Exposure Response Prevention (ERP) Therapists in Pasco County, FL

Photo of Caroline Faifman Perfectionism Therapy, LMHC , MCAP, CAP, Counselor
Caroline Faifman Perfectionism Therapy
Counselor, LMHC , MCAP, CAP
Verified Verified
1 Endorsed
I am trained in Acceptance and Commitment Therapy (ACT), Adlerian psychology, and Exposure and Response Prevention Therapy (ERP).
You may be a successful high achieving person, but struggling with feeling like it’s never good enough. Perfectionism seems like a virtue when you’re succeeding, but any difficulties can throw your sense of self-worth off. Even on good days it can feel like things aren’t “quite right”, and you’re not in control. These daily struggles can make you feel resentful, angry, and struggle in your relationships. I specialize in working with perfectionism, OCD, eating disorders, and anxiety.
I am trained in Acceptance and Commitment Therapy (ACT), Adlerian psychology, and Exposure and Response Prevention Therapy (ERP).
You may be a successful high achieving person, but struggling with feeling like it’s never good enough. Perfectionism seems like a virtue when you’re succeeding, but any difficulties can throw your sense of self-worth off. Even on good days it can feel like things aren’t “quite right”, and you’re not in control. These daily struggles can make you feel resentful, angry, and struggle in your relationships. I specialize in working with perfectionism, OCD, eating disorders, and anxiety.
(727) 955-3666 View (727) 955-3666
Photo of Jill Niski, MSW, RCSWI
Jill Niski
Registered Clinical Social Worker Intern, MSW, RCSWI
Verified Verified
Wesley Chapel, FL 33544
Jill’s expertise includes Exposure and Response Prevention (ERP), Solution-Focused Brief Therapy (SFBT), Dialectical Behavior Therapy (DBT), and Motivational Interviewing (MI).
Jill Niski is a dedicated Registered Clinical Social Work Intern with a diverse background and a strong commitment to mental health care. A first-generation immigrant and Asian-American, she brings a unique perspective to the field, enriched by her nine years of service as a U.S. Army veteran. She holds both a bachelor’s and master’s degree in social work from the University of South Florida. Specializing in trauma, substance use, OCD, depression, and anxiety, she utilizes a range of therapeutic approaches to support her clients.
Jill’s expertise includes Exposure and Response Prevention (ERP), Solution-Focused Brief Therapy (SFBT), Dialectical Behavior Therapy (DBT), and Motivational Interviewing (MI).
Jill Niski is a dedicated Registered Clinical Social Work Intern with a diverse background and a strong commitment to mental health care. A first-generation immigrant and Asian-American, she brings a unique perspective to the field, enriched by her nine years of service as a U.S. Army veteran. She holds both a bachelor’s and master’s degree in social work from the University of South Florida. Specializing in trauma, substance use, OCD, depression, and anxiety, she utilizes a range of therapeutic approaches to support her clients.
(813) 582-2447 View (813) 582-2447
Photo of Evelyn Diaz, MA
Evelyn Diaz
Registered Mental Health Counselor Intern, MA
Verified Verified
2 Endorsed
Wesley Chapel, FL 33544
Evelyn’s primary focus of interest is working with anxiety disorders, OCD, and depression using Acceptance and Commitment Therapy (ACT) and Exposure and Response Prevention (ERP).
Evelyn is a registered clinical mental health counselor who focuses on recovery and truly believes anyone can improve their mental health by creating sustainable, healthy changes. Evelyn’s goal is to empower people to live life based on their values and develop psychological flexibility in the process. She feels passionate talking openly about mental health and removing the stigma around mental illness. One of her goals is to normalize and educate on mental health in order to break down the barriers that prevent people from seeking support.
Evelyn’s primary focus of interest is working with anxiety disorders, OCD, and depression using Acceptance and Commitment Therapy (ACT) and Exposure and Response Prevention (ERP).
