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Exposure and Response Prevention in OCD: A Framework to Capitalize Change
Divo Faustino1, Miguel M Gonçalves1, Rui Braga1
1CIPsi-Psychology Research Center, Psychotherapy and Psychopathology Research Unit, School of Psychology, University of Minho, Braga, Portugal.
Journal of Clinical Psychology
|April 11, 2025
Summary
Exposure and Response Prevention (ERP) therapy for obsessive-compulsive disorder (OCD) improved with Innovative Moments (IMs). Therapists using IMs can enhance client engagement and treatment outcomes in ERP for OCD.
Area of Science:
- Psychology
- Clinical Psychology
- Psychiatry
Background:
- Obsessive-compulsive disorder (OCD) is a debilitating mental health condition.
- Exposure and Response Prevention (ERP) is the primary treatment for OCD, but faces challenges with patient engagement and adherence.
- Integrating client strengths and progress markers can potentially improve therapeutic outcomes.
Observation:
- A case study of a young adult with OCD and sexual obsessions demonstrated limited progress with initial cognitive-behavioral therapy (CBT).
- Transitioning to ERP over nine sessions yielded significant positive treatment outcomes.
- Innovative Moments (IMs), defined as client discourse reflecting adaptive changes, were identified and utilized during ERP.
Findings:
- ERP combined with Innovative Moments (IMs) facilitated client disengagement from compulsive behaviors.
- This integrated approach enhanced the client's tolerance for exposure and consolidated therapeutic gains.
- Therapists leveraging IMs can foster motivation and deepen learning in ERP by reinforcing naturally occurring change markers.
Implications:
- The findings suggest a practical strategy for clinicians to enhance motivation and learning in ERP for OCD.
- Recognizing and expanding IMs can improve client engagement, distress tolerance, and the cultivation of flexible responses to intrusive thoughts.
- This approach holds potential for more effective and sustained treatment of OCD.
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