Exposure Response Prevention (ERP) Therapists in Boscobel, WI
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![Photo of Alexandra Berthelon-Lathrop, MS, LPC, Counselor](https://photos.psychologytoday.com/cd7baba9-ae8b-4a81-bd07-8eae1e4734a0/1/320x400.jpeg)
I utilize the following modalities: Cognitive Behavioral Therapy(CBT), Exposure Response Therapy (ERP), Habit Reversal Training(HRT), Trauma Focused Cognitive Behavioral Therapy(TF-CBT), and Family Systems.
I am passionate about working with children, adolescents, and adults experiencing difficult situations that have prevented them from living a healthier lifestyle. My mission is to help you name what's keeping you stuck and identify individual strengths that will help overcome those challenges. I am there to support you in finding and becoming the best version of yourself by letting go of old patterns of thinking and behaviors that are stopping you from being who you want to be. I am also available to provide services in Spanish, as it is my native language.
I utilize the following modalities: Cognitive Behavioral Therapy(CBT), Exposure Response Therapy (ERP), Habit Reversal Training(HRT), Trauma Focused Cognitive Behavioral Therapy(TF-CBT), and Family Systems.
I am passionate about working with children, adolescents, and adults experiencing difficult situations that have prevented them from living a healthier lifestyle. My mission is to help you name what's keeping you stuck and identify individual strengths that will help overcome those challenges. I am there to support you in finding and becoming the best version of yourself by letting go of old patterns of thinking and behaviors that are stopping you from being who you want to be. I am also available to provide services in Spanish, as it is my native language.
![Photo of Wejdan Alseqami, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/d03f7073-4d31-40e9-b830-30de8495dccf/2/320x400.jpeg)
Wejdan utilizes several evidence-based approaches in therapy, including Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), and Cognitive Processing Therapy (CPT).
Wejdan's first commitment to her clients is to create a secure and inclusive environment that serves as the foundation for growth in therapy. She believes that genuine connection is vital in fostering a safe space and a true sense of collaboration, and she starts and continues this connection by presenting her authentic self. As a first-generation immigrant, Wejdan recognizes the value and significance of culturally competent practices. With this in mind, she aims to cultivate an atmosphere conducive to the flourishing of individuals from diverse cultural backgrounds.
Wejdan utilizes several evidence-based approaches in therapy, including Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), and Cognitive Processing Therapy (CPT).
Wejdan's first commitment to her clients is to create a secure and inclusive environment that serves as the foundation for growth in therapy. She believes that genuine connection is vital in fostering a safe space and a true sense of collaboration, and she starts and continues this connection by presenting her authentic self. As a first-generation immigrant, Wejdan recognizes the value and significance of culturally competent practices. With this in mind, she aims to cultivate an atmosphere conducive to the flourishing of individuals from diverse cultural backgrounds.
![Photo of Sarah Francois, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/52fd1e9e-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Sarah Francois
Clinical Social Work/Therapist, LCSW
Verified Verified
Madison, WI 53713 (Online Only)
I work with patients to address Depression, Anxiety, OCD as well as trauma sequelae which are manifest by depressed or anxious mood, obsessive-compulsive behaviors, insomnia, substance misuse, and interpersonal problems. I employ Cognitive Behavioral Therapy (CBT)(ERP), Acceptance & Commitment Therapy (ACT), Prolonged Exposure (PE) and relevant clinical adaptations to address mood or anxiety disorders, co-occurring substance use disorders and/or trauma recovery as well as singular diagnoses. I have significant clinical experience in addressing deep, psychological wounds often referred to as "moral injury”.
I work with patients to address Depression, Anxiety, OCD as well as trauma sequelae which are manifest by depressed or anxious mood, obsessive-compulsive behaviors, insomnia, substance misuse, and interpersonal problems. I employ Cognitive Behavioral Therapy (CBT)(ERP), Acceptance & Commitment Therapy (ACT), Prolonged Exposure (PE) and relevant clinical adaptations to address mood or anxiety disorders, co-occurring substance use disorders and/or trauma recovery as well as singular diagnoses. I have significant clinical experience in addressing deep, psychological wounds often referred to as "moral injury”.
![Photo of Sarah Cheney, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/28a5640f-505d-4c9a-b2f1-61060c489fe6/1/320x400.jpeg)
Sarah Cheney
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Madison, WI 53713 (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, contemporary, science-based mental health interventions help people reduce suffering and live life with freedom and flexibility (and maybe some fun). 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 meaningful 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, contemporary, science-based mental health interventions help people reduce suffering and live life with freedom and flexibility (and maybe some fun). 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 meaningful and active life.
