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Exposure and Response Prevention (ERP) is the first-line behavioural treatment for obsessive-compulsive disorder. It entails systematic, gradual exposure to anxiety-provoking stimuli, e.g., contamination fears or intrusive thoughts, without allowing the compulsive responses (rituals or avoidance behaviours) to occur. With the guidance of your therapist, you create a hierarchy of feared situations from mildly distressing to highly triggering situations. By repeated, controlled exposure, anxiety habituates naturally, and the drive to neutralise with compulsions reduces. Cognitive components are also incorporated to target beliefs sustaining OCD.
Services Offered:
Collaborative creation of a personalised fear hierarchy
Guided in‑session exposures, from mild to severe triggers
Response prevention coaching to resist compulsive urges
Cognitive restructuring to address underlying beliefs
Structured homework tasks ensure consistent practice
Advantages:
Significant decrease in ritualistic behaviour and avoidance
Increased tolerance of distress without compulsive relief
Restoration of daily functioning and quality of life
ERP requires homework and commitment between sessions since regular practice is necessary for long-term change. While difficult initially, people tend to report considerable relief, decreased ritualistic behaviour, and better daily functioning. Our Bhubaneswar centre provides encouraging monitoring, pacing flexibility, and relaxation skills integration to maximise comfort during the therapeutic process.
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