OCD Wellness Services
Our Therapy & Approach
The assessment is a crucial part of the treatment process. You and your clinician will begin developing your therapeutic relationship; together learning about OCD symptoms and function. The Assessment takes 2 – 3 sessions and includes developing an individualized treatment plan
During treatment sessions, you and your clinician will begin completing exposures together while engaging in ritual prevention. In treatment sessions, you will gain a further understanding of OCD and the implementation of ERP.
Treatment sessions are approximately 17 – 22 sessions, the number of sessions is dependent on variables such as homework compliance, commitment to treatment, level of insight, and severity.
The Discharge Session is a time to reflect on your progress and learning. By this time, you have become an expert in conquering OCD. During the discharge session you and your clinician will complete a discharge plan for access after treatment.
Booster Sessions provide you with the opportunity to refresh on tools or address any difficulties that arise after discharge. Booster sessions are often pre-scheduled 3 months after discharge and on an as-needed basis after treatment.
What is ERP?
ERP therapy is a modality under Cognitive Behavioural Therapy and is the gold-standard, evidence-based treatment for obsessive-compulsive disorder (OCD). ERP is a behavioural therapy that gradually exposes the individual to situations that provoke obsession (fear). During the exposure, the individual will participate in ritual prevention. ERP is utilized to relieve the individual from the OCD cycle, regaining their life.
Standard Terms In ERP
Exposures– are planned activities that expose the individual to the situations that provoke the obsession. Exposures can be completed in real life (in-vivo exposure) or through imagination (imaginal exposure).
Ritual Prevention- is the act of removing the compulsion/ritual or avoidance behaviours when the obsession is triggered.
Processing – the clinician utilizes Socratic questioning before, during, or after the exposure to support the individual in processing new learning that does not occur during the OCD cycle.
Key Learning in ERP
Habituation– is the natural decline in distress response with repeated exposure to a triggering situation. This occurs by unpairing the feared response to the situation, eliminating the fear and replacing it with new safety learning.
Inhibitory Learning– recognizes ERP does not cause the fear to be eliminated, and for that reason, habituation does not always occur. Inhibitory learning acknowledges that new safety learning around the feared situation becomes more prominent than the existing fear through repeated exposures. During this process, the individual builds tolerance around the feared response and situation. The individual also builds tolerance around uncertainty.
Acceptance and Commitment Therapy (ACT)
What is Acceptance and Commitment Therapy (ACT)
What is a SPACE approach
Habit Reversal Training (HRT)
What is Habit Reversal Training (HRT)
HRT supports individuals experiencing Body-Focused Repetitive Behaviours by building awareness, learning strategies to block the behaviours, and developing competing responses.