![Photo of Liz Stine, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/9e7e5735-a6c6-4dfc-9089-6c01559d0729/1/320x400.jpeg)
Exposure and Response Prevention (ERP) can help you take back your life.
OCD, ANXIETY, PANIC, and PHOBIAS can all be incredibly uncomfortable, taking away precious time from what is important to you. Perhaps rumination, checking or intrusive, scary thoughts are ruining valuable aspects of your life. You want to feel better, you want relief and you want connection with others. What if you could experience less anxiety, feel more confident, and be able to approach your day with more surplus? Together we will make a plan that creates lasting change and together find strategies that work for you - that you can take into your daily life.
Exposure and Response Prevention (ERP) can help you take back your life.
OCD, ANXIETY, PANIC, and PHOBIAS can all be incredibly uncomfortable, taking away precious time from what is important to you. Perhaps rumination, checking or intrusive, scary thoughts are ruining valuable aspects of your life. You want to feel better, you want relief and you want connection with others. What if you could experience less anxiety, feel more confident, and be able to approach your day with more surplus? Together we will make a plan that creates lasting change and together find strategies that work for you - that you can take into your daily life.
![Photo of Sarah Farris, MA, LCPC, LPC, Counselor](https://photos.psychologytoday.com/8f9c7e59-efa0-4eac-aa0a-85eb29f7ab12/2/320x400.png)
Sarah Farris
Counselor, MA, LCPC, LPC
Verified Verified
7 Endorsed
Madison, WI 53703
Waitlist for new clients
I utilize evidence based interventions including exposure & response prevention (ERP) for the treatment of OCD and anxiety, as well as ACT and cognitive behavioral therapy (CBT).
When anxiety becomes overwhelming, it interferes with relationships, confidence, and the ability to perform your best. Breaking the avoidance, overthinking, checking and self-doubt cycle is possible. I take a warm and enthusiastic approach in guiding the therapeutic process for adults living with OCD, panic attacks, phobias, illness anxiety, sports performance anxiety, skin picking and hair pulling. I have over 11 years of counseling experience and 20 years in the mental health field. My work now focuses on helping adults, athletes, university students, and working professionals overcome obsessive worry and return to valued living.
I utilize evidence based interventions including exposure & response prevention (ERP) for the treatment of OCD and anxiety, as well as ACT and cognitive behavioral therapy (CBT).
When anxiety becomes overwhelming, it interferes with relationships, confidence, and the ability to perform your best. Breaking the avoidance, overthinking, checking and self-doubt cycle is possible. I take a warm and enthusiastic approach in guiding the therapeutic process for adults living with OCD, panic attacks, phobias, illness anxiety, sports performance anxiety, skin picking and hair pulling. I have over 11 years of counseling experience and 20 years in the mental health field. My work now focuses on helping adults, athletes, university students, and working professionals overcome obsessive worry and return to valued living.
![Photo of Sarah H Carson, LCSW, SAC, DBT, BSP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3e9b9718-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Sarah H Carson
Clinical Social Work/Therapist, LCSW, SAC, DBT, BSP
Verified Verified
Middleton, WI 53562 (Online Only)
Along with DBT, I specialize in Cognitive Behavioral Therapy (CBT), Anxiety, ADHD, Depression, Dysthymia, Disordered Eating, Exposure Response Prevention (ERP), OCD, Panic disorder, Post-traumatic Stress Disorder (PTSD), Substance use, Marital & Life crisis issues.
I am a double board certified Licensed Clinical Therapist. I have worked with adolescents, adults and families for over 15 years. Each developmental stage of your life brings unique challenges. As a psychotherapist, I feel that it is important to walk alongside clients in a collaborative manner. I believe in personalizing each treatment plan to meet clients where they are. My goal is to create an atmosphere that is positive, supportive, accepting and productive. This environment helps clients to reach their personal goals, attaining a healthy, balanced, life worth living.
Along with DBT, I specialize in Cognitive Behavioral Therapy (CBT), Anxiety, ADHD, Depression, Dysthymia, Disordered Eating, Exposure Response Prevention (ERP), OCD, Panic disorder, Post-traumatic Stress Disorder (PTSD), Substance use, Marital & Life crisis issues.
