Exposure Response Prevention (ERP) Therapists in Saint Paul, MN

Photo of Jayme Kolbo, MA, LPCC, Counselor
Jayme Kolbo
Counselor, MA, LPCC
Verified Verified
5 Endorsed
Saint Paul, MN 55102  (Online Only)
I also utilize Cognitive Behavior Therapy (CBT), Exposure and Response Prevention ( ERP), Dialectical Behavior Therapy (DBT), self-compassion, and mindfulness to help you reach your goals.
I specialize in treating individuals with OCD, generalized anxiety, specific phobias, hoarding disorder, body-focused repetitive behaviors, and related anxiety disorders. If you are struggling with excessive fear, obsessive and/or intrusive thoughts, compulsive or ritualistic behaviors, chronic feelings of doubt, difficulty tolerating uncertainty, hopelessness, clutter, disorganization, shame, and/or patterns of avoidance that are impacting your life, you are not alone. There is hope and evidence-based therapy available.
I also utilize Cognitive Behavior Therapy (CBT), Exposure and Response Prevention ( ERP), Dialectical Behavior Therapy (DBT), self-compassion, and mindfulness to help you reach your goals.
I specialize in treating individuals with OCD, generalized anxiety, specific phobias, hoarding disorder, body-focused repetitive behaviors, and related anxiety disorders. If you are struggling with excessive fear, obsessive and/or intrusive thoughts, compulsive or ritualistic behaviors, chronic feelings of doubt, difficulty tolerating uncertainty, hopelessness, clutter, disorganization, shame, and/or patterns of avoidance that are impacting your life, you are not alone. There is hope and evidence-based therapy available.
(612) 234-2205 View (612) 234-2205
Photo of Alley Maki, MA, Pre-Licensed Professional
Alley Maki
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Saint Paul, MN 55114
I draw from Narrative Therapy, Affirmative Therapy, Existential Psychology, Liberation Psychology, Cognitive Behavioral Therapy (CBT), Exposure Therapy ( ERP), and Cognitive Processing Therapy (CPT).
I enjoy working with individuals and couples (18+) from all backgrounds, and have a particular investment in supporting folks with marginalized identities and backgrounds. I have distinct competence working with relational problems, anxiety, obsessive compulsive presentations, trauma recovery, sexual health concerns, eating disorders, life transitions, identity development, and the LGBTQIA+ community.
I draw from Narrative Therapy, Affirmative Therapy, Existential Psychology, Liberation Psychology, Cognitive Behavioral Therapy (CBT), Exposure Therapy ( ERP), and Cognitive Processing Therapy (CPT).
I enjoy working with individuals and couples (18+) from all backgrounds, and have a particular investment in supporting folks with marginalized identities and backgrounds. I have distinct competence working with relational problems, anxiety, obsessive compulsive presentations, trauma recovery, sexual health concerns, eating disorders, life transitions, identity development, and the LGBTQIA+ community.
(651) 615-7567 View (651) 615-7567
Photo of Damaris Axelson, MPS, LPCC, LADC, Counselor
Damaris Axelson
Counselor, MPS, LPCC, LADC
Verified Verified
2 Endorsed
Saint Paul, MN 55105
Waitlist for new clients
I specialize in working on various types of anxiety, obsessive compulsive and trauma, and I am trained in both ERP for OCD and EMDR for PTSD.
With 10+ years of experience in behavioral health, I provide a safe and supportive space for you to explore your thoughts, feelings, and goals. I am a LGBTQIA-affirming therapist, I'm dedicated to providing a safe and inclusive space for individuals of all sexual orientations and gender identities.
I specialize in working on various types of anxiety, obsessive compulsive and trauma, and I am trained in both ERP for OCD and EMDR for PTSD.
With 10+ years of experience in behavioral health, I provide a safe and supportive space for you to explore your thoughts, feelings, and goals. I am a LGBTQIA-affirming therapist, I'm dedicated to providing a safe and inclusive space for individuals of all sexual orientations and gender identities.
