What is ERP and how long does it take?

ERP is a structured therapy that helps you face triggers without rituals so your brain learns new safety signals. Many clients notice change within 4–6 weeks; full courses often run 12–20+ sessions depending on severity.

Do you treat Harm OCD, religious scrupulosity, or taboo thoughts?

Yes. Intrusive thoughts of any content respond to the same process. We treat the pattern (obsessions → anxiety → compulsions), not the content.

Will I be forced into exposures I'm not ready for?

No. ERP is collaborative and paced. We start with doable steps and build confidence.

Can medication help OCD?

For some clients, yes. We can coordinate with your prescriber or our in‑house medical provider to discuss options.

Do you offer telehealth?

Yes. We provide secure telehealth for Louisiana residents when clinically appropriate.

Is this different from general talk therapy?

Yes. ERP is an active, skills‑based treatment specifically designed for OCD. Many clients who didn’t improve in supportive therapy make strong gains with ERP.

OCD Therapy & ERP SPECIALIST

OCD therapy in Lafayette, Louisiana helps children, teens, and adults break out of the cycle of obsessions, and compulsive behaviors. At KDH Counseling, our clinicians specialize in treating obsessive-compulsive disorder using Exposure and Response Prevention (ERP), the gold standard for OCD.

Our clinicians treat a wide range of OCD presentations, including intrusive thoughts, compulsive behaviors, reassurance seeking, avoidance, mental rituals, and co-occuring concerns that complicate treatment.

EXPOSURE AND RESPONSE PREVENTION (ERP) FOR OCD

Exposure and Response Prevention (ERP) is the most effective, evidence-based treatment for OCD. ERP works by gradually helping individuals face intrusive thoughts, images, or urges while resisting the compulsive behaviors that temporarily reduce anxiety.

Treatment is structured through an exposure hierarchy, where situations are approached step-by-step from less distressing to more challenging. This allows individuals to build confidence and tolerance without becoming overwhelmed.

At the same time, ERP focuses on response prevention strategies, helping you reduce or eliminate compulsions such as reassurance seeking, avoidance, checking, or mental rituals. Over time, this process retrains the brain to tolerate uncertainty and reduces the intensity and frequency of obsessions.

At KDH Counseling, ERP is tailored to each individual and paced to ensure treatment is both effective and manageable.

TYPES OF OCD WE TREAT:

OCD can show up in many different ways, but it often includes intrusive thoughts, images, or urges that feel disturbing, unwanted, or out of character. These obsessions create intense anxiety, leading to compulsions - behaviors or mental rituals meant to reduce distress or prevent feared outcomes.

While compulsions may bring temporary relief, they ultimately reinforce the OCD cycle, making intrusive thoughts feel more powerful and persistent over time.

We provide OCD therapy in Lafayette, Louisiana for a wide range of OCD presentations, including:

Harm OCD
Relationship OCD (ROCD)
Contamination OCD
Scrupulosity (religious OCD)
Sexual orientation OCD (SO-OCD)
Pedophilia OCD (POCD)
Just Right OCD
Intrusive thoughts and mental compulsions

OCD TREATMENT

OCD can make it difficult to trust yourself, your thoughts, or your decisions. Effective treatment helps build confidence in how you respond to uncertainty.

Our OCD therapists provide specialized treatment using Exposure and Response Prevention (ERP), the gold-standard treatment for OCD. We offer in-person OCD therapy in Lafayette and telehealth across Louisiana.

We also offer medication management for OCD through collaborative care with our psychiatric nurse practitioners when appropriate.