Hi. My question is if someone is in their late 60s and has had severe OCD for their whole life, is it reasonable to expect they will get improvement from doing exposure therapy? I ask because a close family member has severe OCD. She's had it her whole life and it is so engrained. She is a hoarder, throws away food before its date, has obsessions about technology, food, cleanliness, covid, what she says to people, chemicals, etc. I have OCD too and when I found out about my OCD I realised she has it too and be sent to counselling. She went to the same therapist that I did. Within eight weeks of my therapy I'd made a hierarchy, started exposure, etc. She had about 15-20 sessions and she hadnt really started exposure or challenging compulsions. And the theprist was talking more about reasoning through things. I wondered if this was because she thoguht my grandma is so bad that she isnt going to be able to get through the exposure and stop her compulsions like I managed to (over two years. But I am now almost anxiety free.) She stopped therapy but wasnt really better, because she hasnt started breaking the OCD cycle and still doesnt properly understand her compulsions. She asks me for advice on how to deal with obsessions etc. As we are close. And I talked to her about exposure (slowly and controlled obviously) But I dont know if that's the right thing to suggest for her. She felt more anxious having counselling as it makes you bring everything up. I found my theory so helpful but I was a teenager at the time. She has had OCD without knowing about it for over 60 years. Is it too late for her to have any real improvement. I dont want to push her into counselling or exposure if there isnt much chance she can change her OCD much now. I ask this because I love her and dont want to make things worse for her. Please let me know about severe OCD that has been going on for many decades... is there chance of much improvement or will she be happier carrying on doing her obsessions and compulsions without interference as she has for the last 60 years? I just want the best for her