(952) 260-1307 View (952) 260-1307
Photo of Ben Dieffenbach, MSW, LICSW, Clinical Social Work/Therapist
Ben Dieffenbach
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Saint Paul, MN 55110  (Online Only)
I've also been trained in Exposure and Response Prevention ( ERP), the most effective therapy for treating OCD.
When was the last time you had a good laugh? Or felt like your brain was calm? Or felt really confident that you were running your own life; not your anxiety, or obsessive thoughts, or big emotions. If it feels like it's been a while since you could actually enjoy life, then maybe it's a good thing you're here. Therapy can seem like a really serious thing to jump into. It is! It doesn't need to feel that way though. It's possible to do hard things, face the fears and anxieties that keep you stuck, and grow into the person you want to be. You can do all of that, and it can even be fun. Enjoyable. Something you look forward to.
I've also been trained in Exposure and Response Prevention ( ERP), the most effective therapy for treating OCD.
When was the last time you had a good laugh? Or felt like your brain was calm? Or felt really confident that you were running your own life; not your anxiety, or obsessive thoughts, or big emotions. If it feels like it's been a while since you could actually enjoy life, then maybe it's a good thing you're here. Therapy can seem like a really serious thing to jump into. It is! It doesn't need to feel that way though. It's possible to do hard things, face the fears and anxieties that keep you stuck, and grow into the person you want to be. You can do all of that, and it can even be fun. Enjoyable. Something you look forward to.
(651) 538-2567 View (651) 538-2567
Photo of William Schultz, MA, LPCC, Licensed Professional Counselor
William Schultz
Licensed Professional Counselor, MA, LPCC
Verified Verified
Saint Paul, MN 55101
Waitlist for new clients
They frequently request Exposure and Response Prevention ( ERP) treatment.
Wondering if you have OCD? Looking for OCD treatment (such as ERP)? Signs of OCD include anxiously asking "What if..." questions like: What if I contact a germ in the environment? What if I left the stove on? What if I hit someone with my car? What if I uncontrollably do something terrible? What if something bad happens to my baby? What if I can't trust my memory? If these questions are frequently on your mind (especially if you're often anxious, repetitively check, seek reassurance, or avoid situations most others don't), you could be experiencing symptoms of OCD, a form of anxiety which can take over your life.
They frequently request Exposure and Response Prevention ( ERP) treatment.
Wondering if you have OCD? Looking for OCD treatment (such as ERP)? Signs of OCD include anxiously asking "What if..." questions like: What if I contact a germ in the environment? What if I left the stove on? What if I hit someone with my car? What if I uncontrollably do something terrible? What if something bad happens to my baby? What if I can't trust my memory? If these questions are frequently on your mind (especially if you're often anxious, repetitively check, seek reassurance, or avoid situations most others don't), you could be experiencing symptoms of OCD, a form of anxiety which can take over your life.
(651) 927-7939 View (651) 927-7939
Photo of Erin Venker - OCD and Anxiety Center of Minnesota, MA , LPCC
OCD and Anxiety Center of Minnesota
MA , LPCC
Verified Verified
Saint Paul, MN 55102
Welcome to OCD and Anxiety Treatment Center of Minnesota, where we provide top-quality, evidence-based care for individuals struggling with OCD and anxiety disorders. Our center is dedicated to helping our clients achieve lasting relief and regain control over their lives. At our center, we offer a comprehensive range of specialized treatments, including cognitive behavioral therapy (CBT), exposure and response prevention ( ERP), acceptance and commitment therapy (ACT), inference-based CBT (I-CBT), mindfulness techniques, and other proven therapeutic modalities.