Evelyn is a registered clinical mental health counselor who focuses on recovery and truly believes anyone can improve their mental health by creating sustainable, healthy changes. Evelyn’s goal is to empower people to live life based on their values and develop psychological flexibility in the process. She feels passionate talking openly about mental health and removing the stigma around mental illness. One of her goals is to normalize and educate on mental health in order to break down the barriers that prevent people from seeking support.
(813) 565-9194 View (813) 565-9194
Photo of Stephanie Lindeman, MS, MA, LMHC, LMFT
Stephanie Lindeman
MS, MA, LMHC, LMFT
Verified Verified
Wesley Chapel, FL 33543  (Online Only)
I utilize ERP when treating anxiety, OCD, panic disorder, & phobias.
Finding a therapist can be confusing and overwhelming, and I hope to make this process easier for you. My job is to help you make sense of what has happened to you, why you feel the way you do, and why you can’t stop or start a certain behavior. I view folks within the context of a greater whole, meaning I not only treat individuals, but am also extensively trained to work with couples and families as well. I have years of experience treating anxiety, OCD, phobias, depression, trauma, emotional dysregulation, and conflict within marriages and families.
I utilize ERP when treating anxiety, OCD, panic disorder, & phobias.
Finding a therapist can be confusing and overwhelming, and I hope to make this process easier for you. My job is to help you make sense of what has happened to you, why you feel the way you do, and why you can’t stop or start a certain behavior. I view folks within the context of a greater whole, meaning I not only treat individuals, but am also extensively trained to work with couples and families as well. I have years of experience treating anxiety, OCD, phobias, depression, trauma, emotional dysregulation, and conflict within marriages and families.
(813) 437-9819 View (813) 437-9819
Photo of Holly Gardner, LMHC, Counselor
Holly Gardner
Counselor, LMHC
Verified Verified
1 Endorsed
Wesley Chapel, FL 33544  (Online Only)
The treatment approaches I use include CBT, DBT, ART, ACT, Schema Therapy, PE, and ERP.
Are you struggling to maintain healthy relationships? Do you experience anger, depression, anxiety, mistrust, difficulty with communication, fear of failure? If you’re struggling with one or more of these things, let me help you find the balance that brings greater self-awareness, self-worth, self-compassion, and improved connections with others.
The treatment approaches I use include CBT, DBT, ART, ACT, Schema Therapy, PE, and ERP.
Are you struggling to maintain healthy relationships? Do you experience anger, depression, anxiety, mistrust, difficulty with communication, fear of failure? If you’re struggling with one or more of these things, let me help you find the balance that brings greater self-awareness, self-worth, self-compassion, and improved connections with others.
(727) 485-0867 View (727) 485-0867
Photo of Janece Caro, LMHC, Counselor
Janece Caro
Counselor, LMHC
Verified Verified
1 Endorsed
New Port Richey, FL 34652  (Online Only)
You may be nervous about participating in therapy due to worries of feeling vulnerable or being judged. I work hard to provide an environment that is accepting and supportive and simultaneously looks for ways that increase growth and healing. Online therapy allows you to be in the comfort of your own home and not worry about the extra time to commute to an appointment. My approach emphasizes skill-building, self-knowledge, and balance. I have been a therapist in a variety of settings for about 20 years, helping people deal with anxiety, depression, stress, and trauma in their lives and how it has affected their relationships.
You may be nervous about participating in therapy due to worries of feeling vulnerable or being judged. I work hard to provide an environment that is accepting and supportive and simultaneously looks for ways that increase growth and healing. Online therapy allows you to be in the comfort of your own home and not worry about the extra time to commute to an appointment. My approach emphasizes skill-building, self-knowledge, and balance. I have been a therapist in a variety of settings for about 20 years, helping people deal with anxiety, depression, stress, and trauma in their lives and how it has affected their relationships.
(813) 981-7676 View (813) 981-7676
Photo of Natalie West Southward, LMHC, MS, Counselor
Natalie West Southward
Counselor, LMHC, MS
Verified Verified
2 Endorsed
Wesley Chapel, FL 33543
Seeking help can be intimidating, but you’ve made the first step! I encourage you to continue pursuing and getting the support you need in order to address your set of circumstances. I would love the opportunity to help walk with you, through your journey. Each session will be free from judgement and will be confidential. Together, I work with my clients to help improve their overall quality of life and reduce the symptoms of any presenting issues. I believe that improvements in your life can be made by understanding the root causes of the challenges you face. This deeper understanding empowers you to create positive changes!