I am a double board certified Licensed Clinical Therapist. I have worked with adolescents, adults and families for over 15 years. Each developmental stage of your life brings unique challenges. As a psychotherapist, I feel that it is important to walk alongside clients in a collaborative manner. I believe in personalizing each treatment plan to meet clients where they are. My goal is to create an atmosphere that is positive, supportive, accepting and productive. This environment helps clients to reach their personal goals, attaining a healthy, balanced, life worth living.
![Photo of Alison Manley, LPC, CEDS, Licensed Professional Counselor](https://photos.psychologytoday.com/08af06e2-9370-42c3-8830-fed3ce405689/2/320x400.jpeg)
Trained in modalities of: ACT, EMDR, ERP, CBT, DBT, RO-DBT.
Ali Manley (she/her) is a Certified Eating Disorder Specialist (CEDS). In therapy, Ali works hard to strike a balance between helping clients learn and use new skills, and gaining insight into past experiences. Ali strives to forge a therapeutic relationship that feels safe, supportive, and goal-orientated. She highly values authenticity and connection in the therapeutic relationship and encourages clients to be their true selves—both in and out of session. She is creative, nonjudgmental, and proud to be trauma-informed, queer-affirming/competent, trans-affirming/competent, sex-positive, and poly- and kink-friendly and knowledgable.
Trained in modalities of: ACT, EMDR, ERP, CBT, DBT, RO-DBT.
Ali Manley (she/her) is a Certified Eating Disorder Specialist (CEDS). In therapy, Ali works hard to strike a balance between helping clients learn and use new skills, and gaining insight into past experiences. Ali strives to forge a therapeutic relationship that feels safe, supportive, and goal-orientated. She highly values authenticity and connection in the therapeutic relationship and encourages clients to be their true selves—both in and out of session. She is creative, nonjudgmental, and proud to be trauma-informed, queer-affirming/competent, trans-affirming/competent, sex-positive, and poly- and kink-friendly and knowledgable.
![Photo of Rachel Vohnoutka, MS, LPC, SAC, Licensed Professional Counselor](https://photos.psychologytoday.com/0c77d6c9-9fde-4fbd-843c-5babeef4e24c/2/320x400.jpeg)
Rachel Vohnoutka
Licensed Professional Counselor, MS, LPC, SAC
Verified Verified
Madison, WI 53719 (Online Only)
I primarily use evidence-based practices including cognitive behavior therapy (CBT, BA, ERP), dialectical behavior therapy (DBT), and mindfulness-based approaches- however, I recognize the importance of tailoring an approach to suit each individual’s needs, strengths, and goals.
I am a licensed telehealth therapist with 10 years of experience providing mental health and substance abuse counseling in the state of Wisconsin. I specialize in treatment for depression and anxiety disorders; I also regularly work with individuals struggling with substance abuse (AODA) concerns, self-harm, OCD, perfectionism, high stress, and with young adults/college students navigating the transition to adulthood.
I primarily use evidence-based practices including cognitive behavior therapy (CBT, BA, ERP), dialectical behavior therapy (DBT), and mindfulness-based approaches- however, I recognize the importance of tailoring an approach to suit each individual’s needs, strengths, and goals.
I am a licensed telehealth therapist with 10 years of experience providing mental health and substance abuse counseling in the state of Wisconsin. I specialize in treatment for depression and anxiety disorders; I also regularly work with individuals struggling with substance abuse (AODA) concerns, self-harm, OCD, perfectionism, high stress, and with young adults/college students navigating the transition to adulthood.
![Photo of Megan O'Brien, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e43f0d96-783c-4bc3-9d8a-084c14aec741/1/320x400.jpeg)
Megan O Brien is a Licensed Clinical Social Worker in Minnesota who has been practicing since 2012.
Megan O Brien is a Licensed Clinical Social Worker in Minnesota who has been practicing since 2012.
![Photo of Sheri Nagel, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/f99f7317-120f-4347-8f71-329a2a7213e6/2/320x400.jpeg)
Sheri Nagel is a Licensed Professional Counselor in Wisconsin who has been practicing since 2012. She has an undergraduate degree in Psychology, Human Services and English Literature from the University of Wisconsin Stevens Point and a graduate degree in Education and Professional Counseling from the University of Wisconsin Oshkosh. Life can bring challenges that affect us psychologically, emotionally, spiritually, and physically. Sheri is committed to understanding every person's unique perceptions, feelings, and beliefs, while recognizing and respecting people for where they are on their journey.
