Exposure and response prevention therapy (ERP)
Published assessmentPublished Oct 7, 2026 · revision 4
We show care options we have checked for this need. We may not have all options. This page cannot tell you which is best for you.
These are the options we have published. This order does not say which is best for you.
Assessment for Obsessive-Compulsive Disorder
Published assessmentPublished Oct 7, 2026 · revision 4
Not reviewed
Not reviewed
Not reviewed
Not reviewed means no current published assessment for the exact pair. No published conclusion means an assessment exists without a research conclusion. Neither establishes benefit or no benefit.
This assessment belongs to this exact Treatment and Need. It does not extend its conclusion to other populations or formats.
Research suggests benefit in this exact scope
Published Oct 7, 2026 · revision 4
NICE CG31, recommendation 1.5.1.1, identifies psychological treatment that includes ERP as a low-intensity initial option for adults with OCD when impairment in everyday functioning is mild, when they prefer a low-intensity approach, or both. This is an attributed guideline recommendation for that adult group.
Relationship: supports the attributed adult initial-treatment recommendation and its delivery qualifiers
Statement scope
brief individual cognitive behavioural therapy (CBT; including ERP) using structured self‑help materials; brief individual CBT (including ERP) by telephone; group CBT (including ERP)
CG31
obsessive-compulsive disorder
up to 10 therapist hours per patient; group CBT (including ERP) may exceed 10 hours
initial treatment
Adults with OCD whose functional impairment is mild and/or who prefer a low-intensity approach
1.5.1.1
Source collection coverage: global
Pointer: /document/recommendation
Open sourceFor this initial-treatment pathway, NICE CG31 describes low-intensity care as using up to 10 hours of therapist time per patient. Its listed formats include brief individual CBT with ERP supported by structured self-help materials, brief individual CBT with ERP by telephone, and group CBT with ERP. In the group format, a patient may receive more than 10 hours of therapy.
Relationship: supports the attributed adult initial-treatment recommendation and its delivery qualifiers
Statement scope
brief individual cognitive behavioural therapy (CBT; including ERP) using structured self‑help materials; brief individual CBT (including ERP) by telephone; group CBT (including ERP)
CG31
obsessive-compulsive disorder
up to 10 therapist hours per patient; group CBT (including ERP) may exceed 10 hours
initial treatment
Adults with OCD whose functional impairment is mild and/or who prefer a low-intensity approach
1.5.1.1
Source collection coverage: global
Pointer: /document/recommendation
Open sourceFor adults with OCD whose day-to-day functioning is moderately impaired, England’s NICE guideline CG31 (recommendation 1.5.1.3) says they should be offered a choice between a course of an SSRI medicine and more intensive CBT that includes ERP, meaning more than 10 hours of therapist time, because the two appear to be comparably effective. This describes a guideline pathway; a local provider’s approach and an individual’s needs may differ.
Relationship: supports the attributed moderate-impairment choice and intensive therapist time
Statement scope
a course of an SSRI
more intensive CBT (including ERP; more than 10 therapist hours per patient)
CG31
Obsessive-compulsive disorder
Adults with OCD with moderate functional impairment covered by NICE CG31
1.5.1.3
1.5.1 Initial treatment options: Adults
Source collection coverage: global
Pointer: /document/recommendation
Open sourceFor adults with OCD whose day-to-day functioning is severely impaired, England’s NICE guideline CG31 (recommendation 1.5.1.4) says they should be offered combined treatment: an SSRI medicine together with CBT that includes ERP. This describes a guideline pathway; a local provider’s approach and an individual’s needs may differ.
Relationship: supports the attributed severe-impairment combined treatment
Statement scope
combined treatment with an SSRI and CBT (including ERP)
CG31
OCD
Adults with OCD with severe functional impairment
1.5.1.4
1.5.1 Initial treatment options: Adults
Source collection coverage: global
Pointer: /document/recommendation
Open sourceFor children and young people with OCD whose functioning is moderately to severely impaired, or mildly impaired when guided self-help has not worked or was declined, NICE CG31 (recommendation 1.5.1.9) names CBT that includes ERP as the treatment of choice, involving the family or carers and adapted to the child’s developmental age. This describes a guideline pathway in England; a local provider’s approach and an individual’s needs may differ.