Seeking help can be intimidating, but you’ve made the first step! I encourage you to continue pursuing and getting the support you need in order to address your set of circumstances. I would love the opportunity to help walk with you, through your journey. Each session will be free from judgement and will be confidential. Together, I work with my clients to help improve their overall quality of life and reduce the symptoms of any presenting issues. I believe that improvements in your life can be made by understanding the root causes of the challenges you face. This deeper understanding empowers you to create positive changes!
(813) 336-3672 View (813) 336-3672
Photo of Dr. Michael Marks, PsyD, Psychologist
Dr. Michael Marks
Psychologist, PsyD
Verified Verified
1 Endorsed
Land O Lakes, FL 34638
Waitlist for new clients
Dr. Marks practices general psychology with specialties in anxiety (e.g., trauma, PTSD, OCD, panic attacks, phobias, attachment anxiety, body dysmorphia), eating disorders, adjustment issues (e.g., life transitions, end-of-life, major injury, loss of purpose/meaning), depression, self-harm, suicidality, personality disorders, sleep problems, grief, and relationship issues. He has particular expertise in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Acceptance and Commitment Therapy (ACT). Dr. Marks also specializes in Emotion Focused Therapy for couples and families.
Dr. Marks practices general psychology with specialties in anxiety (e.g., trauma, PTSD, OCD, panic attacks, phobias, attachment anxiety, body dysmorphia), eating disorders, adjustment issues (e.g., life transitions, end-of-life, major injury, loss of purpose/meaning), depression, self-harm, suicidality, personality disorders, sleep problems, grief, and relationship issues. He has particular expertise in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Acceptance and Commitment Therapy (ACT). Dr. Marks also specializes in Emotion Focused Therapy for couples and families.
(813) 686-6290 View (813) 686-6290
Photo of Lisette Koessick, MSW, RCSWI
Lisette Koessick
Registered Clinical Social Worker Intern, MSW, RCSWI
Verified Verified
Wesley Chapel, FL 33544
I am Lisette Koessick, a Registered Clinical Social Work Intern, someone who brings a holistic approach to mental health and well-being. With a deep-rooted belief in empowering individuals to take charge of their lives, I integrate various therapeutic modalities to tailor treatment to each client's unique needs. I graduated from the University of Florida with my B.S. in Applied Behavior Analysis, and from the University of South Florida with my Master of Social Work. I have several years of experience working with adolescents and families in a school setting, and look forward to using my skills to reach your goals!
I am Lisette Koessick, a Registered Clinical Social Work Intern, someone who brings a holistic approach to mental health and well-being. With a deep-rooted belief in empowering individuals to take charge of their lives, I integrate various therapeutic modalities to tailor treatment to each client's unique needs. I graduated from the University of Florida with my B.S. in Applied Behavior Analysis, and from the University of South Florida with my Master of Social Work. I have several years of experience working with adolescents and families in a school setting, and look forward to using my skills to reach your goals!
(813) 686-7017 View (813) 686-7017
Photo of Melanie Coriolan, LMHC, Counselor
Melanie Coriolan
Counselor, LMHC
Verified Verified
1 Endorsed
Wesley Chapel, FL 33544
Hello! My name is Melanie and I am a Licensed Mental Health Counselor with additional training in Marriage and Family Therapy. My heart is in helping people find feeling, explore growth, and increase their daily experiences of joy and gratitude. It is important that we do this while also strengthening relationships and fostering a sense of community. I find great joy in helping others experience freedom from anxiety, depression, relational conflict, and other common stressors. If you've been having feelings of fear, being overwhelmed, misunderstood, or struggling to get through the day, I can help. You don't have to do it alone.
