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Online Therapists

Photo of Sydney Petty, LMSW, Clinical Social Work/Therapist
Sydney Petty
Clinical Social Work/Therapist, LMSW
Verified Verified
11 Endorsed
Brentwood, TN 37027
Waitlist for new clients
Fancy letters next to my name include certification in Exposure and Response Prevention (ERP) and Cognitive Behavioral Therapy (CBT) for OCD and Anxiety Disorders.
I'm so happy you're here, and am humbled and excited to walk with you on your therapy journey! I am passionate about working with those experiencing OCD, Anxiety, Depression, and Trauma-Related distress and dysfunction. I work to create meaningful and sustainable change both inside and outside of the therapy office. Walking alongside clients and families as they discover their own resiliency and “why” for embracing discomfort in a safe and supportive environment is my goal! I am affirming and supportive of all LGBTQIA+ folks and am passionate about providing care to this often underserved community.
Fancy letters next to my name include certification in Exposure and Response Prevention (ERP) and Cognitive Behavioral Therapy (CBT) for OCD and Anxiety Disorders.
I'm so happy you're here, and am humbled and excited to walk with you on your therapy journey! I am passionate about working with those experiencing OCD, Anxiety, Depression, and Trauma-Related distress and dysfunction. I work to create meaningful and sustainable change both inside and outside of the therapy office. Walking alongside clients and families as they discover their own resiliency and “why” for embracing discomfort in a safe and supportive environment is my goal! I am affirming and supportive of all LGBTQIA+ folks and am passionate about providing care to this often underserved community.
(629) 276-4552 View (629) 276-4552
Photo of Dr. Shauna Bowes, PhD
Dr. Shauna Bowes
Provisionally Licensed Psychologist, PhD
Verified Verified
1 Endorsed
Nashville, TN 37212
I primarily use Acceptance and Commitment Therapy (ACT) and Exposure and Response Prevention (ERP) approaches.
I am a pre-licensed psychologist who has experience providing outpatient psychotherapy across the lifespan, and I have worked in intensive outpatient settings with adolescents and adults. My specialties include the treatment of anxiety disorders (generalized, social, panic, phobias) and obsessive-compulsive disorder (OCD). I also offer services for depression, life transitions and adjustments, emotion dysregulation, relational concerns, and parent training. My doctoral education and training were both completed at Emory University in Atlanta, GA.
I primarily use Acceptance and Commitment Therapy (ACT) and Exposure and Response Prevention (ERP) approaches.
I am a pre-licensed psychologist who has experience providing outpatient psychotherapy across the lifespan, and I have worked in intensive outpatient settings with adolescents and adults. My specialties include the treatment of anxiety disorders (generalized, social, panic, phobias) and obsessive-compulsive disorder (OCD). I also offer services for depression, life transitions and adjustments, emotion dysregulation, relational concerns, and parent training. My doctoral education and training were both completed at Emory University in Atlanta, GA.
(629) 204-4232 View (629) 204-4232
Photo of Raven Thompson, MA, NCC, Pre-Licensed Professional
Raven Thompson
Pre-Licensed Professional, MA, NCC
Verified Verified
7 Endorsed
Chattanooga, TN 37415
I primarily implement ERP when working with OCD.
It can be difficult navigating life's hardships alone. You have taken a brave step in seeking out therapy, and I want to honor that. My goal is to create a warm environment where you can explore your thoughts and how they have impacted your life story. My top priority is to maintain a non-judgemental presence during our time together, which I hope will empower you to better understand the agency you possess. I love to take the time to laugh when appropriate, and to incorporate the interests you have into our work together.
I primarily implement ERP when working with OCD.
It can be difficult navigating life's hardships alone. You have taken a brave step in seeking out therapy, and I want to honor that. My goal is to create a warm environment where you can explore your thoughts and how they have impacted your life story. My top priority is to maintain a non-judgemental presence during our time together, which I hope will empower you to better understand the agency you possess. I love to take the time to laugh when appropriate, and to incorporate the interests you have into our work together.