Welcome to OCD and Anxiety Treatment Center of Minnesota, where we provide top-quality, evidence-based care for individuals struggling with OCD and anxiety disorders. Our center is dedicated to helping our clients achieve lasting relief and regain control over their lives. At our center, we offer a comprehensive range of specialized treatments, including cognitive behavioral therapy (CBT), exposure and response prevention ( ERP), acceptance and commitment therapy (ACT), inference-based CBT (I-CBT), mindfulness techniques, and other proven therapeutic modalities.
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Photo of Rebecca A Murphy, PsyD, LP, Psychologist
Rebecca A Murphy
Psychologist, PsyD, LP
Verified Verified
1 Endorsed
Saint Paul, MN 55105
We specialize in Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention ( ERP), Comprehensive Behavioral Intervention for Tics (CBIT), Cognitive Behavioral Therapy for Psychosis (CBTp), Eye movement desensitization and reprocessing (EMDR), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), and mindfulness-based treatment.
MPS is an outpatient psychotherapy clinic with 2 locations in Minnesota - Woodbury and Oakdale. We offer individual mental health therapy for children, teens and adults. We commonly treat the following concerns: Mood Disorders (Depression, Bipolar Disorder), Anxiety Disorders (Generalized, Separation, Social, Phobias, Panic), Obsessive-Compulsive Disorder (OCD), Tourettes/Motor Tic Disorder, Life and/or Family Changes, Grief and Loss, Psychosis, Trauma, and Attention & Focus Concerns (ADHD).
We specialize in Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention ( ERP), Comprehensive Behavioral Intervention for Tics (CBIT), Cognitive Behavioral Therapy for Psychosis (CBTp), Eye movement desensitization and reprocessing (EMDR), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), and mindfulness-based treatment.
MPS is an outpatient psychotherapy clinic with 2 locations in Minnesota - Woodbury and Oakdale. We offer individual mental health therapy for children, teens and adults. We commonly treat the following concerns: Mood Disorders (Depression, Bipolar Disorder), Anxiety Disorders (Generalized, Separation, Social, Phobias, Panic), Obsessive-Compulsive Disorder (OCD), Tourettes/Motor Tic Disorder, Life and/or Family Changes, Grief and Loss, Psychosis, Trauma, and Attention & Focus Concerns (ADHD).
(612) 324-8084 View (612) 324-8084
Photo of Sarah Cheney, LICSW, Clinical Social Work/Therapist
Sarah Cheney
Clinical Social Work/Therapist, LICSW
Verified Verified
Saint Paul, MN 55101  (Online Only)
I have 12 years of training and experience in Acceptance and Commitment Therapy (ACT) and advanced training in Exposure and Response Prevention ( ERP) for OCD.
We all want a life of peace and ease; however, life includes challenges and struggles with painful experiences. Fortunately, modern, science-based mental health interventions help people reduce suffering and live life with more meaning and engagement with the world. I can help you identify personal values, develop unique strengths, build coping skills, and experiment with behavior changes. Our work together will help connect you with who and what you most care about and help you build a fulfilling and active life.
I have 12 years of training and experience in Acceptance and Commitment Therapy (ACT) and advanced training in Exposure and Response Prevention ( ERP) for OCD.
We all want a life of peace and ease; however, life includes challenges and struggles with painful experiences. Fortunately, modern, science-based mental health interventions help people reduce suffering and live life with more meaning and engagement with the world. I can help you identify personal values, develop unique strengths, build coping skills, and experiment with behavior changes. Our work together will help connect you with who and what you most care about and help you build a fulfilling and active life.
(218) 427-4393 View (218) 427-4393
Photo of Elise Keller, MA, LPCC, Counselor
Elise Keller
Counselor, MA, LPCC
Verified Verified
Saint Paul, MN 55118
I have training in Exposure-Response Prevention ( ERP) for OCD and Family Based Treatment (FBT) for eating disorders.