Sheri Nagel is a Licensed Professional Counselor in Wisconsin who has been practicing since 2012. She has an undergraduate degree in Psychology, Human Services and English Literature from the University of Wisconsin Stevens Point and a graduate degree in Education and Professional Counseling from the University of Wisconsin Oshkosh. Life can bring challenges that affect us psychologically, emotionally, spiritually, and physically. Sheri is committed to understanding every person's unique perceptions, feelings, and beliefs, while recognizing and respecting people for where they are on their journey.
![Photo of Kevin Davies, Licensed Professional Counselor](https://photos.psychologytoday.com/6ea4d1f7-1577-47dd-9e04-08be35dbd8cf/1/320x400.jpeg)
Kevin uses a collaborative and flexible approach in his work with clients of all backgrounds. His attitude of warmth and non judgement, deliberate attention to the present moment, and familiarity with effective treatment models invites you to open up to your experience in order to pursue what truly matters to you. Kevin has worked with teens, adults, and couples in a variety of settings throughout his career. His experience in crisis management and community-based programs helps him stand with clients during struggles and triumphs with an open heart.
Kevin uses a collaborative and flexible approach in his work with clients of all backgrounds. His attitude of warmth and non judgement, deliberate attention to the present moment, and familiarity with effective treatment models invites you to open up to your experience in order to pursue what truly matters to you. Kevin has worked with teens, adults, and couples in a variety of settings throughout his career. His experience in crisis management and community-based programs helps him stand with clients during struggles and triumphs with an open heart.
![Photo of Katie Doyle, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a78ab448-4506-4989-b2e2-aa48af381453/2/320x400.jpeg)
I am a licensed clinical social worker with over 10 years of experience within a variety of settings. I am experienced in working with a wide range of concerns, especially anxiety disorders (including OCD and phobias), interpersonal relationship skills, and adult ADHD. I also specialize in sexual related concerns such as sexual dysfunction, sexual compulsivity, healthy sexuality, problematic sexual behavior, and offending behaviors.
I am a licensed clinical social worker with over 10 years of experience within a variety of settings. I am experienced in working with a wide range of concerns, especially anxiety disorders (including OCD and phobias), interpersonal relationship skills, and adult ADHD. I also specialize in sexual related concerns such as sexual dysfunction, sexual compulsivity, healthy sexuality, problematic sexual behavior, and offending behaviors.
![Photo of Holly Neuman, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/384287ca-7d16-49ee-a837-216cd8eb3db1/2/320x400.jpeg)
My name is Holly Neuman and I am a Licensed Marriage and Family Therapist. I work with children, teens, adults, families, and couples seeking to improve relationships, process past traumas, and work towards a more fulfilled life.
My name is Holly Neuman and I am a Licensed Marriage and Family Therapist. I work with children, teens, adults, families, and couples seeking to improve relationships, process past traumas, and work towards a more fulfilled life.
![Photo of Julita Jankowska, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/4ff22fe8-46cd-11ea-a6ad-06142c356176/6/320x400.jpeg)
Daytime Appointments. In my practice I meet with adult individuals in their search of healing and personal growth, and I strive to awaken motivation, meaning and happiness. Everyone is unique, and your individual requirements in daily life for good health change according to many factors during the life journey. At times seeking support of a therapist can be helpful in either maintaining or restoring good health/wellbeing. We live in the age of information of all kinds, including an array of counseling strategies. My working style is eclectic.
Daytime Appointments. In my practice I meet with adult individuals in their search of healing and personal growth, and I strive to awaken motivation, meaning and happiness. Everyone is unique, and your individual requirements in daily life for good health change according to many factors during the life journey. At times seeking support of a therapist can be helpful in either maintaining or restoring good health/wellbeing. We live in the age of information of all kinds, including an array of counseling strategies. My working style is eclectic.
![Photo of Deanna Houck, LPC, Counselor](https://photos.psychologytoday.com/cc14b784-fe3c-42bb-9576-ddc1cc03c3e3/1/320x400.jpeg)
Deanna is a licensed professional counselor who earned a bachelor of science degree in psychology from Marian College at Fond du Lac, Wisconsin, and a master’s of science degree in educational/professional counselor tract from Concordia University in Mequon, Wisconsin. Often described as compassionate, hard-working, creative and curious, Deanna has experience working with individuals who live with substance use disorders, chronic mental health disorders and developmental disabilities. She has worked in day treatment settings, residential treatment facilities and in a methadone clinic.
