OCD & EXRP

Intrusive thoughts, repetitive behaviors, and mental rituals can take over daily life, making even simple moments feel overwhelming.

At Olive Branch Therapy Group, we specialize in Exposure and Response Prevention (EXRP) therapy — the gold standard treatment for OCD. This evidence-based approach helps you gradually face your fears, break the cycle of compulsions, and regain a sense of peace and control.

Living with obsessive-compulsive disorder (OCD) can feel exhausting — like your mind is stuck in a loop you can’t turn off

We know that change can feel intimidating, but with the right guidance, it’s entirely possible. Our therapists provide structured, compassionate support to help you move forward at a pace that feels safe and sustainable.

OCD is not just about being organized or perfectionistic — it’s a clinical condition characterized by:

  • Obsessions: persistent, intrusive thoughts, images, or urges that cause anxiety or distress
  • Compulsions: repetitive behaviors or mental acts performed to relieve anxiety or “prevent” feared outcomes

Common examples include:
  • Excessive cleaning or checking
  • Fear of contamination, harm, or loss of control
  • Mental rituals (counting, repeating, or reviewing)
  • Needing things to feel “just right”
  • Avoiding certain situations or triggers

Left untreated, these cycles can become deeply ingrained — but with EXRP therapy, clients can learn to interrupt them and build new, more balanced responses.

Understanding OCD

Depression can look different from person to person.

What is EXRP Therapy?

Exposure and Response Prevention (EXRP) is a specialized form of Cognitive Behavioral Therapy (CBT) proven to reduce OCD symptoms. It works by helping you:

  • Gradually face fears and triggers in a safe, controlled environment.
  • Practice response prevention, resisting the urge to perform compulsions.
  • Retrain your brain to tolerate uncertainty, reduce anxiety, and weaken obsessive patterns over time.

EXRP isn’t about forcing change — it’s about learning new ways to relate to your thoughts and feelings. Our therapists guide you step by step, ensuring every exposure is handled with care and collaboration.

Our Approach to EXRP Therapy

Our clinicians are trained in EXRP and tailor sessions to each client’s unique symptoms, readiness, and goals.

Therapy may include:

  • Psychoeducation to help you understand how OCD functions in the brain
  • Hierarchy-building to identify triggers and create a gradual exposure plan
  • In-session and at-home exposures to build real-world resilience
  • Mindfulness and self-compassion practices to reduce shame and fear
  • Ongoing progress tracking and support for relapse prevention

Throughout the process, your therapist acts as both a guide and teammate — helping you approach anxiety, not avoid it, and build lasting freedom from compulsions.

What to Expect in EXRP Therapy

The process is structured yet flexible, and typically includes:

You set the pace — we provide the structure, tools, and support to make change possible.

Maintenance and relapse prevention

Strengthen new habits, manage setbacks, and build long-term confidence.

Process your experiences and track symptom reduction over time.

reflection and progress

Gradually face feared thoughts or situations while resisting compulsions.

exposure sessions

Learn how OCD works and collaborate on your personalized exposure plan.

education and planning

FIRST SESSION

Discuss your history, symptoms, and how OCD impacts your life.

Research consistently shows that EXRP is one of the most effective treatments for OCD. 

Over time, therapy helps you:
  • Reduce the frequency and intensity of intrusive thoughts
  • Feel less controlled by compulsions or rituals
  • Build tolerance for uncertainty and discomfort
  • Reconnect with everyday life, relationships, and joy
  • Regain confidence in your ability to handle anxiety

Freedom from OCD doesn’t mean never having anxious thoughts again — it means learning that you don’t have to obey them.

Why EXRP Therapy Works

Start EXRP Therapy for OCD in New Jersey

If OCD is interfering with your daily life, you don’t have to face it alone. Olive Branch Therapy Group offers EXRP therapy in East Brunswick, Somerville, and online across New Jersey. Our licensed therapists are trained to help you reduce symptoms, rebuild confidence, and reclaim calm.

Reach out today to start your path toward lasting relief and freedom from OCD.

Book an appointment