Do you have OCD? 

  • Must be 18 or older
  • Must live in the greater Houston area

To be considered for the Bergen 4-Day Treatment:

  • To qualify for a phone assessment, please complete the Bergen 4-Day Treatment online application

  • Once completed, you will be placed on a screening list and be notified


  • Houston OCD + B4DT are proud to partner with Peace of Mind Foundation to offer The B4DT Scholarship Program. The Scholarship Program is born out of our desire to make this groundbreaking treatment accessible to all.
  • For information on our scholarship program please call 713-526-5055.

The B4DT is an outpatient treatment delivered during 4 consecutive days to groups of 3-6 clients by the same number of therapists. In addition to being an individually tailored and therapist-assisted treatment, the B4DT takes advantage of a setting where a number of clients simultaneously go through a similar process, which helps normalize individual challenges and also highlight common principles of change, regardless of different symptoms.

PREPARATION: Prior to the group, the clients go through a standardized assessment and screening procedure. It is seen as highly important to prepare the clients adequately prior to the treatment. This implies that when clients are enrolled in the B4DT, they are familiar with the treatment concept and are prepared to fully dedicate the four days to the treatment, including evenings. Also, prior to treatment, it is vitally important that the clients understand and find the treatment approach logical and likely to produce change. The preparation component also requires the clients to suggest relevant exposure tasks, and as a rule of thumb it is recommended that clients select exposure tasks that are most likely to produce the largest change. Rule out from the groups include clients that are currently suicidal, actively bipolar, psychotic, have an ongoing substance abuse or a BMI that prevents them from participating in psychological treatment – these problems have to be addressed and stabilized prior to enrolling in the group.

THE 4-DAY GROUP: The first day (4 hours) is allocated to psycho-education focused on factors/processes that maintain the disorder as well as on how to create robust change. Individual exposure plans are made while in the group setting. The second and third day (each approximately 8 hours) are basically designed as one long exposure session as all exposure take place during these two days. The main feature of the 4-day treatment is to teach the clients to actively approach whatever elicits the relevant anxiety or discomfort, and to help them systematically use the anxiety and discomfort as a cue to “LEan into The anxiety” (LET-technique) instead of employing obvious or subtle avoidance. Typically, the therapist serves as a coach in the beginning, gradually leaving more responsibility to the clients. The therapists work as a team, which means that the clients are not necessarily working with the same therapist during the two days of exposure. Rather, the team leaders allocate and reallocate therapists (during frequent and brief team-meetings) to ensure that the clients who are struggling are assisted by the most experienced therapists. The exposures are interspaced with brief group meetings where each participant report on how they were doing, especially regarding on how they are practicing the LET-technique.

The clients have individual exposure tasks for the afternoon and evenings, and report progression back to the therapist with the last contact typically being at 9 pm. Relatives and friends are invited to a psycho-educative meeting in the afternoon of day 3. The last day “lessons learned” are summarized and plans for the next 3 weeks of self-administered exposures are made. The clients are informed how to contact the health care provider if an emergency situation should occur. Throughout the next three weeks, the clients are encouraged to report online every day on how they were practicing the LET-technique. The assessment team reads the reports, without being in contact with the clients.

Three months after treatment, clients were invited to a 30 minutes individual session where their experiences in the period following treatment are discussed, and the principles of the LET-technique repeated. No exposure work is conducted in this session.