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Monday – Thursday: 8 a.m. – 7 p.m.50 minutesLicensed in OHAccepting new patientsAlistair Brantley, Licensed Professional Clinical Counselor (LPCC) · OH Lic. # 000000Mihir Chadha, Licensed Independent Social Worker (LISW) · OH Lic. # 000000Lindsey Devlin, Licensed Psychologist · OH Lic. # 000000
2 more licenses
  • Alistair Brantley, Licensed Professional Clinical Counselor (LPCC) · OH Lic. # 000000
  • Mihir Chadha, Licensed Independent Social Worker (LISW) · OH Lic. # 000000
  • Lindsey Devlin, Licensed Psychologist · OH Lic. # 000000
(513) 555-0102
CruxBlue Ash, Ohio
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For adults

Exposure and response prevention (ERP)

For adults who have OCD or think they might: intrusive thoughts, and the checking, washing, counting or mental rituals that follow them.

  • What sessions look like

    Fifty minutes, in person in Blue Ash or by video. The first sessions are for listening and planning. Once your ladder is written, you practice a step in session, then again on your own between sessions.

  • The method

    ERP is a form of cognitive behavioral therapy. You face a situation that sets off an obsession, and you practice not doing the ritual. Each clinician's ERP training is listed under Credentials on their page.

  • What this is not

    ERP is not reassurance, and it is not being pushed. You take only the steps you have agreed to, and you can stop. It is not a quick fix.

  • Length and frequency

    Your clinician sets the pace with you. Many people meet weekly at first. We don't promise a number of sessions.

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A cream armchair with a knit throw beside a window and a large plant

A sample ladder

What a ladder for checking can look like

This ladder is for someone who rechecks the front door lock. Yours will be about your own situations, and you and your clinician write it together before any step is taken.

  1. Urge 3 of 10

    Lock the door once and walk to the end of the driveway

    Don't go back to test the handle. Notice what the urge does when you leave it alone.

  2. Urge 4 of 10

    Lock the door and drive to the corner

    Turn onto the next street without checking, then keep going.

  3. Urge 6 of 10

    Lock the door and go to work

    Spend the first hour at your desk without calling or texting anyone about the lock.

  4. Urge 7 of 10

    Leave a window unlatched for the day

    Plan it with your clinician first. Come home and don't check the window.

  5. Urge 8 of 10

    Lock up and take a weekend trip

    The step you reach last is the one you set the pace for.

Source: American Psychiatric Association, Practice Guideline for the Treatment of Patients With Obsessive-Compulsive Disorder (2007), which lists cognitive behavioral therapy with exposure and response prevention as a first-line treatment. ERP works differently for each person, and we can't promise a result.

Questions

Three questions about exposure and response prevention

Will I have to do things I am afraid of?

Only the steps you agree to, in the order you choose. Your clinician explains each one before you take it, and is with you the first time.

Do I need a diagnosis first?

No. You can come with questions. A clinician can talk with you about what you have noticed. If you need an assessment from another provider, we tell you.

What about medication?

Medication is a decision for you and a prescriber. We work with your prescriber if you wish. We do not prescribe.

How it is paid

How it is paid, and how to begin

Your fee is given in writing before the first session. How fees work explains insurance, receipts and a written estimate.

Write to usHow fees work