Hello! My name is Melanie and I am a Licensed Mental Health Counselor with additional training in Marriage and Family Therapy. My heart is in helping people find feeling, explore growth, and increase their daily experiences of joy and gratitude. It is important that we do this while also strengthening relationships and fostering a sense of community. I find great joy in helping others experience freedom from anxiety, depression, relational conflict, and other common stressors. If you've been having feelings of fear, being overwhelmed, misunderstood, or struggling to get through the day, I can help. You don't have to do it alone.
(813) 328-5324 View (813) 328-5324
Photo of Lacie Lazaroe, PhD, Psychologist
Lacie Lazaroe
Psychologist, PhD
Verified Verified
3 Endorsed
Wesley Chapel, FL 33544
If you or your child are struggling with intrusive thoughts, anxiety, fear, low mood, or repetitive actions or behaviors that are distressing or disrupting, I would be honored to work with you on learning effective, evidence-based skills to combat fear and negative thoughts. I earned my Ph.D. from the University of Florida in Clinical Psychology, with a focus on child/pediatrics, but work with patients of all ages. My specialty is in anxiety, OCD, and phobias, but I also work with a variety of other mental health issues, including body-focused repetitive behaviors, such as tics, hair pulling, and skin picking behaviors.
If you or your child are struggling with intrusive thoughts, anxiety, fear, low mood, or repetitive actions or behaviors that are distressing or disrupting, I would be honored to work with you on learning effective, evidence-based skills to combat fear and negative thoughts. I earned my Ph.D. from the University of Florida in Clinical Psychology, with a focus on child/pediatrics, but work with patients of all ages. My specialty is in anxiety, OCD, and phobias, but I also work with a variety of other mental health issues, including body-focused repetitive behaviors, such as tics, hair pulling, and skin picking behaviors.
(813) 559-0847 View (813) 559-0847
Photo of Emily Francis DeCosta - Emily DeCosta Counseling, LLC, MS, RMHCI, CEAP
Emily DeCosta Counseling, LLC
Registered Mental Health Counselor Intern, MS, RMHCI, CEAP
Verified Verified
1 Endorsed
Zephyrhills, FL 33541  (Online Only)
Hi, I’m Emily! I am the Founder/Owner of Emily DeCosta Counseling, LLC a Florida-Based Telehealth Practice. I’m a Registered Mental Health Counselor Intern licensed in the State of Florida. I help individuals and couples identify obstacles, process emotions, challenge thinking patterns, and make meaningful life changes. Thank you for taking the first step and for allowing me to be part of this very important journey. Look forward to meeting you virtually.
Hi, I’m Emily! I am the Founder/Owner of Emily DeCosta Counseling, LLC a Florida-Based Telehealth Practice. I’m a Registered Mental Health Counselor Intern licensed in the State of Florida. I help individuals and couples identify obstacles, process emotions, challenge thinking patterns, and make meaningful life changes. Thank you for taking the first step and for allowing me to be part of this very important journey. Look forward to meeting you virtually.
(813) 798-3677 View (813) 798-3677
Photo of Jamie Johnson - Jamie Johnson, LMHC, MA, CCTP, LMHC, CCTP, MA
Jamie Johnson, LMHC, MA, CCTP
Mental Health Counselor, LMHC, CCTP, MA
Verified Verified
1 Endorsed
Wesley Chapel, FL 33543
If you are struggling I am here to help. I specialize in treating trauma, PTSD, anxiety, panic, phobias, depression, and many other issues. As a Certified Clinical Trauma Professional trained in Accelerated Resolution Therapy and Brainspotting, I can help you heal and find freedom from intrusive memories, thoughts, and negative feelings for good. As your therapist my goal is to provide a confidential, safe, and trusting relationship in which you feel completely comfortable to share whatever is going on in your life. I will listen with compassion and provide understanding and support without judgment.
If you are struggling I am here to help. I specialize in treating trauma, PTSD, anxiety, panic, phobias, depression, and many other issues. As a Certified Clinical Trauma Professional trained in Accelerated Resolution Therapy and Brainspotting, I can help you heal and find freedom from intrusive memories, thoughts, and negative feelings for good. As your therapist my goal is to provide a confidential, safe, and trusting relationship in which you feel completely comfortable to share whatever is going on in your life. I will listen with compassion and provide understanding and support without judgment.
