- User type
- Therapist
- Date posted
- 6y
Hi NOCD users, I’ve been very busy working with many new clients. I have learned from my work with each of you. I thought it may be helpful to share the steps of an ERP exercise for those of you out there practicing and running into common roadblocks. First, ERP stands for Exposure Response Prevention. We are working on preventing your response. When creating the ERP exercises, the NOCD app clearly walks you through the steps. Use it - because it works. First we list the obsessive thought, this is what happens when you get triggered. The upsetting, scary thoughts that cause distress. Listing the trigger is next, what set off these obsessive thoughts. A trigger can be anything - person, place, thing, real or imagined. The next step is listing the exposure. This part can confuse users. The exposure is the part of the exercise that you create to cause you to be triggered. This is different based on you creating a in-vivo - real life exercise or an imaginal exercise. Creating a script would be one example of the imaginal exercise. Try to think of specific triggers and that will make it easier to create the exposure. Lastly comes the compulsions. The compulsions are the thing you do not want to do! Try to stay with your obsessive thought - do not check in, not with yourself, not online, not by asking questions. Be careful not to ask yourself questions or anyone else that is reassurance seeking. Also, remember that distracting yourself from the thoughts or avoiding focusing on the thoughts is still a compulsion. Stay with your thought until your anxiety comes down and is at a manageable level. Practice this exercise multiple times until your distress level stays at a manageable level. If you do this, you have completed your ERP exercise successfully. Congratulations! Keep up the good work and practice, practice, practice! If you are struggling, get treatment with a trained ERP therapist. Wishing you good luck ?
- Trigger warning