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Mar 2025
58m 11s

The Science and Art of Exposure and Resp...

Lisa Mustard
About this episode

Obsessive-Compulsive Disorder (OCD) presents in a wide range of subtypes and intensities—and effective treatment requires skill, sensitivity, and a deep understanding of the underlying mechanisms. In this compelling Podcourse, I’m joined by Dr. Johann D’Souza, a clinical psychologist and OCD specialist, to explore the science and art of Exposure and Response Prevention (ERP) therapy through the lens of traditional values.

This episode contains hypothetical scenarios and examples that some listeners may find explicit or sensitive. These discussions are for illustrative purposes only and not intended to offend or shock. Listener discretion is advised.

Purchase this Podcourse here!

Check out my Coping with Political Stress Ebook Workbook

Dr. D’Souza offers a comprehensive and practical breakdown of how ERP works, how to tailor it to the individual client, and how to apply it across various OCD subtypes—including contamination, harm, scrupulosity, and taboo fears. He also shares how integrating a values-based framework into ERP can build trust with clients and support long-term recovery.

This episode will equip mental health professionals with an in-depth understanding of how to design ERP hierarchies, conduct imaginal exposures ethically and effectively, and overcome treatment barriers like poor insight, family accommodation, and avoidance. You’ll also learn how to use storytelling, mindfulness, and exposure mapping to optimize outcomes and empower clients to become their own therapists.

If you’re a clinician looking to expand your OCD treatment toolkit and appreciate the importance of aligning therapy with client values, this Podcourse is for you.

By listening to this episode, you’ll be able to:

  • Develop client-centered exposure and response prevention (ERP) exercises for at least four OCD subtypes, design response prevention strategies for common compulsions, and create effective ERP hierarchies to guide treatment progression.
  • Apply principles of graduated exposure and response prevention to optimize client outcomes, while evaluating factors that contribute to less effective treatment, such as family accommodation and overvalued ideation.
  • Differentiate between OCD subtypes and assess how ERP can be tailored to address specific obsessional fears, while demonstrating strategies to enhance client adherence and long-term success.

Need continuing education contact hours? If so, then be sure to check out my $5 PodcoursesCheck out the other CE courses - Holistic Counseling Bundle, the Art of Breathwork and How to Resolve the Parent Trap! 

Learn more about Dr. Johann D’Souza and his work at Values First Therapy.

Please note that The Therapy Show with Lisa Mustard is for informational and entertainment purposes only and not a substitute for professional medical or mental health advice. Always consult with your therapist, doctor, or physician before implementing any suggestions from this show. Lisa Mustard, a licensed marriage and family therapist, provides insights that should not replace medical or psychiatric advice. Your unique situation requires personalized attention from a healthcare professional.

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