One of the most common worries about ERP is that therapy will force you into your biggest fear immediately. That is not how careful treatment is usually designed.
Exposure work is typically built as a hierarchy: smaller, more manageable steps first, with clearer guidance about what you practice and why. The aim is steady learning—not flooding.
What “gradual” often means
If you want a clearer picture of ERP overall, or what early sessions can look like, those related guides can help before you decide whether to begin.
Thinking about therapy?
Learn about working with Dr. Valentine
You'll leave this website to continue through Octave — for intake, access, and ongoing care with Dr. Valentine.
Learn more about OCD & Intrusive Thoughts
Intake, insurance, and scheduling are handled through Octave.
This content is for educational purposes and does not establish a therapist–client relationship. Having unwanted thoughts does not automatically mean you have OCD.
Sources
- Obsessive-Compulsive Disorder: When Unwanted Thoughts or Repetitive Behaviors Take Over — National Institute of Mental Health
- Obsessive-compulsive disorder and body dysmorphic disorder: treatment (CG31) — NICE