By Lauren Esworthy, MA, LPC // Admissions Director & Behavior Therapist

Exposure and Response Prevention (E-RP)

Clients will participate in two exposures with response prevention (ERP) session blocks per day as a part of their programming. During this group, our residential counselors assist clients in implementing exposure and response prevention
(E-RP), the gold-standard treatment for OCD. Clients will complete exposure work with staff support, or independently, based on their Behavior Treatment Plan.


  • Clients learn to implement exposure and response prevention within an intensive and specialized OCD and anxiety treatment program
  • Clients learn to achieve habituation to anxiety through response prevention

Cognitive-Behavior Therapy (CBT) for OCD

During this group, clients learn about evidence-based treatment of anxiety disorders, exposure and response prevention (E-RP), and other behavioral techniques, especially as they relate to anxiety and OCD. In addition, this group reviews the basics of cognitive-behavior therapy, cognitive distortions, mood monitoring, and cognitive restructuring, especially as they relate to depression and anxiety. Group discussion, role-play, and behavior therapy skills will increase the clients’ ability to cope and problem solve.


  • Clients learn basic and advanced cognitive-behavioral therapy techniques
  • Clients learn about challenges that arise when implementing E-RP and ways to use cognitive-behavioral therapy techniques to enhance the quality of the E-RP session
  • Clients learn the cognitive-behavioral therapy model and advanced cognitive restructuring techniques

Treatment Contract Review

Using the “client as a colleague” model to foster commitment and motivation for change, clients assess how well goals were met.


  • Clients learn about the “client as a colleague” model, and learn to become proactive and take responsibility for their treatment
  • Clients learn how to achieve short term and long-term goals through accountability and receive helpful feedback from staff and group members

Treatment Motivation

The purpose of this group is to identify and discuss factors related to motivation for treatment, as well as barriers to treatment. Clients evaluate their commitment to cognitive-behavioral treatment through identifying personal values, adaptive goals, and resistance to change. Group discussions assist clients in exploring and resolving ambivalence around treatment, as well as empowering clients to take control of their treatment.


  • Clients explore their values and commitment to change through education and group discussion
  • Clients learn strategies to increase motivation, as well as strategies to decrease barriers to treatment

Relationships and Communication

This group addresses issues and conflicts that loved ones of individuals with anxiety often experience. Education and group discussions will center on family dynamics and the client’s interactions with family members.


  • Clients will learn how anxiety symptoms affect family interactions
  • Clients will learn to identify triggers for family conflicts, and how to reduce conflicts and increase support
  • Clients will learn effective forms of communicating about needs with loved ones

Acceptance and Commitment Therapy (ACT)

This group reviews the basic tenets of ACT; contact with the present moment, values, committed action, self as context, diffusion, and acceptance.


  • Clients will learn and practice acceptance of unwanted private experiences which are out of personal control
  • Clients will learn to identify their values and how to commit to living in a valued driven direction by being psychologically present


This group provides education about and guided practice of mindfulness meditation. Group discussions center on how to practice and apply mindfulness skills during everyday activities in an effort to better cope with anxiety and depression.


  • Clients learn basic mindfulness skills
  • Clients practice mindfulness skills and learn how to apply these skills to their OCD and other anxiety symptoms and depression

Relapse Prevention

This group reviews the basics of motivational interviewing and the stages of change in the process of recovery. Clients are educated about the differences between relapses and slips and taught skills to maintain emotional and behavioral stability. Group discussion, motivational interviewing, and other exercises enable clients to commit to and practice their relapse prevention skills/plans while receiving support from peers and staff.


  • Clients learn about the change process and build motivation for improving their lives
  • Clients identify triggers and high-risk situations for relapse