I believe in a relational approach to empower an individual to take back their life. I am here to walk WITH you in your journey. I believe that a whole-person approach, encompassing the mind, body and spirit will create an experience for individuals to grow and find their inner-self. I love helping people achieve what they didn't believe was possible within themselves. I strive to create a relaxed, open and light-hearted environment while working through life's obstacles. I am a Christian based counselor that is passionate about incorporating faith in sessions upon request.
I have training in Exposure-Response Prevention ( ERP) for OCD and Family Based Treatment (FBT) for eating disorders.
I believe in a relational approach to empower an individual to take back their life. I am here to walk WITH you in your journey. I believe that a whole-person approach, encompassing the mind, body and spirit will create an experience for individuals to grow and find their inner-self. I love helping people achieve what they didn't believe was possible within themselves. I strive to create a relaxed, open and light-hearted environment while working through life's obstacles. I am a Christian based counselor that is passionate about incorporating faith in sessions upon request.
(952) 592-1091 View (952) 592-1091
Photo of Michael Greenberg - OCD Associates, PhD, Psychologist
OCD Associates
Psychologist, PhD
Verified Verified
Saint Paul, MN 55101  (Online Only)
We therefore integrate psychodynamic work within and alongside ERP, to foster deeper and more lasting change than ERP alone can offer.
We specialize in Rumination-Focused ERP for OCD and anxiety disorders. This approach focuses on treating compulsive rumination, and provides a highly systematic yet gentler approach to exposure therapy. RF- ERP can be helpful to patients who have not made significant progress in other types of treatment, including individuals with Pure O or Sensorimotor OCD.
We therefore integrate psychodynamic work within and alongside ERP, to foster deeper and more lasting change than ERP alone can offer.
We specialize in Rumination-Focused ERP for OCD and anxiety disorders. This approach focuses on treating compulsive rumination, and provides a highly systematic yet gentler approach to exposure therapy. RF- ERP can be helpful to patients who have not made significant progress in other types of treatment, including individuals with Pure O or Sensorimotor OCD.
(646) 437-8902 View (646) 437-8902
Photo of Colleen (Kelley) Garry Marschall, MA, LPCC, Counselor
Colleen (Kelley) Garry Marschall
Counselor, MA, LPCC
Verified Verified
Saint Paul, MN 55114
Waitlist for new clients
Worried? Anxious? Maybe I can help. My speciality is helping people get to know and understand themselves in a way that helps manage anxiety, uncertainty, avoidance, and the pursuit of perfection. I work from a person-centered cognitive behavioral perspective, meaning we work together to change anxious thoughts and the behavior those thoughts can trigger.
Worried? Anxious? Maybe I can help. My speciality is helping people get to know and understand themselves in a way that helps manage anxiety, uncertainty, avoidance, and the pursuit of perfection. I work from a person-centered cognitive behavioral perspective, meaning we work together to change anxious thoughts and the behavior those thoughts can trigger.
(612) 294-8366 View (612) 294-8366
Photo of Vaughn A Paradise-Foster, MS, LPC, Licensed Professional Counselor
Vaughn A Paradise-Foster
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Saint Paul, MN 55116
Navigating the human experience is complex, to say the least. My goal as a therapist is to create a safe, productive space to explore these complexities. I specialize in working with creative individuals and artists, as well as BIPOC and Queer identified clients. All are accepted for who you are today as we work towards the person you want to be tomorrow.
Navigating the human experience is complex, to say the least. My goal as a therapist is to create a safe, productive space to explore these complexities. I specialize in working with creative individuals and artists, as well as BIPOC and Queer identified clients. All are accepted for who you are today as we work towards the person you want to be tomorrow.
(651) 243-9422 View (651) 243-9422
Photo of Anna Savelsberg, MA, LMFT, Marriage & Family Therapist
Anna Savelsberg
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Saint Paul, MN 55105  (Online Only)
Are you tired of feeling lost, stuck and overwhelmed? If you're ready to invest in yourself and make the courageous choice to reach out for support, you’ve come to the right place. As a systemic therapist, I will guide you in discovering your strengths and help you find meaning and joy in your life. We will work together to tackle the issues that are getting in the way of you living the life you want. I believe your problems don't exist in isolation, and I am experienced in zooming out and seeing the context. So if you are ready to take a look at the big picture and make some lasting changes, I’m your person! Let’s get started!
