Exposure and Response Prevention (E/RP)

Exposure and response prevention (also known as exposure and ritual prevention; ERP or EX/RP) is a variant of exposure therapy that is recommended by the American Academy of Child and Adolescent Psychiatry (AACAP), the American Psychiatric Association (APA), and the Mayo Clinic as first-line treatment of obsessive compulsive disorder (OCD) citing that it has the richest empirical support for both youth and adolescent outcomes.

ERP is the gold standard of treatment for OCD and OCD related disorders, and is a subset of CBT. Individuals with OCD and OCD related disorders often experience both intrusive and repetitive thoughts (obsessions) and the inability to avoid certain behaviors that are used to reduce or neutralize the intrusive thoughts (compulsions). ERP works in that it exposes an individual to the thoughts, images, and objects that make a person anxious (exposure), and then teaches the client how to avoid giving into the compulsive behaviors by sitting with and managing their anxiety (response prevention). Most individuals reading this are probably thinking to themselves ‘This sounds like terrible torture!’ However, each clinician works with each client in partnership and comes up with a hierarchy of obsessions and compulsions, guiding the treatment to allow the client to not become overwhelmed. Therefore, ERP can be successfully used with minimal discomfort and anxiety when the client feels the freedom to express where they would like to start and what they feel capable of doing.

Intensive Treatment Approach

Mid Island Psychology Associates understands that each person’s symptoms are different and some individuals might need more than one session per week in order to see symptom reduction. Our practice offers intensive treatment options which include in-vivo (in the real world) exposure sessions, as well as extended treatment sessions. We have the ability to provide treatment for multiple hours per day and multiple days per week. We offer home visits when clinically indicated to target symptoms. 

frequently asked questions

Do you take insurance?

Mid Island Psychology Associates, PLLC is considered an out-of-network provider and does not accept insurance. Many insurance companies offer out-of-network benefits which provide reimbursement for psychotherapy services. Mid Island Psychology Associates, PLLC will provide you with all of the information necessary in order to submit for reimbursement through your insurance provider.

What forms of payment do you accept?

We accept cash, checks, or credit cards including flex-spending cards

What is your cancellation policy?

Mid Island Psychology Associates, PLLC requests a minimum of 24-hours notice to cancel your appointment. If you do not cancel your appointment at least 24 hours in advance, or do not show for your appointment, you will be charged for the cost of service. This policy is to ensure that we are able to offer services to others should you be unable to attend.


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Mid Island Psychology Associates
500 N. Broadway, Ste 215, Jericho, NY 11753