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Expanding on exposure and response prevention [in the treatment of obsessive-compulsive disorder] Public Deposited

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  • Written for PSY 482. Throughout the history of psychotherapy, exposure and response (ritual) prevention (ERP) has widely been considered the most effective treatment for patients who suffer from obsessive-compulsive disorder (OCD) (Clark, 2005). Through the utilization of fear hierarchies that aim to desensitize feelings of anxiety and dread, ERP’s empirically supported ability to relieve individuals of compulsive thoughts and actions has made the behaviorally-based therapy the favored treatment strategy when combating OCD. Despite such a convincing success rate, a considerable shift in treatment has been made that attempts to integrate other therapeutic options with already established ERP treatment strategies. As such, therapy options such as Cognitive-Behavioral therapy (CBT), ERP combined with Motivational Interviewing (MI), and ERP therapy overlapped with pharmacotherapy have emerged as possible alternatives to treating OCD, with pilot studies and trials testing the efficacy of each new idea. While fusing the valuable elements of two therapeutic strategies may seem beneficial to the overall treatment of the disorder at first, the end result has not proven to be as advantageous as envisioned. Through the examination of three specific studies, it is apparent that abandoning a monotherapeutic approach to treating OCD would be a mistake, as empirical evidence suggests that exclusive implementation of ERP is a more efficient method of treatment than integrating different therapeutic practices.
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