Are you tired of feeling lost, stuck and overwhelmed? If you're ready to invest in yourself and make the courageous choice to reach out for support, you’ve come to the right place. As a systemic therapist, I will guide you in discovering your strengths and help you find meaning and joy in your life. We will work together to tackle the issues that are getting in the way of you living the life you want. I believe your problems don't exist in isolation, and I am experienced in zooming out and seeing the context. So if you are ready to take a look at the big picture and make some lasting changes, I’m your person! Let’s get started!
(651) 372-1593 View (651) 372-1593
Photo of Greg Marsh, LPCC, Licensed Professional Counselor
Greg Marsh
Licensed Professional Counselor, LPCC
Verified Verified
2 Endorsed
Saint Paul, MN 55114
Greg frequently works with anxiety, depression, relationship challenges, family of origin issues, identity and self-esteem, phobias, chronic pain/illness, and trauma. Greg grounds his work in relationship and holds space for clients as they find insight and healing through an exploration of their inner world. He welcomes the messiness that may come with this exploration, serving as a container or guide. No one needs to face that alone. Greg enjoys working with clients who have intersecting identities, and he strives to be anti-racist, LGBTQ+ affirming, and non-ableist.
Greg frequently works with anxiety, depression, relationship challenges, family of origin issues, identity and self-esteem, phobias, chronic pain/illness, and trauma. Greg grounds his work in relationship and holds space for clients as they find insight and healing through an exploration of their inner world. He welcomes the messiness that may come with this exploration, serving as a container or guide. No one needs to face that alone. Greg enjoys working with clients who have intersecting identities, and he strives to be anti-racist, LGBTQ+ affirming, and non-ableist.
(651) 384-3162 View (651) 384-3162
Photo of Sonja Kromroy - Root & Rise Psychotherapy
Root & Rise Psychotherapy
Licensed Professional Clinical Counselor
Verified Verified
Saint Paul, MN 55105
On the journey to finding our authentic selves, we must learn to ground and connect before we can grown and flourish. This is exactly what Root & Rise Psychotherapy wishes to do. Let us help you on your own journey of running into yourself, making choices that honor your values, and moving forward in life with conscious awareness and confidence.
On the journey to finding our authentic selves, we must learn to ground and connect before we can grown and flourish. This is exactly what Root & Rise Psychotherapy wishes to do. Let us help you on your own journey of running into yourself, making choices that honor your values, and moving forward in life with conscious awareness and confidence.
(651) 299-6582 View (651) 299-6582
Declan Amadi
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Paul, MN 55106  (Online Only)
My name is Declan, I am a licensed clinical social worker, mental health counselor and psychotherapist. I am licensed in Nevada, Minnesota, Manitoba and Ontario, with 11 years of professional work history. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
My name is Declan, I am a licensed clinical social worker, mental health counselor and psychotherapist. I am licensed in Nevada, Minnesota, Manitoba and Ontario, with 11 years of professional work history. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
(323) 643-8569 View (323) 643-8569
Photo of Tesni Sunne, MA, Pre-Licensed Professional
Tesni Sunne
Pre-Licensed Professional, MA
Verified Verified
Saint Paul, MN 55117
I derive joy and meaning from helping people access their brilliant capacities for healing. My specialties are couples therapy, anxiety/OCD, chronic illness, recovery from relationship abuse, and adjustment through other changes. Each of these concerns involve journeys of re-becoming, and I help clients along these journeys with compassion, honesty, and intelligence. Even in the midst of distress and doubt, the possibilities for the journey hold so much hope.
