Treatment FAQ

how to fully commit to erp treatment

by Cleta Bartell DVM Published 3 years ago Updated 2 years ago
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What should I expect when I start ERP therapy?

If you’re starting ERP therapy, here are a few things you can expect: Homework: You’ll be asked to fill out worksheets or practice techniques outside of therapy. Make sure to commit to these assignments. They are crucial to progress.

How to successfully implement your ERP solution step by step?

Arrange mid-way Approvals. 8. Plan your Testing. 9. Migrate Business Data 10. Prepare for the change 11. Plan your Go-Live 12. Support and Maintenance Bonus: Download the free checklist that will show you how to Successfully Implement your ERP Solution Step by Step.

How to prepare for the transition to a new ERP?

Generate short term training programs for staff. Prepare your leadership to motivate your staff to be more adaptive. Often companies run the old ERP and the new ERP system parallel for a period of time. Avoid this to reduce redundant work load on staff. This reduces the resistance among staff.

Do you need to conduct training for your ERP system?

So in broad sense you are almost hiring some pre-developed (probably for some other organization) ERP system that might work well for you or might not work at all. This also means you need to conduct training for your staff is a deciding step analyzing the success of the system.

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Can I do ERP therapy on my own?

By starting ERP on your own, you might only identify some of the safety-seeking behaviors, called compulsions, that make your intrusive thoughts worse. By not detecting all of your compulsions, you risk doing those other compulsions during your exposure exercises, which will prevent you from making strides clinically.

How do you practice ERP therapy?

ERPA exercises address each one of these events. First, you select a trigger for a particular obsession-compulsion combination and then practice exposure to this trigger. During the exposure, the next step is to refrain from rituals and instead practice awareness of the distress.

How hard is ERP therapy?

But ERP does take effort. It's hard, uncomfortable, and the opposite of what most people with OCD are used to doing (avoiding discomfort). And it doesn't fix things overnight. Many people find their OCD symptoms actually increase after starting ERP.

Does ERP get rid of intrusive thoughts?

The thing is, ERP aims to desensitize the participant to their intrusive thoughts by focusing on response prevention. In other words, ERP will trigger the obsessions (i.e. intrusive thoughts). The progress comes from allowing the intrusive thoughts to sit there and not respond with a compulsion.

Does ERP rewire the brain?

Research finds that using ERP increases the connectivity between areas of the brain (particularly the cerebellum) affected with OCD. It improves these connections. Your brain is actually changing!

How long should you do ERP for?

It depends highly on the severity of your symptoms, as well as on the subtype of OCD that you might be experiencing. On average, people need somewhere between 12 to 20 sessions of ERP to start seeing marked improvements, but that number still varies depending on a multitude of factors.

How quickly does ERP work?

SP: How long does ERP therapy typically take to treat OCD? How does it help patients manage their OCD? EM: On average, we should see people get better in about 12 to 16 weeks. Of course, depending on severity and the type of OCD somebody lives with, that can change.

Is ERP good for anxiety?

Exposure Response Therapy. Cognitive Behavior Therapy has been proven to be the best method of treating anxiety. Exposure Response Prevention (ERP) is particularly effective through the use of behavior-focused treatment.

Can exposure therapy make anxiety worse?

She found that the participants all experienced increases in panic and anxiety during the sessions, as evidenced by physiological markers and emotional responses, but that these increases did not lead to better outcomes. In fact, the more panicked and fearful the individuals were, the worse their treatment outcomes.

Can OCD be fully cured?

So in the end, the “cure” for OCD is to understand that there is no such thing as a cure for OCD. There is no thing to be cured. There are thoughts, feelings, and sensations, and by being a student of them instead of a victim of them, you can change your relationship to them and live a joyful, mostly unimpaired life.

How often should you do ERP?

ERP works best when the exercises are specific and well designed, when the client's anxious arousal is intense, and when the 'dose' of exposure is substantial and systematic. Sessions are often longer than usual (90-120 minutes), and twice or thrice weekly sessions are common.

How do you stop a compulsion?

How to Stop Your OCD CompulsionsPractice 1: Postpone Ritualizing to a Specific Later Time.Practice 3: Change Some Aspect of Your Ritual.Practice 4: Add a Consequence to Your Ritual.Practice 5: Choose Not to Ritualize.

What is ERP therapy?

ERP, or Exposure and Response Prevention therapy, is a form of Cognitive Behavioral Therapy. It is considered the gold-standard for OCD treatment, as well as related anxiety disorders like PTSD and Social Phobia. ERP works by slowly exposing people to the thoughts, images and objects that trigger their anxiety.

How is ERP different from traditional therapy?

ERP is different from traditional therapy because it focuses less on talking through issues and more on addressing them through action.

How does ERP work?

ERP works by slowly exposing people to the thoughts, images and objects that trigger their anxiety. They repeat these "exposures" over and over again, without acting out compulsions to neutralize or stop the fear. Overtime, the anxiety associated with these triggers starts to subside.

Why is ERP important?

Having allies in recovery is important. They can help you stay accountable, on track, and supported while you’re working through something really tough. Lastly, use your therapist as a resource.

Can ERP be used outside of therapy?

