Exposure and Response Prevention (ERP) Therapy Q&A with Lynn Carver, LCSW

Lynn Carver • Dec 19, 2023

What is OCD? What other disorders are related to OCD?

Obsessive-Compulsive disorder is listed in the Diagnostic and Statistical Manual V (DSM-V) within the classification of anxiety disorders. People with OCD struggle with unwanted thoughts and threats of doom if they don’t engage in repetitive and sometimes senseless rituals. It is not rare: about one in 40 people meet the criteria for OCD at any given time. Other disorders in the classification of Anxiety disorders include Generalized Anxiety Disorder, Separation Anxiety Disorder, Selective Mutism, Specific Phobias, Social Anxiety Disorder, Panic Disorder, Agoraphobia, and Substance/Medication-Induced Anxiety Disorder.  

What is ERP and how does it help in the recovery of individuals with OCD and anxiety disorders? 

ERP stands for Exposure and Response Prevention therapy and is considered the gold standard of treatment for OCD and related disorders. This treatment modality results in changes in the brain that help people with OCD manage their symptoms more effectively. By exposing clients to their core fears and preventing compulsive behaviors used to cope, neural pathways in the brain are strengthened resulting in habituating the brain to previously distressing thoughts and fears. Their fear will become less intense over time, allowing the client to live a freer life. 

How effective is ERP in treating individuals with OCD and anxiety disorders? 

Various studies have shown that between 50-80% of people who receive ERP will show significant and lasting improvements. Favorable outcomes are also associated with pharmacotherapy (medication) being utilized in conjunction with ERP. Some studies have indicated that when individuals do not benefit from ERP, it is often due to prematurely stopping the treatment. The benefits of OCD are positively impacted when clients are willing to be exposed to the distressing stimuli.

What makes Thrive’s approach to treatment unique?

Thrive’s approach to all treatment programs is to treat the whole person. We are able to provide wrap-around services to clients including primary care, psychiatry, intensive outpatient programming, partial hospitalization programming, case management and outpatient therapy resources. Thrive Wellness is committed to providing in-house training of all clinical staff in treatment modalities that benefit our clients. Some of these modalities include Cognitive Behavioral Therapy, Eating Disorders treatment, Dialectical Behavior Therapy, Exposure and Response Prevention, and Trauma-Informed Care.  

Why did Thrive launch an adult program? 

Thrive Wellness is committed to meeting the behavioral health needs of the Reno/Sparks community by providing programs and services that are not otherwise available in the community.

Who could benefit from participating in this program?

If you or a loved one struggles with anxiety disorders that impede living life fully, including difficulty meeting role obligations for work or family, leaving the home, completing activities of daily living, avoidance of social situations, etc., call for an assessment today!

What does a typical day in the program look like?

Each day in ERP programming involves a check-in for current subjective distress, values clarification, extended exposure period, a nutrition break, and group therapy. In addition, all clients will be established with a primary therapist who will do weekly individual and/or family therapy to reduce environmental accommodation of obsessions and compulsions. 

How can someone enter this program? 

Anyone interested in participating in the program can call our Client Experience Team at (775) 525-8103 and ask to speak to an Admissions Specialist. The Admissions Specialist will help guide all potential participants through the intake process.

How can a clinician refer? 

Similarly, clinicians in the community can refer by contacting Thrive Wellness directly by phone at (775) 525-8103 or email at info@thrivehere.com.

By Sage Tippie 23 Apr, 2024
Spring Cleaning Benefits for Mental Health Spring is a time of new beginnings, change, and transitions, including in our homes. With the warmer weather kicking motivation into high gear, Spring can be a prime time to do a deep clean. Not only is a clean space aesthetically pleasing to the eyes, but it can also help to improve your mental health. Learn about how tidying up your space can also tidy up your thoughts below along with tips for cleaning when you’re struggling with your mental health. 4 Reasons Why Cleaning is Beneficial to Mental health 1.Decreased Stress Not only does an uncluttered space provide a sense of calm, but the physical act of cleaning can release feel-good endorphins, reducing feelings of stress and anxiety. As you cross tasks off your checklist, your body also releases Dopamine. Also known as the “happy hormone”, Dopamine provides a sense of accomplishment and pride that can promote motivation in other areas of our lives. 2. Improved Focus Studies have shown that an uncluttered space can also lead to an uncluttered mind. Your focus can be drawn away from important tasks by a chaotic, messy space. Research has also shown a connection between procrastination and clutter, as an unwillingness to tackle larger chores like cleaning can translate over into various areas of our lives. By keeping your space tidy, it can inspire you to stay on top of other major tasks like work and school assignments. 3. Regulated Emotions According to this 2015 study , cleaning can function as a practice in mindfulness, providing an increased sense of calm and inspiration. Slowing down while cleaning gives you room to relax and free your mind of burdens, stressors, and irritants that can affect your mental health. Cleaning can even be considered a practice of self-care as the action helps you to connect with yourself and the outcome allows you to better enjoy your own space. 4. Sense of Order and Control When experiencing mental health struggles, people may feel a lack of control over their lives and emotions. Cleaning even small areas of the home can provide an increased sense of order and control as you cross tasks off your to-do list. Through realizing your own power by simply completing minor tasks like cleaning, it can reaffirm your ability to do more. 10 Tips for Cleaning When Struggling with Mental Health Mental health struggles and disorders commonly create barriers to one’s ability to clean and properly practice personal hygiene. Although these behaviors are normal side effects of mental health disorders, we want to work to aid our clients in cleaning to the best of their ability even in difficult times. Below, Thrive Wellness occupational therapist Meadow Deason shares some helpful tips she gives to clients when they struggle with cleaning due to mental health conditions: 1.Ask For Help Having support to clean can make a huge difference. Do the cleaning with the person helping you and have them hold you accountable. 2. Don't Wait for Motivation Motivation might not come before action, but it can build as you begin to see the results of your efforts. 3. Start Small Start with one area or one task and go from there. For example, concentrate on your bedroom first and then move on to the living room and bathroom. 4. Do Something Daily Even if you do only one small cleaning task a day, doing that one task creates momentum and prevents small tasks from building up and becoming overwhelming. 5. Use Sensory Modulation Change your environment by playing music, adjusting the lighting, or using aromatherapy. This can help to put you in a new headspace for cleaning. 6. Start with "High Impact" Tasks Start with more intensive or all-over cleaning tasks such as picking up clutter or doing the dishes. The visual "noise" of some tasks makes a large impact on the entire space, building motivation to continue cleaning. 7. Make a To-Do List Write a detailed to-do list of tasks and cross them off as you go. Physically marking down what you’ve accomplished can promote increased motivation. 8. Reward Yourself Set up a reward system where you reward yourself with a favorite activity or item when you complete a task as an incentive to clean. 9. Use the Rocket Method Don't think about it, just choose a task, countdown from five or ten and then start. This can help you to avoid potential anxiety and dread that can prevent you from cleaning. 10. Gamify Tasks Make up a game for your tasks or time yourself to promote increased engagement in cleaning. Your ability to complete tasks can be affected by a multitude of different factors and conditions including OCD , anxiety, depression , ADHD , and more. If you are struggling with motivation due to your mental health, help is here at Thrive Wellness.
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