OCD Treatment &

ERP Therapy

in Ann Arbor, Detroit, and throughout Michigan

You have to repeat a simple task over and over again.

Your thoughts are irrational but you can’t stop or else the dread and panic will take over.

The discomfort feels like it’s going to last forever.

Your mind tells you that the rituals you do, no matter how irrational, will keep you and others safe. You tell yourself, just one more time, and the anxiety will go away. The belief that you should be able to control your thoughts consumes you. The shame you feel for not being able to control them confirms the belief that there is something wrong with you. On the one hand, there is a drive for reassurance while on the other, the intrusive thoughts feel too shameful to speak. All you want is certainty, it feels painful to feel uncertain of the future, what will happen, and all of the “what ifs.” 

What is OCD?

OCD is a mental health disorder where an individual has persistent obsessions and compulsions. These obsessions are thoughts, urges, or impulses that are disturbing, intrusive, and unwanted. People with OCD attempt to ignore, or suppress these obsessions with a thought or action (which we call a compulsion). Compulsions are repetitive behaviors that a person feels like they have to do in response to the obsession. The compulsions are directly aimed at reducing the anxiety or distress of the obsession but are obsessive and are not logical or realistic.

Common Obsessions in OCD

Generally, obsessive thoughts come in themes. These themes include but are not limited to, losing control, harm, need for symmetry “just right OCD”, unwanted sexual thoughts, saving/hoarding, and religious obsessions. 

Specific examples of obsessions:

  • Fear of blurting out a swear word or something inappropriate in public

  • Fear of hurting a parent or loved one

  • “What if I left my curling iron on?”

  • “If I don’t eat snacks in pairs, someone will get hurt.”

  • “If I am not perfect, God will be mad at me.”

  • Repetitive sexual thoughts or images

Common Compulsions in OCD

There are many common OCD compulsions. Common ideas include hand washing, checking, repeating, and mental compulsions.

Specific examples of OCD compulsions: 

  • Saying the swear word over and over again, despite fighting the urge. 

  • Avoiding the person you fear you will hurt. 

  • Setting an alarm to go off every 15 minutes through the day to check if you turned off the curling iron.

  • Only eating goldfish in sets of twos. 

  • Making a list of things you are not “perfect” at and trying to find ways to make yourself “perfect.” 

  • Confessing your sexual thoughts and images due to the need for reassurance.

Woman is wearing gloves and cleaning her floor with cleaning supplies. Looking to move past your OCD symptoms? Our caring OCD therapist in Detroit, MI can help you!

Is OCD an Anxiety Disorder? 

Although OCD can cause significant anxiety, distress, and worry it is not an anxiety disorder. The term “Anxiety Disorder” is an umbrella term that covers many anxiety-related diagnoses, 11 to be exact! Examples of anxiety disorders include Generalized Anxiety Disorder (GAD), Phobias, and Panic Disorder. Anxiety disorders also cause similar levels of distress and worry. The difference is that these symptoms are the consequences of obsessions and compulsions in OCD. Individuals with an anxiety disorder will have anxiety without any compulsions. Interestingly, people can have an OCD and anxiety disorder diagnosis at the same time but not everyone with OCD has anxiety. 

Do You Think OCD Treatment Might Benefit You?

Obsessive-Compulsive Disorder (OCD) is a challenging mental health condition that can interfere with many aspects of life. It involves persistent, unwanted thoughts (obsessions) and repetitive behaviors (compulsions) that are done in an attempt to reduce anxiety. If you’re considering therapy for OCD, it’s important to understand what treatment options are available and how they can help. Below, we’ll answer some common questions about OCD and its treatment to guide you in your journey.

  • The best treatment for OCD usually involves a combination of Cognitive Behavioral Therapy (CBT) and medication. One specific form of CBT, called Exposure and Response Prevention (ERP), is the most effective. ERP helps you confront the thoughts and situations that trigger your OCD without giving in to the urge to perform compulsive behaviors. This teaches you that the anxiety caused by not doing the ritual gradually fades on its own. In some cases, medications like SSRIs (Selective Serotonin Reuptake Inhibitors) are prescribed to help manage OCD symptoms by balancing brain chemicals. For many people, combining therapy with medication leads to the best outcomes.

  • When OCD is left untreated, the symptoms can worsen and start to take over your life. The rituals and compulsions can become more time-consuming, leaving you less able to focus on work, school, or relationships. The anxiety that comes with OCD can also lead to feelings of hopelessness or depression. As the cycle of compulsions continues, it may become harder to break free. Seeking treatment as soon as possible can help reduce the severity of symptoms and improve your quality of life. The earlier you get help, the better chance you have to regain control over your life.

