Julie Hingsbergen
LMFT, CBT & ERP Specialist
ERP therapy works by helping individuals gradually face the thoughts or situations that trigger their compulsive behaviors (the “exposure” part), while resisting the urge to perform the usual rituals or repetitive responses (the “response prevention” part). Over time, this process reduces the anxiety associated with those triggers and weakens the habitual behaviors.
ERP doesn’t just aim to manage symptoms; it works to retrain the brain’s response to anxiety-provoking situations. People learn that they can face their fears without needing to perform a ritual to feel safe. This leads to lasting relief.
Repetitive behaviors often create a cycle of temporary relief followed by a return of anxiety. ERP interrupts this loop by teaching individuals to tolerate discomfort without resorting to the behavior. As a result, compulsions lose their grip over time.
Many people with repetitive behaviors find that they’re stuck in time-consuming routines—sometimes taking hours out of their day. With ERP, individuals often experience more time, freedom, and flexibility, allowing them to re-engage in work, hobbies, and relationships.
Facing fears without falling back on rituals builds emotional resilience. Clients often report feeling stronger, more in control, and better equipped to handle life’s uncertainties after completing ERP therapy.
ERP is highly individualized. Whether someone is struggling with handwashing, checking locks, or mentally replaying conversations, a trained ERP therapist tailors the process to each person’s unique triggers and behaviors.
Numerous studies have shown ERP to be the gold standard treatment for OCD and related disorders. Its success rate is consistently high, and when done under professional guidance, the benefits can be long-lasting.
ERP can feel challenging at first—it involves doing the opposite of what feels safe. But with support, people learn that discomfort is temporary, and avoidance isn't the only way to cope. Many individuals find ERP to be life-changing, often after years of trying other approaches without success.
If you or someone you care about is struggling with obsessive thoughts and compulsive behavior that interfere with daily life, consider reaching out to a licensed therapist trained in ERP. With patience, practice, and professional support, change is not only possible—it’s probable.
Julie Hingsbergen, LMFT, CBT & ERP Specialist
Reframe CBT is a specialized group practice offering evidence-based CBT and ERP therapy for anxiety, OCD, phobias, and BFRBs. We work with children, teens, college students, and adults in San Rafael, Marin County, and via telehealth throughout California.
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