Relationship: supports the attributed young-people treatment of choice and its family and age adaptations
Statement scope
CBT (including ERP) that involves the family or carers and is adapted to suit the developmental age of the child
Group or individual formats depending upon the preference of the child or young person and their family or carers
CG31
OCD
National Institute for Health and Care Excellence
Children and young people with OCD with moderate to severe functional impairment, and those with OCD with mild functional impairment for whom guided self-help has been ineffective or refused
1.5.1.9
1.5.1 Initial treatment options: Children and young people
Source collection coverage: global
Pointer: /document/recommendation
Open sourceObsessive-compulsive disorder (OCD) is a treatment-navigation Need; options shown here are scoped to the evidence and access records retained by EveryOption.
Relationship: supports
Statement scope
CG31
United Kingdom
adults with OCD
Source collection coverage: global
Pointer: /document/recommendation
These are the options and access paths EveryOption has published for Denver for Obsessive-Compulsive Disorder. This is not complete coverage of the condition or the city.
Relationship: supports Denver access navigation
Statement scope
Denver, Colorado, United States
Obsessive-Compulsive Disorder
Exposure and response prevention therapy (ERP)
Source collection coverage: global
Pointer: /page/capability
Open sourceOpen the published Denver result for this Need and treatment. It is one sourced path, not complete coverage or a statement of current availability.
You can also look for documented medication evaluation or ongoing management for Obsessive-Compulsive Disorder, without selecting a specific medication.
Find medication servicesSource-backed language helps people find this Need without creating a diagnosis or storing a health profile.
Relationship: nombre fuente
Statement scope
Applicability details are not published for this statement.
Source collection coverage: global
Pointer: /code
Open sourceThese sources explain why each Treatment is listed for this Need. They are separate from its exact-pair assessment.
Relationship: recomendado para población pediátrica con TOC
Statement scope
Sistema Nacional de Salud de España
niños y adolescentes con TOC
Source collection coverage: country:ES
Pointer: /recommendations/0
Open sourceRelationship: guideline recommendation
Statement scope
CG31
United Kingdom
adults with OCD
Source collection coverage: global
Pointer: /document/recommendation
Relationship: labeled indication
Statement scope
capsule
treatment of obsessions and compulsions in Obsessive-Compulsive Disorder (OCD)
SpecGx LLC
patients with Obsessive-Compulsive Disorder whose obsessions or compulsions cause marked distress, are time-consuming, or significantly interfere with social or occupational functioning (DSM-III-R); labeled effectiveness data include adults and children and adolescents 10 to 17 years of age
ANAFRANIL (clomipramine hydrochloride) capsule
34067-9
Source collection coverage: country:US
Pointer: /sections/0
Supporting passage: Anafranil ™ (clomipramine hydrochloride) Capsules USP is indicated for the treatment of obsessions and compulsions in patients with Obsessive-Compulsive Disorder (OCD).
Open sourceRelationship: labeled indication
Statement scope
tablets (product labeled Fluoxetine Hydrochloride capsule; Indications and Usage text refers to Fluoxetine Tablets; 60-mg scored tablet dosage form)
Obsessive Compulsive Disorder (OCD)
adults and pediatric patients 7 to 17 years of age with Obsessive Compulsive Disorder (OCD), as labeled
34067-9
Source collection coverage: country:US
Pointer: /sections/1
Open sourceRelationship: labeled indication
Statement scope
tablet, film coated; oral solution
obsessive-compulsive disorder
patients with obsessive-compulsive disorder as labeled
34067-9
Source collection coverage: country:US
Pointer: /sections/1
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