I derive joy and meaning from helping people access their brilliant capacities for healing. My specialties are couples therapy, anxiety/OCD, chronic illness, recovery from relationship abuse, and adjustment through other changes. Each of these concerns involve journeys of re-becoming, and I help clients along these journeys with compassion, honesty, and intelligence. Even in the midst of distress and doubt, the possibilities for the journey hold so much hope.
(651) 661-2667 View (651) 661-2667
Photo of Christopher B Donahue, PhD, LP, Psychologist
Christopher B Donahue
Psychologist, PhD, LP
Verified Verified
Saint Paul, MN 55105
I look forward to working with clients to collaborate and support changes they're wanting to make. I have been able to treat individuals with challenging symptoms who may not have been properly diagnosed and subsequently, have not received appropriate treatment. Many of my clients have never learned how to cope with intrusive and sometimes disturbing thoughts. The therapy I provide empowers clients with the skills needed to feel in control of their anxiety, impulsiveness and unhealthy habits. My clients will learn how to manage unwanted thoughts and to abandon coping through rituals, escape and avoidance behaviors.
I look forward to working with clients to collaborate and support changes they're wanting to make. I have been able to treat individuals with challenging symptoms who may not have been properly diagnosed and subsequently, have not received appropriate treatment. Many of my clients have never learned how to cope with intrusive and sometimes disturbing thoughts. The therapy I provide empowers clients with the skills needed to feel in control of their anxiety, impulsiveness and unhealthy habits. My clients will learn how to manage unwanted thoughts and to abandon coping through rituals, escape and avoidance behaviors.
(651) 240-6944 View (651) 240-6944
Photo of Jess Holly, LICSW, Clinical Social Work/Therapist
Jess Holly
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Saint Paul, MN 55102
Jess is passionate about helping children, families, and adults navigate life’s challenges and reach their goals for mental wellbeing by merging science backed therapies with compassion and creativity. Jess earned her Bachelor’s degree in Child Psychology and a Master’s degree in Clinical Social Work from the University of Minnesota. Since 2009, she has been dedicated to working with children and families across the Twin Cities, offering innovative therapy for a wide range of mental and behavioral health concerns. Jess works with people throughout the lifespan – whether you’re 3 or 93, she’s here to help.
Jess is passionate about helping children, families, and adults navigate life’s challenges and reach their goals for mental wellbeing by merging science backed therapies with compassion and creativity. Jess earned her Bachelor’s degree in Child Psychology and a Master’s degree in Clinical Social Work from the University of Minnesota. Since 2009, she has been dedicated to working with children and families across the Twin Cities, offering innovative therapy for a wide range of mental and behavioral health concerns. Jess works with people throughout the lifespan – whether you’re 3 or 93, she’s here to help.
(651) 359-9875 View (651) 359-9875
Photo of Emily Lewandowski, MSW, LICSW, Clinical Social Work/Therapist
Emily Lewandowski
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Saint Paul, MN 55102
Welcome! I'm Emily and am a clinical therapist with a comprehensive and varied history of practice, including community non-profits, government, schools, treatment centers, and private practice. I encompass empathy, a spirit of collaboration and empowerment, and a skill set rooted in various therapeutic models and modalities. Utilizing a humanistic and feminist theory lens, I incorporate elements of IFS (Internal Family Systems), narrative, and emotion-focused therapies, somatic and mindfulness practices, and art-based interventions when working with clients, adolescent to adult.
Welcome! I'm Emily and am a clinical therapist with a comprehensive and varied history of practice, including community non-profits, government, schools, treatment centers, and private practice. I encompass empathy, a spirit of collaboration and empowerment, and a skill set rooted in various therapeutic models and modalities. Utilizing a humanistic and feminist theory lens, I incorporate elements of IFS (Internal Family Systems), narrative, and emotion-focused therapies, somatic and mindfulness practices, and art-based interventions when working with clients, adolescent to adult.
(651) 661-1629 View (651) 661-1629
1
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.