A specialized form of cognitive-behavioral therapy that involves systematic exposure to anxiety-provoking thoughts or situations while preventing the compulsive responses that usually follow.
Reviewed by the HeyPsych Medical Review Board · Reviewed November 24, 2025
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Used for
Also prescribed for (off-label)
Common use
Exposure and Response Prevention is used for Obsessive-compulsive disorder (OCD). The full guide below has the details.
About Obsessive-compulsive disorder (OCD)How many people in 100 notice each one in clinical studies. Many early side effects fade within a few weeks.
Exacerbation of symptoms if not properly supported
Thoughts of suicide? Call or text 988, any time.
Everything we know about Exposure and Response Prevention (ERP), section by section.
14 chapters · about 14 min to read it all. Open any one.
Frequency: Typically weekly sessions; intensive programs may meet multiple times per week.
Duration: 12–20 sessions for standard course, though severe OCD may require longer.
Review homework and anxiety triggers.
Engage in structured exposure tasks while preventing rituals.
Process experience, assign new exposures, reinforce learning.
typical session cost: $120–$200
total treatment cost: Varies based on session length and frequency (commonly $2,000–$5,000 per course)
insurance coverage: Usually covered under psychotherapy benefits
cost effectiveness: High—often prevents need for long-term medication or hospitalization
Some patients refuse or drop out due to difficulty tolerating exposure-related anxiety.
This treatment information is for educational purposes only. Treatment decisions should be made in consultation with qualified healthcare professionals based on individual circumstances, symptoms, and medical history. Do not attempt treatment without professional guidance.
Thinking about Exposure and Response Prevention (ERP)? A prescriber can tell you if it fits.
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