(423) 682-8402 View (423) 682-8402
Photo of Yanet Vanegas, PsyD, PMH-C, Psychologist
Yanet Vanegas
Psychologist, PsyD, PMH-C
Verified Verified
Nashville, TN 37203  (Online Only)
Hello, I'm Dr. Yanet Vanegas, and I understand that seeking support for mental well-being can be a challenging journey. I'm a child and adolescent psychologist and a perinatal mental health certified provider. My approach goes beyond merely treating symptoms. It’s about sparking lasting change and fostering personal growth. I create personalized treatment plans using the latest therapeutic techniques, including CBT, Exposure Response Prevention (ERP) therapy for OCD, and DBT.
Hello, I'm Dr. Yanet Vanegas, and I understand that seeking support for mental well-being can be a challenging journey. I'm a child and adolescent psychologist and a perinatal mental health certified provider. My approach goes beyond merely treating symptoms. It’s about sparking lasting change and fostering personal growth. I create personalized treatment plans using the latest therapeutic techniques, including CBT, Exposure Response Prevention (ERP) therapy for OCD, and DBT.
(815) 339-8858 View (815) 339-8858
Photo of Rachel Hammons, MA, LPCMHSP, NCC, Counselor
Rachel Hammons
Counselor, MA, LPCMHSP, NCC
Verified Verified
5 Endorsed
Nashville, TN 37212
My biggest hope is that you find healing and rest through working with me, and while I strive to meet you where you’re at and provide counseling based upon that, I use an attachment based approach along with EFT, ERP, ACT, and DBT modalities.
It’s taken me a long time to write this because I desperately wanted my bio to communicate my heart for counseling, people, and the work that I do, but I also feel that words fall short when you’re trying to communicate something so intimate. First of all, you are brave for taking a step toward deeper healing, and I am honored that you might consider me as a support alongside you in your journey. Whether this is your first time seeking counseling or your 10th time, I hope to encourage and help empower you in your fight to become who you want to be. Whatever next step you decide to take, I hope the best for you.
My biggest hope is that you find healing and rest through working with me, and while I strive to meet you where you’re at and provide counseling based upon that, I use an attachment based approach along with EFT, ERP, ACT, and DBT modalities.
It’s taken me a long time to write this because I desperately wanted my bio to communicate my heart for counseling, people, and the work that I do, but I also feel that words fall short when you’re trying to communicate something so intimate. First of all, you are brave for taking a step toward deeper healing, and I am honored that you might consider me as a support alongside you in your journey. Whether this is your first time seeking counseling or your 10th time, I hope to encourage and help empower you in your fight to become who you want to be. Whatever next step you decide to take, I hope the best for you.
(615) 471-7560 View (615) 471-7560
Photo of Caty Pooley, MEd, NCC, LPC, MHSP, (Temp), Pre-Licensed Professional
Caty Pooley
Pre-Licensed Professional, MEd, NCC, LPC, MHSP, (Temp)
Verified Verified
Nashville, TN 37212
I am passionate about working with adult and teen clients, who are experiencing a wide range of difficulties. Most frequently, I work with clients struggling with anxiety and depression, as well as individuals yearning for change, managing life transitions, dealing with relationship challenges, or looking for coping skills to better handle stress. I will tailor my treatment approach to meet your specific needs and work from a holistic lens, utilizing evidence-based practices to integrate aspects of mental, physical, and emotional well-being.
I am passionate about working with adult and teen clients, who are experiencing a wide range of difficulties. Most frequently, I work with clients struggling with anxiety and depression, as well as individuals yearning for change, managing life transitions, dealing with relationship challenges, or looking for coping skills to better handle stress. I will tailor my treatment approach to meet your specific needs and work from a holistic lens, utilizing evidence-based practices to integrate aspects of mental, physical, and emotional well-being.
