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Exposure and Response Prevention (ERP) and other evidence-based therapy for OCD, for children, teens and adults.

What is OCD?

Obsessive-compulsive disorder (OCD) involves obsessions, which are unwanted, distressing thoughts, images or urges that keep coming back, and compulsions, which are things a person feels driven to do to ease that distress or prevent something bad from happening.

Compulsions bring short-term relief, but they teach the brain that the fear was real, so the cycle keeps going. OCD is not about being tidy. It can be exhausting and take up hours of the day.

Common forms of OCD

  • Fears of contamination or illness, with washing or cleaning
  • Doubts about safety, with checking locks, stoves or appliances
  • A need for things to feel “just right”, with ordering or repeating
  • Unwanted intrusive thoughts about harm, religion or relationships, with mental rituals or seeking reassurance
  • Counting, tapping or other repeated behaviors

When to seek help

Reach out if obsessions or rituals take up more than an hour a day, cause real distress, or get in the way of school, work or relationships. In children, OCD can look like excessive questions, reassurance-seeking, or routines that must be done a certain way.

How GearingUP helps

At GearingUP, OCD treatment centers on Exposure and Response Prevention (ERP). With your therapist, you gradually and safely face the thoughts and situations that trigger your OCD while practicing not doing the compulsion. Over time the anxiety fades on its own, and the urges lose their power.

ERP is paced to what you can manage and planned together, never forced. We add Cognitive Behavioral Therapy (CBT) to challenge OCD-driven beliefs, and Acceptance and Commitment Therapy (ACT) to help you relate differently to intrusive thoughts. For children, parents learn how to stop accommodating OCD in loving ways.

OCD often comes with anxiety, depression, ADHD or autism, and we treat the whole picture. Sessions are in person at our seven Dallas-Fort Worth offices or online.

Frequently asked questions

Exposure and Response Prevention is a form of CBT that gradually exposes you to OCD triggers while you resist compulsions, so your brain learns the feared outcome does not happen and the anxiety fades.

Yes. We use ERP adapted for children and teens, and parents are closely involved.

Yes. ERP works well online, and practicing exposures at home, where OCD often shows up, can be an advantage.

Locations GearingUP Treats Issues Related To OCD

We’re happy to offer treatment for issues related to OCD at the following locations.

GearingUP Reviews

Laura was absolutely amazing! She was friendly, helpful, and made the whole experience even better. Her positive attitude and attention to detail really stood out. You can tell she genuinely cares about making sure people have a great experience.

Thank you, Laura, for being awesome! Highly recommend! 🙌

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