Skip to main content

Exposure And Response Prevention

Exposure And Response Prevention (ERP, EX/RP) is an effective treatment for obsessive compulsive disorder (OCD). This CBT worksheet guides therapists and clients though the key steps of ERP.

Download or send

Choose your language

Notice: The 'Fillable PDF' format has been retired. For resources with form elements, both the 'Professional' and 'Client' versions are now available as fillable PDFs by default.

Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Translation Template

Are you a qualified therapist who would like to help with our translation project?

Tags

Languages this resource is available in

  • Chinese (Simplified)
  • English (GB)
  • English (US)
  • Estonian
  • French
  • Greek
  • Italian
  • Malaysian
  • Sinhala
  • Spanish (International)

Problems this resource might be used to address

Techniques associated with this resource

Mechanisms associated with this resource

Introduction & Theoretical Background

Exposure And Response Prevention (ERP) is one of the recommended treatments for Obsessive Compulsive Disorder (OCD). In simple terms ERP involves exposing yourself to a trigger for your obsessions and refraining from performing your usual compulsions. This often involves tolerating anxiety, and you are encouraged to record the pattern of this over time as you complete ERP.

Get access to this resource

View all plans and pricing options

Get Access

Therapist Guidance

The technique of exposure and response prevention should only be carried out in the presence of a clear shared formulation of why it is expected to be helpful. The basic steps involved in EX/RP are:

  • Expose yourself to the trigger
  • Resist performing the compulsion
  • Record distress (or urge to perform compulsion) over time

Get access to this resource

View all plans and pricing options

Get Access

References And Further Reading

  • Abramowitz, J. S. (1996). Variants of exposure and response prevention in the treatment of obsessive-compulsive disorder: A meta-analysis. Behavior Therapy, 27(4), 583-600.
  • Boersma, K., Den Hengst, S., Dekker, J., & Emmelkamp, P. M. (1976). Exposure and response prevention in the natural environment: A comparison with obsessive-compulsive patients. Behaviour Research and Therapy, 14(1), 19-24.

Get access to this resource

View all plans and pricing options

Get Access