(615) 552-0840 View (615) 552-0840
Photo of Lauren Alaine Fields, LCSW, Clinical Social Work/Therapist
Lauren Alaine Fields
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Old Hickory, TN 37138  (Online Only)
I have been working in the field of mental health and addiction since 2006. I have worked in inpatient alcohol and drug units, geriatric services, primary care, outpatient addiction, and outpatient mental health. I have experience treating a multitude of issues and enjoy clients who are motivated for change. I understand that each individual is unique and will require an individualized approach to treatment. Therefore, I will provide a thorough assessment to see if additional services are needed and work to connect my clients to the appropriate providers. I work closely with psychiatrists, primary care providers, and
I have been working in the field of mental health and addiction since 2006. I have worked in inpatient alcohol and drug units, geriatric services, primary care, outpatient addiction, and outpatient mental health. I have experience treating a multitude of issues and enjoy clients who are motivated for change. I understand that each individual is unique and will require an individualized approach to treatment. Therefore, I will provide a thorough assessment to see if additional services are needed and work to connect my clients to the appropriate providers. I work closely with psychiatrists, primary care providers, and
(615) 619-4659 View (615) 619-4659
Photo of Renee Lackey, MA, NCC, LPC, MHSP, (temp), Pre-Licensed Professional
Renee Lackey
Pre-Licensed Professional, MA, NCC, LPC, MHSP, (temp)
Verified Verified
4 Endorsed
Brentwood, TN 37027
Is your child struggling with excessive worries, frequent yelling or hitting, a fear of dogs or the dark, self-esteem, overreacting, an inability to cope with stress or unpleasant feelings, trouble with peers, the impact of divorce, or the loss of a loved one? As a parent, you may feel exhausted, lose patience, unsure of how to help, or want another perspective. I work with your child and family to provide a path for personal growth, learning healthy coping skills, building a stronger connection, improving communication, resolving conflicts, and having fun! Parents will learn how to co-regulate and manage challenging behaviors.
Is your child struggling with excessive worries, frequent yelling or hitting, a fear of dogs or the dark, self-esteem, overreacting, an inability to cope with stress or unpleasant feelings, trouble with peers, the impact of divorce, or the loss of a loved one? As a parent, you may feel exhausted, lose patience, unsure of how to help, or want another perspective. I work with your child and family to provide a path for personal growth, learning healthy coping skills, building a stronger connection, improving communication, resolving conflicts, and having fun! Parents will learn how to co-regulate and manage challenging behaviors.
(629) 276-6390 View (629) 276-6390
Photo of Skyler G Shollenbarger, PhD, LP, Psychologist
Skyler G Shollenbarger
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Franklin, TN 37064  (Online Only)
Living with untreated trauma or pain can feel as though you are treading water and make it difficult to work, take care of things at home, get along with loved ones, or partake in hobbies. I want to help you take back control of your life so you can reduce suffering and start living again.
Living with untreated trauma or pain can feel as though you are treading water and make it difficult to work, take care of things at home, get along with loved ones, or partake in hobbies. I want to help you take back control of your life so you can reduce suffering and start living again.
(952) 234-7961 x1 View (952) 234-7961 x1
Photo of Chas Barnes, MACMHC, LPC, Licensed Professional Counselor
Chas Barnes
Licensed Professional Counselor, MACMHC, LPC
Verified Verified
6 Endorsed
Chattanooga, TN 37405
Choosing the right therapist can be overwhelming and connecting with the counselor that will be the right fit for you is important. When you're facing anxiety, depression, relationship issues or identity questions, you want someone with you who has tools for coping; but you also want someone who is genuine and can make you feel comfortable. I will work hard to help you feel safe from our first contact. Together, we can embark on a journey of self-discovery and growth that can be one of the most meaningful endeavors of your life.
Choosing the right therapist can be overwhelming and connecting with the counselor that will be the right fit for you is important. When you're facing anxiety, depression, relationship issues or identity questions, you want someone with you who has tools for coping; but you also want someone who is genuine and can make you feel comfortable. I will work hard to help you feel safe from our first contact. Together, we can embark on a journey of self-discovery and growth that can be one of the most meaningful endeavors of your life.
