You wake up dreading another day controlled by intrusive thoughts and rituals that steal hours from your life. ERP therapy changes that reality by targeting the root mechanism keeping OCD alive—the avoidance and compulsion cycle that traditional talk therapy can’t touch.
Eighty percent of people with OCD who use ERP experience significant symptom reduction within 8-16 weeks. You’ll learn to face uncertainty without relying on compulsions, building lasting confidence that extends far beyond therapy sessions.
Instead of just managing symptoms, you’ll develop the tools to live authentically on your terms. The obsessive thoughts may still appear, but they won’t dictate your choices or consume your day.
We bring together nationally known researchers, published clinicians, and advocates—many with lived experience of the conditions we treat. This unique combination of clinical authority and deep empathy means you’ll work with specialists who truly understand your struggle.
With nearly 50% of San Antonio teens experiencing mental health issues and 26.4% of Texans unable to access mental health treatment, accessible, specialized care has never been more critical. We serve clients across San Antonio through both secure telehealth and in-person appointments, ensuring expert ERP therapy reaches those who need it most.
Our team includes leaders who have shaped international OCD treatment guidelines and written foundational books for the field, bringing cutting-edge expertise directly to San Antonio residents seeking freedom from OCD.
ERP involves exposing individuals to feared thoughts, images, or situations while helping them resist the urge to engage in compulsive behaviors. Your therapist will work collaboratively with you to create a personalized hierarchy of exposures, starting with manageable challenges and gradually building your tolerance for uncertainty.
You’ll begin by learning anxiety management tools, then systematically face your triggers in a safe, controlled environment. The key is response prevention—resisting the compulsions that typically follow obsessive thoughts. With guidance from a trained therapist, you’ll gradually and safely confront your fears while learning to resist the urge to engage in compulsions.
Sessions may occur in-office or in real-world settings where your OCD symptoms are strongest. We also offer intensive four-day treatment programs that can achieve breakthrough moments typically requiring months of weekly sessions. Each step is designed to retrain your brain’s response to triggers, ultimately reducing their power over your daily life.
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We offer flexible treatment formats to meet San Antonio residents’ diverse needs. You can choose from traditional weekly sessions, intensive outpatient programs, or our innovative four-day intensive format that condenses focused ERP work for faster results.
Given that financial constraints and shortage of mental healthcare professionals make it difficult for many Texans to access proper care, we prioritize accessibility through both virtual and in-person options. Our secure telehealth platform ensures you can access gold-standard ERP therapy regardless of location or scheduling constraints.
Treatment includes comprehensive assessment, personalized exposure hierarchy development, in-session ERP work, between-session practice assignments, and family education when appropriate. We serve children, adolescents, and adults, with specialized approaches for each developmental stage. Our transparent fee structure and clear treatment expectations help you make informed decisions about your care without hidden surprises.
Many people come to ERP after trying talk therapy, medication, or other approaches that weren’t designed for OCD’s unique challenges. ERP targets the root cause, not just symptoms—addressing the core mechanism that keeps OCD alive: the avoidance and compulsion cycle.
While traditional therapy focuses on understanding thoughts and feelings, ERP is action-oriented. You’ll engage in concrete exercises to face fears head-on in a controlled environment rather than just talking about them. Study after study confirms that ERP consistently outperforms other treatments for OCD, with benefits that last long after therapy ends.
The difference is that ERP teaches your brain through direct experience that you can handle uncertainty and discomfort without compulsions. This creates lasting change at the neurological level that discussion-based therapies simply cannot achieve for OCD.
Your first session focuses on comprehensive assessment and building a collaborative treatment plan. Your therapist will gather detailed information about your specific obsessions, compulsions, and how OCD impacts your daily life. This isn’t about judgment—it’s about understanding your unique presentation to create the most effective approach.
You’ll discuss your treatment goals, previous therapy experiences, and any concerns about ERP. Your therapist will explain how exposure and response prevention works, addressing common misconceptions and fears about the process. Together, you’ll begin developing your exposure hierarchy, ranking feared situations from least to most anxiety-provoking.
The session also covers practical matters like session frequency, homework assignments, and family involvement. You’ll leave with a clear understanding of what to expect and specific steps for moving forward. The goal is ensuring you feel informed, supported, and ready to begin this collaborative journey toward freedom from OCD.
Many people see significant improvements within 12-20 sessions, with some noticing changes even sooner. Research shows that 80% of people with OCD who use ERP experience symptom reduction within 8-16 weeks. However, your timeline depends on factors like symptom severity, treatment consistency, and your willingness to engage in exposures.
The key is that ERP builds momentum. Early sessions focus on easier exposures that build confidence and teach you that anxiety naturally decreases without compulsions. As you progress through your hierarchy, you’ll tackle more challenging situations with greater skill and less distress.
Consistency and working with a therapist trained in ERP are crucial for success. We also offer intensive treatment formats that can accelerate progress for those who need faster results or have scheduling constraints. Your therapist will work with you to determine the optimal treatment intensity for your situation.
Yes, we offer secure telehealth services throughout Texas, making gold-standard ERP therapy accessible regardless of your location in San Antonio. Virtual ERP can be highly effective, especially for certain types of obsessions and compulsions that don’t require in-person exposures.
Given that financial constraints, language barriers, and shortage of mental healthcare professionals make it difficult for many Texans to access proper care, virtual counseling provides an accessible, effective means of therapy. Our telehealth platform maintains the same clinical standards and therapeutic relationship quality as in-person sessions.
Your therapist can guide you through exposures in your home environment, which is often where OCD symptoms are most problematic anyway. They can also coordinate with family members or support persons as needed. For exposures requiring specific locations or materials, your therapist will provide detailed guidance for completing them between sessions with appropriate check-ins and support.
We maintain transparency about fees and payment options from your first contact. We work with clients to explore insurance benefits and provide necessary documentation for reimbursement when applicable. Our priority is ensuring that cost doesn’t become a barrier to accessing effective OCD treatment.
Texans are over 5 times more likely to be forced out-of-network for mental health care than for primary care, which is why we focus on clear communication about costs upfront. We offer various payment arrangements and will discuss options that work within your budget during your initial consultation.
The investment in specialized ERP therapy often pays for itself through reduced time off work, decreased medical expenses from OCD-related health impacts, and improved quality of life. Our transparent approach ensures you can make informed decisions about your treatment without unexpected financial stress that could interfere with your recovery.
We combine nationally recognized clinical expertise with deep personal understanding—many team members have lived experience with the conditions we treat. This unique blend of clinical authority and empathy creates an environment where you feel truly seen and understood, not just diagnosed and treated.
Our team includes researchers who have shaped international OCD treatment guidelines and written foundational books in the field. This means you’re receiving care from the same experts who train other therapists and advance the field of OCD treatment. Yet we maintain the accessibility and responsiveness of a practice that truly cares about individual outcomes.
Our commitment to reducing stigma sets us apart—we create a safe space where no thought is too taboo and where you can share even the most difficult experiences without judgment. Our innovative offerings, like intensive four-day treatment options and ongoing research initiatives, demonstrate our dedication to providing the most effective care possible rather than simply following standard protocols.
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