  • OCD is generally a lifelong condition that doesn’t go away on its own. While some people may experience a reduction in symptoms over time, most people with OCD continue to struggle with it without treatment. The good news is that OCD is treatable! Therapy can help you manage your symptoms and regain control. With the right support, people with OCD can lead happy, fulfilling lives, even if the disorder is part of their long-term experience. Getting help early can make a big difference in reducing symptoms and learning to cope with them.

  • OCD can be seen as a coping mechanism in the sense that compulsive behaviors are used to manage anxiety. People with OCD often perform certain rituals because they believe it will relieve the distress caused by their obsessive thoughts. However, while these rituals may offer short-term relief, they don't actually solve the underlying problem and can often make the anxiety worse over time. Therapy for OCD helps break this cycle by teaching you how to face the anxiety without giving in to the compulsions. Over time, this process reduces the need for the compulsive behaviors, leading to healthier coping strategies.

  • Breaking an OCD habit requires confronting the anxiety that fuels the compulsions without acting on them. This process is called Exposure and Response Prevention (ERP), which is the most effective treatment for OCD. ERP involves gradually exposing yourself to situations that trigger your obsessions, while resisting the urge to perform the compulsive behavior. For example, if you feel the need to wash your hands repeatedly due to fear of germs, ERP would involve touching something you perceive as “dirty” and resisting the urge to wash. Over time, your anxiety will decrease without needing to perform the compulsion. This technique helps you learn that the anxiety is temporary and can be managed without performing the rituals.

What is ERP Therapy?

Exposure and Response Prevention (ERP) is a specific type of Exposure Therapy that is directly for the treatment of OCD. In ERP, there are two elements: exposure and learning not to respond to obsessions. First, people are exposed to whatever distresses them and then they learn techniques to prevent normal compulsion. Let’s use an example of someone who has intrusive thoughts about blurting something inappropriate out loud in class or at work (obsession). They then ask for reassurance from people they love and trust that they would never do that (compulsion). With the help of their OCD therapist, they will create a hierarchy of stimuli related to the fear of blurting something inappropriate out loud from least stressful to most stressful. Starting with the least stressful, they will begin to be exposed to this. This could look like a person thinking about saying something inappropriate in front of their teacher or boss and not asking for reassurance they would never do this.

Does ERP Therapy Work? 

There are different types of exposure therapy but ERP therapy, specifically, “is one of the most efficacious and effective forms of treatment for OCD.” ERP is a powerful treatment for children, adolescents, and adults. There is evidence that adult patients whose symptoms did not improve with OCD medication saw significant improvement in symptoms when provided with ERP Therapy. It is also important to remember, as with any treatment approach, that one size never fits all. 

Woman sitting on a chair being counseled by a therapist. Trying to get OCD Treatment in Ann Arbor, MI? Our OCD therapist in Michigan can get you the help you are looking for. Call today!

Start OCD Treatment and ERP Therapy in Michigan

Step 1: Free Consultation

Click here to schedule a free 15-minute consultation! You will speak with the clinical director who will learn more about you, answer any questions you have and match you with a therapist who we think will be a great fit!

Step 2: Begin OCD Treatment

At the consultation, we will schedule your first appointment. Then you will sign up for a free online portal, complete the required documents, and log on to meet your OCD therapist!

Step 3: Start Feeling Better

Together with your therapist, you will come up with a treatment plan to meet your needs. This includes how often you will see your therapist, what your goals are, and the best types of therapy that will help you start feeling better.

Due to Michigan state licensing requirements, all patients must reside in Michigan at the time of service to participate in our teletherapy services.

We only offer online counseling and do not have in-person options.

We are in network with Blue Cross Blue Shield PPO, Blue Care Network and Aetna plans. Otherwise, we are an out-of-network provider and can provide superbills for reimbursement from your insurance. Our private pay fees start at 170+ depending on the therapist.

OCD and ERP Therapists in Michigan

Other Services Offered at Embodied Wellness in Detroit, MI

In addition to traditional OCD treatment and ERP therapy approaches at Embodied Wellness, PLLC, our OCD and ERP therapists are here to help you regain control of your life. We offer holistic therapies including EMDR, Somatic therapy, Internal Family Systems, therapy for empaths, and DBT. We also offer Teen and Adolescent Counseling, Trauma and PTSD treatment, and depression treatment. You no longer have to experience being alone in your struggle with OCD. We are here to support you, every step of the way. Contact us at our Detroit-based practice today!

Woman sitting on her couch with her laptop on a table. Wanting to get started on OCD treatment in Detroit, MI? Our caring OCD therapist in Detroit, MI can work with you. Visit us today!