(423) 201-4978 View (423) 201-4978
Photo of Diana Partington, LPC, MHSP, MEd, Licensed Professional Counselor
Diana Partington
Licensed Professional Counselor, LPC, MHSP, MEd
Verified Verified
Nashville, TN 37212
If you struggle with overwhelming emotions, I can teach you skills in a supportive, engaging environment. You can join my Online DBT skills training groups from anywhere in the world. I also offer Individual DBT therapy for people in Tennessee, including Skills Coaching by phone, Individual Therapy and group. Dialectical Behavior Therapy is a highly effective, well researched therapy. The work demands a lot from Therapist and client. And it is worth it! Most clients report that my sense of humor and authenticity is one of the reasons they like working with me. I really value the use of "irreverence" in DBT.
If you struggle with overwhelming emotions, I can teach you skills in a supportive, engaging environment. You can join my Online DBT skills training groups from anywhere in the world. I also offer Individual DBT therapy for people in Tennessee, including Skills Coaching by phone, Individual Therapy and group. Dialectical Behavior Therapy is a highly effective, well researched therapy. The work demands a lot from Therapist and client. And it is worth it! Most clients report that my sense of humor and authenticity is one of the reasons they like working with me. I really value the use of "irreverence" in DBT.
(615) 205-4476 View (615) 205-4476
Photo of Haley Kisner, TLMFT, Marriage & Family Therapist Associate
Haley Kisner
Marriage & Family Therapist Associate, TLMFT
Verified Verified
1 Endorsed
Nashville, TN 37203
Has traditional talk therapy fallen short in helping you find the root of the issues you repeatedly face? Are you struggling to understand and change the patterns that keep you feeling stuck and disconnected? You may be struggling to navigate relationships, battle loud negative self-talk, or experience debilitating feelings of shame, guilt and embarrassment. If these experiences sound all too familiar, you're in the right place. I aim to equip my clients with the skills to manage difficult thoughts and emotional experiences, navigate relationship struggles, and heal their trauma from the root.
Has traditional talk therapy fallen short in helping you find the root of the issues you repeatedly face? Are you struggling to understand and change the patterns that keep you feeling stuck and disconnected? You may be struggling to navigate relationships, battle loud negative self-talk, or experience debilitating feelings of shame, guilt and embarrassment. If these experiences sound all too familiar, you're in the right place. I aim to equip my clients with the skills to manage difficult thoughts and emotional experiences, navigate relationship struggles, and heal their trauma from the root.
(615) 219-9511 View (615) 219-9511
Photo of Benjamin Holmes - Benjamin Holmes Counseling, PLLC, LCSW, LMSW, Clinical Social Work/Therapist
Benjamin Holmes Counseling, PLLC
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
Nashville, TN 37215
You are too valuable to ignore. The issues you're facing are too solvable to avoid. The quality of your experience in this life is too important to neglect. Showing up for yourself can mean a lot of different things. Connecting with one of our therapists can be the first step in a series of meaningful steps toward a life full of success, satisfaction and serenity. We help our clients set intentions for their lives and walk with them on their journey toward mental, emotional and relational health.
You are too valuable to ignore. The issues you're facing are too solvable to avoid. The quality of your experience in this life is too important to neglect. Showing up for yourself can mean a lot of different things. Connecting with one of our therapists can be the first step in a series of meaningful steps toward a life full of success, satisfaction and serenity. We help our clients set intentions for their lives and walk with them on their journey toward mental, emotional and relational health.
(615) 909-2802 View (615) 909-2802
Photo of Michelle Coker, LPC, MHSP, Licensed Professional Counselor
Michelle Coker
Licensed Professional Counselor, LPC, MHSP
Verified Verified
3 Endorsed
Nashville, TN 37206
Many of my clients come to therapy because they don't feel confident, safe, or at peace in themselves, how they connect with others, or how they fit in the world. These areas are at the core of who you are and how you interact in the world. Often, these are related to trauma, or questions around identity. At times, it may be difficult to move forward and you may feel stuck. You may feel disconnected, unfulfilled, or overwhelmed. This can affect relationships, work, and your sense of self. It can be difficult to find your way back to yourself and the life you want to build. I'm passionate about helping people navigate this journey.
