Exposure Response Prevention Therapy, as I have mentioned before, is the treatment of choice for OCD. Though it is intensely anxiety provoking and difficult to do, the results are often dramatic. I have always credited this therapy for saving my son Dan’s life.
In a thought-provoking post entitled “No one should do exposure and response prevention!” , Dr. Jonathan Grayson argues that nobody should engage in ERP therapy just because the experts say it is the right thing to do. Rather, for it to work, the OCD sufferer needs to really believe that this therapy is the best way to proceed. In short, the desire to participate in ERP therapy needs to come from within.
Though this advice can apply to many therapies for many disorders, it can get complicated with OCD (so what else is new?). Even though they know it is illogical and their sense of security is false, some OCD sufferers find it too hard to give up the “safety” of their rituals. It is a risk they are either unwilling or unable to take. In addition, those with OCD are often steered by what they perceive is right and therefore may agree to engage in ERP therapy because it is the “right thing to do,” and not because they truly believe it will help them.
When Dan spent nine weeks at an intensive residential treatment program for OCD, he learned a lot about how OCD operates, and quickly came to the realization that ERP therapy was his ticket to freedom. In my experience, those with OCD understand better than anyone what their disorder entails. They know they act irrationally, but they are rational people. Just read any OCD sufferer’s blog, and you are bound to see a phrase like, “I know this sounds crazy but….”
It is far from easy to muster the courage to fight OCD, but it is possible. Empowered with knowledge, strength and desire, those with OCD can take the necessary responsibility for their recovery. And while the battle may be long and torturous, the choice to keep fighting is what really matters.