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Exposure and Response Prevention (ERP) Therapy

Coastal Collaborative Care provides ERP in Virginia and other states throughout the country.

At Coastal Collaborative Care, we understand how exhausting and isolating Obsessive-Compulsive Disorder (OCD), anxiety, and eating disorders can be. Exposure and Response Prevention (ERP) therapy is the gold-standard, evidence-based treatment that can help you reclaim your life from these overwhelming symptoms.


A woman looks out the window of a plane while flying after undergoing ERP therapy

What is Exposure and Response Prevention (ERP)?

ERP is a powerful therapeutic approach specifically designed for individuals struggling with OCD and related anxiety disorders. ERP is also a part of eating disorders treatment.

ERP helps you safely confront and gradually overcome fears, obsessions, and compulsions. Through guided exposure exercises, you’ll develop the skills and confidence needed to manage anxiety and stop compulsive behaviors.


How ERP Therapy Works

  1. Exposure means you slowly face the thoughts, situations, or feelings that make you anxious—in a safe and planned way, with your therapist’s help.
  2. Response Prevention means you practice not doing the usual thing you do to feel better (like asking for reassurance, washing your hands over and over, or avoiding something). This teaches your brain that you’re actually safe and strong without doing those things.

By not giving in to the urge, you start teaching your brain that you can handle the discomfort—and that nothing bad actually happens when you don’t do the ritual or habit.

It’s not about making the anxiety go away instantly, but about getting stronger at sitting with it until it fades on its own. Over time, your brain learns it doesn’t need to sound the alarm anymore. You get more freedom, confidence, and control.

Someone washing their hands during ERP therapy for OCD

How ERP Therapy Can Transform Your Life

If OCD or anxiety is controlling your daily routines and decisions, ERP therapy can help you:

  • Effectively manage intrusive thoughts and compulsive behaviors
  • Gradually and safely face anxiety-provoking situations
  • Regain confidence and independence in daily activities
  • Significantly reduce symptoms for lasting relief

Our experienced ERP therapists provide compassionate, individualized support, ensuring your therapy aligns with your comfort and progress.und it challenging to navigate a society where diet culture and weight stigma are so pervasive. It’s a lot for anyone to manage, and you’re not alone in feeling that pressure.

ERP for Eating Disorders

Exposure and Response Prevention is a highly effective therapeutic approach for treating eating disorders, particularly when behaviors are driven by anxiety, obsessive thoughts, or rigid rituals around food, body image, and weight. 

ERP works by exposing individuals to feared situations – like consuming “forbidden” or “fear” foods, breaking dietary rules, or tolerating the discomfort of fullness – without resorting to compensatory behaviors such as purging, restriction, or excessive exercise. 

Through repeated practice, ERP helps clients gradually reduce anxiety and weaken obsessive patterns by teaching them to confront their fears directly rather than avoid them. 

With this kind of approach, you can learn to reclaim flexibility and freedom in your eating habits, promoting sustainable recovery and healthier relationships with food and your body.

Who Benefits Most from ERP Therapy?

ERP is especially effective for individuals experiencing:

  • Obsessive-Compulsive Disorder (OCD)
  • Anxiety Disorders (such as Social Anxiety, Phobias, Panic Disorders)
  • Body Dysmorphic Disorder (BDD)
  • Eating disorders or disordered eating

A bright blue ocean and sand with pink and orange skies
Why Choose Coastal Collaborative Care for ERP in Virginia?

At Coastal Collaborative Care, your progress and comfort come first. With offices conveniently located in Alexandria, Norfolk and Fredericksburg, Virginia, our Virginia ERP therapists are committed to your well-being, providing inclusive, affirming, and trauma-informed care.

Choosing us means you’ll benefit from:

  • Expert ERP therapists with specialized training
  • Personalized and carefully guided exposure exercises
  • Warm, inclusive, and supportive therapeutic environments
  • Proven methods grounded in empathy and evidence-based care

Start Your ERP Journey Today

Don’t let OCD, anxiety, or eating disorders hold you back. Our ERP specialists are ready to help you break free and regain your life. Schedule your first session at our Alexandria, Norfolk, or Fredericksburg locations or via online therapy and take the first powerful step toward lasting relief and freedom.

Contact Coastal Collaborative Care today and reclaim control over your anxiety and your life.

Contact Us

Email: admin@coastalcollaborativecare.com

Telephone: 571-249-5332

Coastal Collaborative Care LLC

Coastal Collaborative Care

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We provide telehealth and in-person therapy. In-person offices are located in Old Town North Alexandria, VA, Downtown Norfolk, VA. and Fredericksburg, VA.

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