Many of my clients come to therapy because they don't feel confident, safe, or at peace in themselves, how they connect with others, or how they fit in the world. These areas are at the core of who you are and how you interact in the world. Often, these are related to trauma, or questions around identity. At times, it may be difficult to move forward and you may feel stuck. You may feel disconnected, unfulfilled, or overwhelmed. This can affect relationships, work, and your sense of self. It can be difficult to find your way back to yourself and the life you want to build. I'm passionate about helping people navigate this journey.
(615) 437-5621 View (615) 437-5621
Photo of Audrey Shinar, LPC, MHSP, Licensed Professional Counselor
Audrey Shinar
Licensed Professional Counselor, LPC, MHSP
Verified Verified
1 Endorsed
Mount Juliet, TN 37122
I steadfastly believe that anyone can heal when sufficiently supported in a counseling relationship. I am passionate about cultivating an accepting and confidential therapeutic environment with space for tears, laughter, and authentic connection. A few of the areas in which I have experience include anxiety, trauma, self-esteem issues, codependency, perfectionism, and highly sensitive people. I work at Lantern Lane Farm Counseling Center, which means that can use our horses and have outside sessions if desired. Current availability: in person Monday through Thursday 11-4 PM, with 4-6 PM on a waitlist. Friday virtual only 9-5.
I steadfastly believe that anyone can heal when sufficiently supported in a counseling relationship. I am passionate about cultivating an accepting and confidential therapeutic environment with space for tears, laughter, and authentic connection. A few of the areas in which I have experience include anxiety, trauma, self-esteem issues, codependency, perfectionism, and highly sensitive people. I work at Lantern Lane Farm Counseling Center, which means that can use our horses and have outside sessions if desired. Current availability: in person Monday through Thursday 11-4 PM, with 4-6 PM on a waitlist. Friday virtual only 9-5.
(615) 285-6617 View (615) 285-6617
Photo of Shea Collins M Ed, M, Ed, Pre-Licensed Professional
Shea Collins M Ed
Pre-Licensed Professional, M, Ed
Verified Verified
Chattanooga, TN 37421
Adult children of immature parent(s) or neglectful guardian(s) can feel disconnected from others, are fearful of rejection or abandonment, experience anxiety or depression, and struggle with anger, boundaries and relationships. Confiding in friends, family, or co-workers can be supportive, but often their advice leaves you feeling more alone and confused. I also specialize in attachment, human development, and managing chronic illness or limitations that come with aging, and working with women and mothers who identify as neurodivergent, HSP, ADHD, being on the spectrum, or struggle with social cues and sensory processing.
Adult children of immature parent(s) or neglectful guardian(s) can feel disconnected from others, are fearful of rejection or abandonment, experience anxiety or depression, and struggle with anger, boundaries and relationships. Confiding in friends, family, or co-workers can be supportive, but often their advice leaves you feeling more alone and confused. I also specialize in attachment, human development, and managing chronic illness or limitations that come with aging, and working with women and mothers who identify as neurodivergent, HSP, ADHD, being on the spectrum, or struggle with social cues and sensory processing.
(423) 401-0681 View (423) 401-0681
Photo of Rachel Epifanio - Rachel Epifanio Counseling, Clinical Social Work/Therapist
Rachel Epifanio Counseling
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Nashville, TN 37215
Life is a journey filled with ups and downs, and sometimes, we all need a helping hand to navigate through the challenges that come our way. We are a group of clinicians all specializing in various issues and offering in-person and virtual therapy. We are here to facilitate your journey towards healing and self-awareness using a client-centered approach, where you are the expert of your life. We utilize evidence-based therapeutic techniques combined with a holistic perspective to address your mental, emotional, and relational well-being.
Life is a journey filled with ups and downs, and sometimes, we all need a helping hand to navigate through the challenges that come our way. We are a group of clinicians all specializing in various issues and offering in-person and virtual therapy. We are here to facilitate your journey towards healing and self-awareness using a client-centered approach, where you are the expert of your life. We utilize evidence-based therapeutic techniques combined with a holistic perspective to address your mental, emotional, and relational well-being.