(813) 519-4640 View (813) 519-4640
Photo of Jessica L. Tommasi, EdD, LMHC, CTP, Counselor
Jessica L. Tommasi
Counselor, EdD, LMHC, CTP
Verified Verified
4 Endorsed
Land O Lakes, FL 34638  (Online Only)
Dr. Jessica L. Tommasi, LMHC, CTP, owner of Psychotherapy Associates of Tampa Bay, is currently accepting new clients from all over Florida for Telehealth psychotherapy. As a client-centered and cognitive-behavioral Licensed Mental Health Counselor and Certified Telehealth Practitioner, her goal is to help you identify and appreciate your true potential and live a life of which you may feel proud. While you may not be able to change difficult events and circumstances of the past, she will work together to better understand and resolve challenges in your life today, which will lead to a more promising and fulfilling tomorrow!
Dr. Jessica L. Tommasi, LMHC, CTP, owner of Psychotherapy Associates of Tampa Bay, is currently accepting new clients from all over Florida for Telehealth psychotherapy. As a client-centered and cognitive-behavioral Licensed Mental Health Counselor and Certified Telehealth Practitioner, her goal is to help you identify and appreciate your true potential and live a life of which you may feel proud. While you may not be able to change difficult events and circumstances of the past, she will work together to better understand and resolve challenges in your life today, which will lead to a more promising and fulfilling tomorrow!
(352) 612-3420 View (352) 612-3420
Photo of Nasrin Erfanian, PhD, BCBA-D, Psychologist
Nasrin Erfanian
Psychologist, PhD, BCBA-D
Verified Verified
Land O Lakes, FL 34638
I am a Florida licensed psychologist and a board-certified behavior analyst. I received my Ph.D. in Clinical Psychology in 1995, completed my residency at University of Mississippi Medical Center with special focus in Pediatric Psychology, Women’s Health, and medical issues impacting psychological states and vice versa. My academic training has had a special focus in behavioral and cognitive behavioral methods of evaluation and interventions. Also, I recently trained in Acceptance and Commitment Therapy and basic EMDR therapy to address trauma with adults and youths. I have over 25 years of experience serving a wide range o issues
I am a Florida licensed psychologist and a board-certified behavior analyst. I received my Ph.D. in Clinical Psychology in 1995, completed my residency at University of Mississippi Medical Center with special focus in Pediatric Psychology, Women’s Health, and medical issues impacting psychological states and vice versa. My academic training has had a special focus in behavioral and cognitive behavioral methods of evaluation and interventions. Also, I recently trained in Acceptance and Commitment Therapy and basic EMDR therapy to address trauma with adults and youths. I have over 25 years of experience serving a wide range o issues
(813) 686-6675 View (813) 686-6675
Photo of Audi Moore, LMHC, Counselor
Audi Moore
Counselor, LMHC
Verified Verified
Audi Moore is a Licensed Mental Health Counselor in Florida who has been practicing since 1995. She has a Masters in Counseling from the University of South Florida and is working on an EdD in Trauma Counseling at Liberty University. Audi has more than 28 years of experience working with a variety of ages and populations. Outside of work, Audi enjoys traveling, jet skiing, going to the beach, and spending time with family and friends. She also enjoys spending time with her three dachshunds.
Audi Moore is a Licensed Mental Health Counselor in Florida who has been practicing since 1995. She has a Masters in Counseling from the University of South Florida and is working on an EdD in Trauma Counseling at Liberty University. Audi has more than 28 years of experience working with a variety of ages and populations. Outside of work, Audi enjoys traveling, jet skiing, going to the beach, and spending time with family and friends. She also enjoys spending time with her three dachshunds.