ERP practices should be used inside and outside of therapy for the greatest impact. The more its techniques are roped into a person's everyday life, the stronger their coping mechanisms will become. It is recommended that people master ERP in a controlled, clinical setting before attempting to practice it on their own.

What is ERP therapy?

Everything You Need to Know About Exposure Response Prevention (ERP) Therapy. Exposure response prevention (ERP) is a type of therapy necessary for virtually everyone with OCD; it is considered the gold-standard of treatment. But, before we can truly understand ERP, we must understand the umbrella under which it sits: Cognitive behavioral therapy ...

Why is ERP not effective?

ERPs are individualized; using a one-size-fits-all scenario isn’t effective because OCD manifests as different types of fears and obsessions for each person. For instance, someone with Contamination OCD may be asked to touch a trash can and then refrain from washing their hands.

What is ERP in CBT?

ERP takes CBT one step further, not only focusing on stripping the thoughts of power but eliminating neutralizing compulsions as well. This is a vital part of OCD treatment – the disruption of the OCD cycle, a vicious cycle of obsessions and compulsions.

Who is the father of ERP?

Rachman credits ERP’s foundation to Vic Meyer, a British psychologist and the “father of behavioral case formulation.”.

How to neutralize anxiety caused by intrusions?

In order to neutralize the anxiety caused by these intrusions, the sufferer engages in compulsions (such as counting, checking, praying, washing, or asking others for assurance). This works temporarily, but it worsens the disease in the long-run because of the nature of this illness.

How long does ERP last?

In ERP, which may last a dozen sessions or longer, the client—typically guided at first by a therapist—is systematically exposed to objects, situations, mental images, or other stimuli that trigger obsessions, or directly to the obsessions themselves.

Why use ERP?

When It’s Used. ERP is commonly used to alleviate obsessive-compulsive disorder (OCD), a condition in which people repeatedly experience unwanted and distressing thoughts or feelings, often in response to specific stimuli. A person with OCD may touch a doorknob in a public restroom and worry intensely that she has been infected;

What is exposure and response prevention?

Exposure and Response Prevention (ERP) is a form of psychotherapy intended to help those with obsessive thoughts refrain from responding with compulsions or rituals. ERP, which gradually exposes clients to stimuli that induce their maladaptive responses, belongs to the category of treatment known as cognitive ...

Where do therapy sessions take place?

Sessions take place within a therapist’s office but may also incorporate a location that normally triggers symptoms. Eventually, a therapist may direct the client to engage in exposure and response prevention activities on their own.

Do clients learn over time that the stimuli, thoughts, and feelings that prompt compulsions are more bearable

Further, clients learn over time that the stimuli, thoughts, and feelings that prompt compulsions are more bearable than they anticipated and do not actually lead to feared outcomes. They come to recognize that they are capable of coping with the triggers without resorting to compulsive rituals .

1 – Things may get worse before they get better

Let me repeat: things may get worse before they get better. Your therapist might even tell you this. Mine did, and I frankly didn’t want to listen. Instead, I disregarded it and ignored the warning. Sure enough, things did get worse before they were better (reminder – they did get better in the end!).

2 – Do the work. The work works

By staying, I learned that I had to do the work. Before things got worse, I entered ERP with one foot in and one foot out. I didn’t want to commit. I didn’t want to admit how deeply rooted my obsessions and compulsions were. I didn’t want to admit how hard I had to work to usher in my own healing.

3 – ERP is hard

Yes, ERP is hard. I wrote down my deepest, darkest, scariest fears on a white board. I recorded them in my own voice and listened to them over and over again – walking to work, in my home, sitting at my desk, etc. I basically bathed in my fears, and I paid someone to help me do it. It was very scary and unpleasant. I admit that.

4 – While ERP is hard, living with untreated OCD is much harder

Before embarking on ERP, my intrusive thoughts nearly ruled my mind. They would pop into my head out of nowhere, and once they were there, I was a slave to them. After ERP, I am empowered to usher in my own healing. I now know what it takes to conquer my fears.

What is the mistake that organizations make when selecting an internal team for the ERP Process defining?

One mistake that organizations make while selecting an internal team for the ERP Process defining, is that they include the people whom they can easily spare from regular work (without impacting on their main business activity) and then they often make a mistake of not including the key persons of the unit.

What is ERP implementation?

ERP Implementation is therefore the best investment you can make to your help your business pace up your customer service deliveries, to keep your data organized and to keep your growth systematized.

What is going live ERP?

Going Live is the last phase of your successful ERP implementation project. Make sure you have planned some days out for this along with your core team, as this is considered to be one of the most hectic tasks of an ERP project.

What happens if you don't understand ERP software?

If you do not understand what they all are it will be very likely that you might end up choosing what you do not actually want.

What percentage of participants noted that their organization had an ERP system in place, or was implementing a system?

46 % of the participants noted that while their organization had an ERP system in place, or was implementing a system, they did not feel their organization understood how to use the system to improve the way they conduct business.

Do ERP projects need a detailed approach?

Every ERP project is unique and thus requires a pre-planned detailed approach but this do not look relevant until much later in the project. Here’s a step by step high level process to ensure that your time and resources are invested only in a successful ERP Implementation.

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