(615) 266-5822 View (615) 266-5822
Photo of Rachel Sellers, LPC, MS, MEd, Licensed Professional Counselor
Rachel Sellers
Licensed Professional Counselor, LPC, MS, MEd
Verified Verified
6 Endorsed
Franklin, TN 37067
Waitlist for new clients
There is nothing more difficult than struggling and not knowing where to turn for help. I would be honored to come alongside you as you navigate this process. I work with teens (12 and up) and adults who are experiencing eating disorders/disordered eating, body image issues, anxiety/OCD, depression, and PTSD. It is my goal to help you transform trauma into wisdom, author new stories, and assist you in tapping into your inherent resilience, strength, and worthiness. It is my belief that all of us are capable of healing and recovery, of becoming our truest, most beautiful selves.
There is nothing more difficult than struggling and not knowing where to turn for help. I would be honored to come alongside you as you navigate this process. I work with teens (12 and up) and adults who are experiencing eating disorders/disordered eating, body image issues, anxiety/OCD, depression, and PTSD. It is my goal to help you transform trauma into wisdom, author new stories, and assist you in tapping into your inherent resilience, strength, and worthiness. It is my belief that all of us are capable of healing and recovery, of becoming our truest, most beautiful selves.
(615) 395-6857 View (615) 395-6857
Photo of Kathryn Wood, LPC, MHSP, MT-BC, CRC, Licensed Professional Counselor
Kathryn Wood
Licensed Professional Counselor, LPC, MHSP, MT-BC, CRC
Verified Verified
5 Endorsed
Nashville, TN 37220  (Online Only)
Overwhelmed. Anxious. Exhausted. Your brain is like a hamster wheel of worst-case scenarios, relentless worry, and you're just... so... TIRED. You've tried ignoring, distracting, or arguing with yourself to get some peace, but the relief is temporary. When it all comes barging back, you wonder, "Why can't I stop ...(insert cyclical mental stress)..? How come..(insert quick-fix).. isn't working? …Will I EVER feel better?!" You know there are ways to find relief from OCD, anxiety, or trauma, but none of your self-help internet research has made much improvement. There HAS to be a way to break free of this emotional trap - but how?
Overwhelmed. Anxious. Exhausted. Your brain is like a hamster wheel of worst-case scenarios, relentless worry, and you're just... so... TIRED. You've tried ignoring, distracting, or arguing with yourself to get some peace, but the relief is temporary. When it all comes barging back, you wonder, "Why can't I stop ...(insert cyclical mental stress)..? How come..(insert quick-fix).. isn't working? …Will I EVER feel better?!" You know there are ways to find relief from OCD, anxiety, or trauma, but none of your self-help internet research has made much improvement. There HAS to be a way to break free of this emotional trap - but how?
(615) 560-7573 View (615) 560-7573
Photo of Amy Mariaskin - Nashville OCD & Anxiety Treatment Center, PhD, HSP, Psychologist
Nashville OCD & Anxiety Treatment Center
Psychologist, PhD, HSP
Verified Verified
1 Endorsed
Brentwood, TN 37027
As a licensed clinical psychologist and faculty member for the International OCD Foundation, I'm proud to lead as the Founding Director of the Nashville OCD & Anxiety Treatment Center (NOATC). We provide individual, group, and family therapy for people all across the lifespan. Our specialties include the treatment of obsessive-compulsive disorder, anxiety, panic, and OC spectrum disorders such as body dysmorphic disorder. Our approach to therapy is grounded in research-based techniques and a belief that individuals are most open to change when they feel that their unique traits are respected.
As a licensed clinical psychologist and faculty member for the International OCD Foundation, I'm proud to lead as the Founding Director of the Nashville OCD & Anxiety Treatment Center (NOATC). We provide individual, group, and family therapy for people all across the lifespan. Our specialties include the treatment of obsessive-compulsive disorder, anxiety, panic, and OC spectrum disorders such as body dysmorphic disorder. Our approach to therapy is grounded in research-based techniques and a belief that individuals are most open to change when they feel that their unique traits are respected.
(615) 398-6860 View (615) 398-6860

See more therapy options for Fayetteville

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.