(727) 855-8040 View (727) 855-8040
Photo of Kristina Schwirian, LCSW, Clinical Social Work/Therapist
Kristina Schwirian
Clinical Social Work/Therapist, LCSW
Verified Verified
Daily life is complex, and added concerns such as anxiety, depression, relationship/ family issues, or low self-esteem, can make getting through the day that much more difficult. I understand the importance of recognizing the intersecting factors and systemic policies that impact one's mental health, allowing me to provide truly individualized care that is affirming and anti-oppressive. Together, we can navigate the complexities of your experiences, unlocking the potential for growth and resilience. I am passionate about helping people in the community enact positive change and embark on a path toward fulfilling and empowered lives.
Daily life is complex, and added concerns such as anxiety, depression, relationship/ family issues, or low self-esteem, can make getting through the day that much more difficult. I understand the importance of recognizing the intersecting factors and systemic policies that impact one's mental health, allowing me to provide truly individualized care that is affirming and anti-oppressive. Together, we can navigate the complexities of your experiences, unlocking the potential for growth and resilience. I am passionate about helping people in the community enact positive change and embark on a path toward fulfilling and empowered lives.
(727) 382-4692 View (727) 382-4692
Photo of Valerie Siegman, MA, LMHC, LMFT, Counselor
Valerie Siegman
Counselor, MA, LMHC, LMFT
Verified Verified
5 Endorsed
Land O Lakes, FL 34638
The quality of your relationships has a huge impact on your health and how you see yourself. You and your partner are locked in a cycle of conflict; experiencing and re experiencing the same painful pattern of distress. A new sense of felt security is possible. The power of your emotional bond can harnessed to create comfort and resilience to your relationship. Change takes courage, so thank yourself for reaching out and for taking this first step.
The quality of your relationships has a huge impact on your health and how you see yourself. You and your partner are locked in a cycle of conflict; experiencing and re experiencing the same painful pattern of distress. A new sense of felt security is possible. The power of your emotional bond can harnessed to create comfort and resilience to your relationship. Change takes courage, so thank yourself for reaching out and for taking this first step.
(813) 803-6485 View (813) 803-6485
Photo of Michelle Pastor, LMHC, CAP, ICADC, Counselor
Michelle Pastor
Counselor, LMHC, CAP, ICADC
Verified Verified
1 Endorsed
Wesley Chapel, FL 33544
Addiction, trauma, LGBTQ+ affirming, anxiety, depression and many others. Please reach out to Recovery Pathway Counseling LLC to help guide you on your path of recovery and healing. Michelle has 20 years of experience in the mental health field and offers a comprehensive background of therapeutic approaches. She has experience working with clients in many different types of treatment settings and believes in meeting you where you are at in your cross roads and working one step at a time together. "We are all warriors, you never know the battles that each of us face daily but you are not alone." -Michelle Pastor
Addiction, trauma, LGBTQ+ affirming, anxiety, depression and many others. Please reach out to Recovery Pathway Counseling LLC to help guide you on your path of recovery and healing. Michelle has 20 years of experience in the mental health field and offers a comprehensive background of therapeutic approaches. She has experience working with clients in many different types of treatment settings and believes in meeting you where you are at in your cross roads and working one step at a time together. "We are all warriors, you never know the battles that each of us face daily but you are not alone." -Michelle Pastor
(813) 665-1961 View (813) 665-1961
Photo of Mala Tanya Williams-Lawrence, LCSW, Clinical Social Work/Therapist
Mala Tanya Williams-Lawrence
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wesley Chapel, FL 33544  (Online Only)
I’ve been providing mental health/counseling services for over 20 years. I specialize in treating adults who are struggling with depression, anxiety, trauma, grief and loss, relationship issues, life transitions and other disorders. My approach to counseling begins with fostering an open and safe relationship in a nurturing environment that promotes healing, growth and insight.
I’ve been providing mental health/counseling services for over 20 years. I specialize in treating adults who are struggling with depression, anxiety, trauma, grief and loss, relationship issues, life transitions and other disorders. My approach to counseling begins with fostering an open and safe relationship in a nurturing environment that promotes healing, growth and insight.
(813) 491-9776 View (813) 491-9776
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See more therapy options for Pasco County

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.