What is Exposure and Response Prevention?
Exposure and Response Prevention has two parts. The Exposure part is directly exposing yourself to the thoughts, images, or situations that cause you anxiety and have you obsessing over these things. The Response Prevention piece of this treatment is deliberately choosing not to act on a compulsive behavior once your anxiety has been triggered. This can be challenging with OCD, which is why it can be very useful to use Exposure and Response Prevention with the guidance of a trained ERP therapist.
Click on this link from the International OCD Foundation to read more about Exposure Response Prevention and OCD.
What is Mindfulness Based Stress Reduction?
Mindfulness Based Stress Reduction is a therapy tool that helps us to learn how to be mindful. Being mindful helps us to focus on the present moment and to increase our present moment awareness. By paying attention to the here and now, we begin to learn to sit with our current feelings instead or jumping to the future, going towards thoughts of the past, or avoiding our feelings all together. Using present moment awareness we learn how to manage difficult feelings and symptoms of anxiety, panic, stress, depression, grief and anger.
Does what we talk about in therapy remain confidential?
Confidentiality is one of the most important components between a client and psychotherapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but the therapist's office. Every therapist should provide a written copy of their confidential disclosure agreement, and you can expect that what you discuss in session will not be shared with anyone. This is called “Informed Consent”. Sometimes, however, you may want your therapist to share information or give an update to someone on your healthcare team (your Physician, Naturopath, Attorney), but by law your therapist cannot release this information without obtaining your written permission.
However, state law and professional ethics require therapists to maintain confidentiality except for the following situations:
* Suspected past or present abuse or neglect of children, adults, and elders to the authorities, including Child Protection and law enforcement, based on information provided by the client or collateral sources.
* If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threatened to harm another person.