Deanna is a licensed professional counselor who earned a bachelor of science degree in psychology from Marian College at Fond du Lac, Wisconsin, and a master’s of science degree in educational/professional counselor tract from Concordia University in Mequon, Wisconsin. Often described as compassionate, hard-working, creative and curious, Deanna has experience working with individuals who live with substance use disorders, chronic mental health disorders and developmental disabilities. She has worked in day treatment settings, residential treatment facilities and in a methadone clinic.
![Photo of Charlie Health](https://photos.psychologytoday.com/9556af6e-5a9b-4854-bbd3-401984965a9c/1/320x400.jpeg)
Charlie Health is a leading provider of virtual mental health treatment for people in need of more than once-weekly therapy. Whether you're struggling with anxiety, depression, trauma, self-harm, suicidal ideation, or any ongoing mental health issue, Charlie Health’s Clinical Team is ready to help you start your healing journey today. You don’t have to struggle alone – we’re here for you. To get started today, reach out at t.ly/ch-wi
Charlie Health is a leading provider of virtual mental health treatment for people in need of more than once-weekly therapy. Whether you're struggling with anxiety, depression, trauma, self-harm, suicidal ideation, or any ongoing mental health issue, Charlie Health’s Clinical Team is ready to help you start your healing journey today. You don’t have to struggle alone – we’re here for you. To get started today, reach out at t.ly/ch-wi
![Photo of Leah Thompson, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/7c4fcca1-33a3-402d-af79-1d234bff1c52/1/320x400.jpeg)
Leah Thompson
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Madison, WI 53704
Waitlist for new clients
I believe throughout our lives, from childhood to adulthood there are circumstances that cause us to lose sight of our true authentic self. I value taking time to develop a therapeutic relationship based on trust in a safe environment. My sessions are casual, and I enjoy working as a team in developing goals and strategies. When working with children, I like to use play based techniques and movement to assist in regulation while discussing stressful topics. My client base consists of children, teens, young adults transitioning into adulthood and adults dealing with stressors that impact day to day functioning.
I believe throughout our lives, from childhood to adulthood there are circumstances that cause us to lose sight of our true authentic self. I value taking time to develop a therapeutic relationship based on trust in a safe environment. My sessions are casual, and I enjoy working as a team in developing goals and strategies. When working with children, I like to use play based techniques and movement to assist in regulation while discussing stressful topics. My client base consists of children, teens, young adults transitioning into adulthood and adults dealing with stressors that impact day to day functioning.
![Photo of Annette L Haas, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d37c26ea-45ba-4b03-ae99-b2b150279056/1/320x400.png)
Annette L Haas
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Monona, WI 53713
Waitlist for new clients
Have you found yourself repeating old narratives and patterns keeping you stuck? Do you have a hard time connecting to your full self ? I work with people who have become disconnected from parts of themself leading to dissatisfaction in their life. This may show up as anxiety, insomnia, or trauma responses. I support people in recognizing, listening, and attending to all parts of themselves which will lead to healing and growth. By tuning into ourselves we begin to shift the narratives and connect to the person we want to be.
Have you found yourself repeating old narratives and patterns keeping you stuck? Do you have a hard time connecting to your full self ? I work with people who have become disconnected from parts of themself leading to dissatisfaction in their life. This may show up as anxiety, insomnia, or trauma responses. I support people in recognizing, listening, and attending to all parts of themselves which will lead to healing and growth. By tuning into ourselves we begin to shift the narratives and connect to the person we want to be.
![Photo of Amy S Wilkins, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/b47cfde0-2669-400e-9b9d-bb5ebb7a9c15/2/320x400.jpeg)
Do you feel depressed, overwhelmed, exhausted, irritable, anxious or unfulfilled in life? Or maybe you are in an unhealthy relationship, getting divorced or struggling as a single parent. You are NOT alone. Amy partners with you to provide hope, identify your hurt, heal emotional wounds, process past trauma and develop personalized plans that can improve your mental health.
Do you feel depressed, overwhelmed, exhausted, irritable, anxious or unfulfilled in life? Or maybe you are in an unhealthy relationship, getting divorced or struggling as a single parent. You are NOT alone. Amy partners with you to provide hope, identify your hurt, heal emotional wounds, process past trauma and develop personalized plans that can improve your mental health.
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.