Photo of Sara Rabinovitch, PhD, Psychologist
Sara Rabinovitch
Psychologist, PhD
Verified Verified
Oakland, CA 94612  (Online Only)
Welcome! It is so nice to meet you. I work best with clients who are motivated to change and looking for a short-term and skills-based approach. You can expect sharp clinical precision, collaboration, deep human kindness, realness, and radical open-mindedness. I am a licensed clinical psychologist and professor at USC Keck School of Medicine. I am also a certified Mindfulness-based Stress Reduction (MBSR) teacher with 15+ years of formal mindfulness training. I specialize in research-supported Cognitive Behavioral and Mindfulness-Based therapies.
Welcome! It is so nice to meet you. I work best with clients who are motivated to change and looking for a short-term and skills-based approach. You can expect sharp clinical precision, collaboration, deep human kindness, realness, and radical open-mindedness. I am a licensed clinical psychologist and professor at USC Keck School of Medicine. I am also a certified Mindfulness-based Stress Reduction (MBSR) teacher with 15+ years of formal mindfulness training. I specialize in research-supported Cognitive Behavioral and Mindfulness-Based therapies.
(510) 619-2297 View (510) 619-2297
Photo of Hillary Harper, LMFT, Marriage & Family Therapist
Hillary Harper
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Oakland, CA 94611  (Online Only)
I have been practicing as a therapist since 2015 and have worked in clinical settings, non-profit, and in a private practice. Each person generates their own understanding of life. My goal is to help each individual create their own meaning of life and gain a better understanding of the challenges that they may face. From a small child to a grown adult, there is the capacity for change within each one of use. Regardless of age, I look at each client as an individual and treat each person for who they are and the struggles that they may be facing. I offer a supportive. healing environment that is catered around each person's needs.
I have been practicing as a therapist since 2015 and have worked in clinical settings, non-profit, and in a private practice. Each person generates their own understanding of life. My goal is to help each individual create their own meaning of life and gain a better understanding of the challenges that they may face. From a small child to a grown adult, there is the capacity for change within each one of use. Regardless of age, I look at each client as an individual and treat each person for who they are and the struggles that they may be facing. I offer a supportive. healing environment that is catered around each person's needs.
(510) 319-2360 View (510) 319-2360
Photo of Nisi Baier, MA, LCMFT, LMFT, Marriage & Family Therapist
Nisi Baier
Marriage & Family Therapist, MA, LCMFT, LMFT
Verified Verified
Emeryville, CA 94608
I am a modern, relevant therapist. I understand that self-care, a fad diet, a worksheet, or deep breathing is not going to fix a culture that is making us feel burned out and inadequate. I believe that you are the expert on your life and you’re probably doing a great job with what you’ve got to work with. Let’s build on the things that are realistic and relevant to you and see if there’s unnecessary stuff that’s holding you back. I have a casual, conversational style and a pragmatic way of working that includes a whole grab bag of ideas and approaches I've picked up over the past decade in community and private practice settings.
I am a modern, relevant therapist. I understand that self-care, a fad diet, a worksheet, or deep breathing is not going to fix a culture that is making us feel burned out and inadequate. I believe that you are the expert on your life and you’re probably doing a great job with what you’ve got to work with. Let’s build on the things that are realistic and relevant to you and see if there’s unnecessary stuff that’s holding you back. I have a casual, conversational style and a pragmatic way of working that includes a whole grab bag of ideas and approaches I've picked up over the past decade in community and private practice settings.
(240) 307-5797 View (240) 307-5797
Photo of Janelle De Veyra, LMFT, Marriage & Family Therapist
Janelle De Veyra
Marriage & Family Therapist, LMFT
Verified Verified
Oakland, CA 94609
Do you struggle with depression, anxiety, and trauma? Do you experience difficulties managing family and relationship issues? I believe that healing happens when we pay attention to all the parts that make us whole—our mind, body, and soul. The subconscious mind controls most of our reality and choices, so building awareness and active presence can improve the quality of daily living and assist in not only surviving but thriving through life. As an intuitive & holistic therapist, I will assist you in strengthening your inner psyche and developing new tools to manage negative feelings and thoughts.
Do you struggle with depression, anxiety, and trauma? Do you experience difficulties managing family and relationship issues? I believe that healing happens when we pay attention to all the parts that make us whole—our mind, body, and soul. The subconscious mind controls most of our reality and choices, so building awareness and active presence can improve the quality of daily living and assist in not only surviving but thriving through life. As an intuitive & holistic therapist, I will assist you in strengthening your inner psyche and developing new tools to manage negative feelings and thoughts.
(415) 212-4950 View (415) 212-4950

See more therapy options for Piedmont

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.